Academic Journal
Cardiac conduction diseases: understanding the molecular mechanisms to uncover targets for future treatments
| Τίτλος: | Cardiac conduction diseases: understanding the molecular mechanisms to uncover targets for future treatments |
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| Συγγραφείς: | Tingting, Li, Qussay, Marashly, Jitae A, Kim, Na, Li, Mihail G, Chelu |
| Πηγή: | Expert Opinion on Therapeutic Targets. 28:385-400 |
| Στοιχεία εκδότη: | Informa UK Limited, 2024. |
| Έτος έκδοσης: | 2024 |
| Θεματικοί όροι: | Heart Failure, Cardiac Conduction System Disease, Drug Development, Heart Conduction System, Mutation, Humans, Animals, Molecular Targeted Therapy, Epigenesis, Genetic, Sinoatrial Node |
| Περιγραφή: | The cardiac conduction system (CCS) is crucial for maintaining adequate cardiac frequency at rest and modulation during exercise. Furthermore, the atrioventricular node and His-Purkinje system are essential for maintaining atrioventricular and interventricular synchrony and consequently maintaining an adequate cardiac output.In this review article, we examine the anatomy, physiology, and pathophysiology of the CCS. We then discuss in detail the most common genetic mutations and the molecular mechanisms of cardiac conduction disease (CCD) and provide our perspectives on future research and therapeutic opportunities in this field.Significant advancement has been made in understanding the molecular mechanisms of CCD, including the recognition of the heterogeneous signaling at the subcellular levels of sinoatrial node, the involvement of inflammatory and autoimmune mechanisms, and the potential impact of epigenetic regulations on CCD. However, the current treatment of CCD manifested as bradycardia still relies primarily on cardiovascular implantable electronic devices (CIEDs). On the other hand, an If specific inhibitor was developed to treat inappropriate sinus tachycardia and sinus tachycardia in heart failure patients with reduced ejection fraction. More work is needed to translate current knowledge into pharmacologic or genetic interventions for the management of CCDs. |
| Τύπος εγγράφου: | Article |
| Γλώσσα: | English |
| ISSN: | 1744-7631 1472-8222 |
| DOI: | 10.1080/14728222.2024.2351501 |
| Σύνδεσμος πρόσβασης: | https://pubmed.ncbi.nlm.nih.gov/38700451 |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....ef0252214092a7f4e5ad84cdb548d2cf |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 17447631 14728222 |
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| DOI: | 10.1080/14728222.2024.2351501 |