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Mavacamten rescues increased myofilament calcium sensitivity and dysregulation of Ca2+ flux caused by thin filament hypertrophic cardiomyopathy mutations

机译:Mavacamten拯救增加丝丝钙敏感性和Ca2 +通量的缺陷引起的薄纱肥厚性心肌病变突变

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摘要

Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiac disease, globally affecting 1 in 500 people (10). It is predominantly caused by mutations in sarcomeric proteins (20, 21), which alter Ca2+ cycling, contractility (8, 13), and myocardial energetics (21). To date there is no widely available effective treatment that acts on the primary cause of the disease, the sarcomere. Current treatments include (3-block-ers that prevent arrhythmias (18) or Ca2+ channel blockers (2) such as verapamil or diltiazem, which act to prevent diastolic dysfunction by prolonging left ventricular filling time (18); however, they do not affect the underlying altered myofilament function (5).
机译:肥厚性心肌病(HCM)是最常见的遗传性心脏病,全球影响500人(10)。 它主要由糖蛋白蛋白(20,21)中的突变引起的,其改变Ca2 +循环,收缩性(8,13)和心肌能量(21)。 迄今为止,没有广泛可用的有效治疗方法,可行于疾病的主要原因,Sarcomere。 目前的治疗包括(3个嵌段 - 预防心律失常(18)或CA2 +通道阻滞剂(2),如维拉帕米尔或Diltiazem,其采用延长左心室填充时间(18)来防止舒张功能障碍;但是,它们不会影响 底层改变了近透功能(5)。

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