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脂肪组织与心脏的相互作用——治疗心脏代谢疾病的新靶点。

Adipose tissue-heart crosstalk as a novel target for treatment of cardiometabolic diseases.

机构信息

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Institute of Pharmacology, Center for Cardiovascular Research, 10115, Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Germany.

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Institute of Pharmacology, Center for Cardiovascular Research, 10115, Berlin, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Germany.

出版信息

Curr Opin Pharmacol. 2021 Oct;60:249-254. doi: 10.1016/j.coph.2021.07.017. Epub 2021 Sep 2.

Abstract

Cardiometabolic disorders, such as diabetes, obesity, or metabolic syndrome, are often considered as key comorbidities, leading to the development of different forms of cardiovascular diseases such as heart failure or diabetic cardiomyopathy. Although the causal relationship between the pathophysiological status of white adipose tissue (WAT) and cardiac lipotoxicity is still elusive, elevated lipolytic rate in WAT has been demonstrated to participate in the overall augmentation of plasma lipid levels, as observed in most of the patients suffering from heart failure. In the present overview, we discuss current therapeutic approaches, as well as new treatment options targeting lipolysis and cardiac lipid metabolism in different forms of heart failure and diabetic cardiomyopathy.

摘要

心脏代谢紊乱,如糖尿病、肥胖症或代谢综合征,通常被视为主要合并症,导致不同形式的心血管疾病的发展,如心力衰竭或糖尿病性心肌病。尽管白色脂肪组织(WAT)的病理生理状态与心脏脂肪毒性之间的因果关系仍不清楚,但已经证明 WAT 中脂肪分解率的升高参与了大多数心力衰竭患者血浆脂质水平的整体升高。在本综述中,我们讨论了针对不同形式的心力衰竭和糖尿病性心肌病中的脂肪分解和心脏脂质代谢的当前治疗方法以及新的治疗选择。

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