Docshin Pavel, Panshin Daniil, Malashicheva Anna
Laboratory of Regenerative Biomedicine, Institute of Cytology Russian Academy of Science, 194064 St. Petersburg, Russia.
Rev Cardiovasc Med. 2024 Oct 16;25(10):368. doi: 10.31083/j.rcm2510368. eCollection 2024 Oct.
Cardiac fibrosis, characterized by the excessive deposition of extracellular matrix proteins, significantly contributes to the morbidity and mortality associated with cardiovascular diseases. This article explores the complex interplay between Runt-related transcription factor 2 (RUNX2), bone morphogenetic protein 2 (BMP2), and Notch signaling pathways in the pathogenesis of cardiac fibrosis. Each of these pathways plays a crucial role in the regulation of cellular functions and interactions that underpin fibrotic processes in the heart. Through a detailed review of current research, we highlight how the crosstalk among RUNX2, BMP2, and Notch not only facilitates our understanding of the fibrotic mechanisms but also points to potential biomolecular targets for intervention. This article delves into the regulatory networks, identifies key molecular mediators, and discusses the implications of these signaling pathways in cardiac structural remodeling. By synthesizing findings from recent studies, we provide insights into the cellular and molecular mechanisms that could guide future research directions, aiming to uncover new therapeutic strategies to manage and treat cardiac fibrosis effectively.
心脏纤维化以细胞外基质蛋白过度沉积为特征,显著导致了与心血管疾病相关的发病率和死亡率。本文探讨了 runt 相关转录因子 2(RUNX2)、骨形态发生蛋白 2(BMP2)和 Notch 信号通路在心脏纤维化发病机制中的复杂相互作用。这些通路中的每一个在调节支撑心脏纤维化过程的细胞功能和相互作用中都起着关键作用。通过对当前研究的详细综述,我们强调 RUNX2、BMP2 和 Notch 之间的相互作用不仅有助于我们理解纤维化机制,还指出了潜在的生物分子干预靶点。本文深入研究了调控网络,确定了关键分子介质,并讨论了这些信号通路在心脏结构重塑中的意义。通过综合近期研究结果,我们深入了解了细胞和分子机制,可为未来的研究方向提供指导,旨在发现新的治疗策略以有效管理和治疗心脏纤维化。