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摘要:
Heart failure is one of the leading causes of death today.It is a complex clinical syndrome in which the heart has a reduced contraction ability and decreased viable myocytes.Novel approaches to the clinical management of heart failure have been achieved through an understanding of the molecular pathways necessary for normal heart development.Neuregulin-1(NRG-1)has emerged as a potential therapeutic target based on the fact that mice null for NRG-1 or receptors mediating its activity,ErbB2 and ErbB4,are embryonic lethal and exhibit severe cardiac defects.Preclinical studies performed with animal models of heart failure demonstrate that treatment with NRG-1 significantly improves heart function and survival.Clinical data further support NRG-1 as a promising drug candidate for the treatment of cardiac dysfunction in patients.Recent studies have revealed the mechanism underlying the therapeutic effects of NRG-1/ErbB signaling in the treatment of heart failure.Through activation of upstream signaling molecules such as phosphoinositide 3-kinase,mitogen-activated protein kinase,and focal adhesion kinase,NRG-1/ErbB pathway activation results in increased cMLCK expression and enhanced intracellular calcium cycling.The former is a regulator of the contractile machinery,and the latter triggers cell contraction and relaxation.In addition,NRG-1/ErbB signaling also influences energy metabolism and induces epigenetic modification in cardiac myocytes in a way that more closely resembles healthy heart.These observations reveal potentially new treatment options for heart failure.
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篇名 Progress in neuregulin/ErbB signaling and chronic heart failure
来源期刊 世界高血压杂志 学科 医学
关键词 ERBB EPIGENETIC modification HEART failure METABOLISM NEUREGULIN-1
年,卷(期) 2015,(2) 所属期刊栏目
研究方向 页码范围 63-73
页数 11页 分类号 R
字数 语种
DOI
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研究主题发展历程
节点文献
ERBB
EPIGENETIC
modification
HEART
failure
METABOLISM
NEUREGULIN-1
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界高血压杂志
不定期
2220-3168
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
53
总下载数(次)
0
总被引数(次)
0
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