Department of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.
Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230601, China.
Redox Biol. 2023 Sep;65:102820. doi: 10.1016/j.redox.2023.102820. Epub 2023 Jul 17.
With the in-depth investigation of cardiac fibrosis, oxidative stress (OS) has been recognized as a significant pathophysiological pathway involved in cardiac remodeling and progression. OS is a condition characterized by the disruption of equilibrium between reactive oxygen species (ROS) produced by the organism and the antioxidant defense system, resulting in adverse effects on the structure and function of the heart. The accumulation of reactive substances beyond cellular thresholds disrupts the normal physiology of both cardiomyocytes and non-cardiomyocytes, leading to OS, inflammation, hypertrophy, and cardiac fibrosis. Furthermore, cardiac OS also modulates several crucial genes involved in maintaining cellular homeostasis, including those associated with mitochondrial biogenesis, injury, and antioxidant defense, which are inevitably associated with concurrent epigenetic changes. Multiple studies have demonstrated the crucial role of epigenetic modifications in regulating cardiac OS. Consequently, modulating OS through targeted epigenetic modifications emerges as a potentially promising therapeutic strategy for managing cardiac fibrosis. This article provides a new review of current research on this subject and proposes that epigenetics may improve OS-induced cardiac fibrosis.
随着对心肌纤维化的深入研究,氧化应激(OS)已被认为是涉及心脏重构和进展的重要病理生理途径。OS 是一种由机体产生的活性氧(ROS)与抗氧化防御系统之间平衡被打破的状态,导致心脏的结构和功能受到不良影响。活性物质的积累超过细胞阈值会破坏心肌细胞和非心肌细胞的正常生理功能,导致 OS、炎症、肥大和心脏纤维化。此外,心脏 OS 还调节几种与维持细胞内稳态相关的关键基因,包括与线粒体生物发生、损伤和抗氧化防御相关的基因,这些基因不可避免地与同时发生的表观遗传变化有关。多项研究表明,表观遗传修饰在调节心脏 OS 中起着关键作用。因此,通过靶向的表观遗传修饰来调节 OS 可能成为一种治疗心脏纤维化的有前途的治疗策略。本文对这一主题的最新研究进行了新的综述,并提出表观遗传学可能改善 OS 诱导的心脏纤维化。