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程序性细胞死亡在射血分数保留心力衰竭发病机制中的作用。

The Role of Programmed Types of Cell Death in Pathogenesis of Heart Failure with Preserved Ejection Fraction.

机构信息

1st Chair and Department of Cardiology, Medical University of Warsaw, 02-091 Warsaw, Poland.

Chair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, 02-097 Warsaw, Poland.

出版信息

Int J Mol Sci. 2024 Sep 14;25(18):9921. doi: 10.3390/ijms25189921.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a condition that develops in the course of many diseases and conditions, and its pathophysiology is still not well understood, but the involvement of programmed types of cell death in the development of this type of heart failure is becoming increasingly certain. In addition, drugs already widely used in clinical practice, with a good safety profile and efficacy demonstrated in large-group clinical trials, seem to be exerting their beneficial effects on cardiovascular health. Perhaps new drugs that reduce the susceptibility of cells to programmed types of cell death are under investigation and may improve the prognosis of patients with HFpEF. In this article, we summarize the current knowledge about the pathogenesis of HFpEF and the role of programmed types of cell death in its development. Additionally, we have described the future directions of research that may lead to the improvement of a patient's prognosis and potential treatment.

摘要

射血分数保留的心力衰竭(HFpEF)是在许多疾病和情况下发展的一种病症,其病理生理学仍未被很好地理解,但程序性细胞死亡类型的参与在这种类型的心力衰竭的发展中变得越来越确定。此外,已经在临床实践中广泛使用的药物,在大型临床试验中显示出良好的安全性和疗效,似乎对心血管健康发挥了有益的作用。也许正在研究新的药物来降低细胞对程序性细胞死亡类型的易感性,并可能改善 HFpEF 患者的预后。在本文中,我们总结了 HFpEF 的发病机制以及程序性细胞死亡在其发展中的作用的现有知识。此外,我们还描述了可能改善患者预后和潜在治疗的未来研究方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b12/11432194/a72baeca9686/ijms-25-09921-g001.jpg

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