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Therapeutic Applications of Calcium Metabolism Modulation in Heart Disease

机译:钙代谢调节在心脏病中的治疗应用

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Cardiovascular disease is the leading cause of death worldwide and there is extensive research on the pathophysiology of all its clinical entities. Despite the big array of possible therapeutic modalities for cardiovascular disease, there is still a big necessity to develop novel treatments that will augment our strategies for tackling the burden of cardiovascular disease and decrease morbidity and mortality. A major player in both the physiology and pathophysiology of the cardiovascular system is calcium. Extracellular calcium is required in order to initiate cardiac muscle contraction and promote the calcium-induced calcium release mechanism from the sarcoplasmic reticulum. A lot of molecules and structures that in a direct or indirect way interact with calcium are being studied and there is a constant flow of new information that is emerging. In this review we focus on some of these calcium metabolism modulators representatives such as SERCA2a, RyR2, S100A1, phosholamban and calcineurin. We emphasize on their mechanism of action, their role in cardiovascular disease and potential therapeutic implications. We also focus on the effect the bisphosphonates might have in regression of the calcium deposition in the human arteries as well as the usage of novel biomarkers such as mircoRNAs in calcium metabolism modulation in heart disease.
机译:心血管疾病是全球范围内主要的死亡原因,并且对其所有临床实体的病理生理学都有广泛的研究。尽管有许多可能的治疗心血管疾病的方法,但仍很有必要开发新的治疗方法,以增强我们应对心血管疾病负担并降低发病率和死亡率的策略。钙是心血管系统生理和病理生理的主要参与者。需要细胞外钙,以启动心肌收缩并促进钙诱导的钙从肌质网的释放机制。正在研究与钙直接或间接相互作用的许多分子和结构,并且不断有新的信息流出现。在这篇综述中,我们重点介绍一些钙代谢调节剂代表,例如SERCA2a,RyR2,S100A1,phosholamban和钙调神经磷酸酶。我们强调它们的作用机制,它们在心血管疾病中的作用以及潜在的治疗意义。我们还将重点放在双膦酸盐可能对人体动脉钙沉积的退化以及新型生物标志物(例如mircoRNA)在心脏病钙代谢调节中的作用。

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