Protein kinase Cα as a heart failure therapeutic target.

Protein kinase Cα as a heart failure therapeutic target.
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DOI:
10.1016/j.yjmcc.2010.10.004
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发表时间:
2011-10
影响因子:
5
通讯作者:
Molkentin JD
Molkentin JD
中科院分区:
医学2区
文献类型:
--
作者:
Liu Q;Molkentin JD

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仅在美国,每年就有约500万人遭受心力衰竭的折磨,并导致约30万人死亡。心力衰竭被定义为心脏缺乏对全身需求泵出足够血液的能力,这会导致疲劳、呼吸困难和/或浮肿。寻找新的治疗靶点是当前该领域研究的主要焦点。我们和其他人已经确定了蛋白激酶C(PKC)家族成员在心力衰竭发病机制编程方面的关键作用。更具体地说,过去6-7年出现的机制数据直接表明PKCα,一个传统的PKC家族成员,是心力衰竭倾向的节点调节因子。事实上,小鼠PKCα基因的缺失,或者用药物或显性负性突变体和/或抑制性多肽抑制其在啮齿动物中的表达,都显示出显著的保护作用,从而对抗心力衰竭的发展。这篇综述将权衡所有涉及PKCα作为治疗心力衰竭的新靶点的证据。
Heart failure afflicts ~5 million people and causes ~300,000 deaths a year in the United States alone. Heart failure is defined as a deficiency in the ability of the heart to pump sufficient blood in response to systemic demands, which results in fatigue, dyspnea, and/or edema. Identifying new therapeutic targets is a major focus of current research in the field. We and others have identified critical roles for protein kinase C (PKC) family members in programming aspects of heart failure pathogenesis. More specifically, mechanistic data have emerged over the past 6–7 years that directly implicate PKCα, a conventional PKC family member, as a nodal regulator of heart failure propensity. Indeed, deletion of the PKCα gene in mice, or its inhibition in rodents with drugs or a dominant negative mutant and/or inhibitory peptide, have shown dramatic protective effects that antagonize the development of heart failure. This review will weigh all the evidence implicating PKCα as a novel therapeutic target to consider for the treatment of heart failure.
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