Drăgoi Cristina Manuela, Diaconu Camelia Cristina, Nicolae Alina Crenguța, Dumitrescu Ion-Bogdan
Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 020956 Bucharest, Romania.
Faculty of Medicine, University of Medicine and Pharmacy Carol Davila Bucharest, 050474 Bucharest, Romania.
Antioxidants (Basel). 2024 Sep 25;13(10):1163. doi: 10.3390/antiox13101163.
Precision medicine is envisioned as the future of cardiovascular healthcare, offering a more tailored and effective method for managing cardiovascular diseases compared to the traditional one-size-fits-all approaches. The complex role of oxidative stress in chronic diseases within the framework of precision medicine was carefully explored, delving into the cellular redox status and its critical involvement in the pathophysiological complexity of cardiovascular diseases (CVDs). The review outlines the mechanisms of reactive oxygen species generation and the function of antioxidants in maintaining redox balance. It emphasizes the elevated reactive oxygen species concentrations observed in heart failure and their detrimental impact on cardiovascular health. Various sources of ROS within the cardiovascular system are examined, including mitochondrial dysfunction, which contributes to oxidative stress and mitochondrial DNA degradation. The article also addresses oxidative stress's role in myocardial remodeling, a process pivotal to the progression of heart diseases. By integrating these aspects, the review underscores the importance of redox homeostasis and identifies molecular biomarkers that can enhance precision therapy for CVDs. The insights provided aim to pave the way for targeted therapeutic strategies that mitigate oxidative stress, thereby improving patient outcomes in cardiovascular medicine.
精准医学被视为心血管医疗保健的未来,与传统的一刀切方法相比,它为管理心血管疾病提供了一种更具针对性和有效性的方法。在精准医学框架内,深入探讨了氧化应激在慢性疾病中的复杂作用,研究了细胞氧化还原状态及其在心血管疾病(CVD)病理生理复杂性中的关键作用。该综述概述了活性氧生成机制以及抗氧化剂在维持氧化还原平衡中的作用。它强调了在心力衰竭中观察到的活性氧浓度升高及其对心血管健康的有害影响。研究了心血管系统中活性氧的各种来源,包括线粒体功能障碍,它会导致氧化应激和线粒体DNA降解。文章还阐述了氧化应激在心肌重塑中的作用,心肌重塑是心脏病进展的关键过程。通过整合这些方面,该综述强调了氧化还原稳态的重要性,并确定了可以增强CVD精准治疗的分子生物标志物。所提供的见解旨在为减轻氧化应激的靶向治疗策略铺平道路,从而改善心血管医学中的患者预后。