Endocannabinoids and cardiac contractile function: pathophysiological implications.

Endocannabinoids and cardiac contractile function: pathophysiological implications.
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内源性大麻素和心脏收缩功能:病理生理学影响。

DOI:
10.1016/j.phrs.2009.04.003
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发表时间:
2009-08
影响因子:
9.3
通讯作者:
Pacher, Pal
Pacher, Pal
中科院分区:
医学1区
文献类型:
--
作者:
Batkai, Sandor;Pacher, Pal

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内源性大麻素是生物活性脂质信号传导系统的一部分,不仅在中枢神经系统中,而且在各种外周器官中。越来越多的证据表明,内源性大麻素系统(ECS)的失调在各种心血管疾病的发病机制,包括高血压,动脉粥样硬化,心肌梗死,出血性或脓毒性休克,心力衰竭和肝硬化的心血管并发症。尽管用目前可用的化合物进行慢性大麻素1(CB 1)受体阻断的益处可能不会超过慢性病症(如肥胖症)中的风险,但ECS的调节可能在各种心血管病症/障碍中具有很大的治疗前景。在这篇综述中,我们将讨论最近的进展,了解CB 1受体和内源性大麻素的作用,在调节心脏功能的心肌病和阿霉素诱导的心力衰竭。
Endocannabinoids are part of a bioactive lipid signaling system, not only in the central nervous system but also in various peripheral organs. Accumulating evidence implicates dysregulation of the endocannabinoid system (ECS) in the pathogenesis of various cardiovascular diseases, including hypertension, atherosclerosis, myocardial infarction, hemorrhagic or septic shock, heart failure and cardiovascular complications of liver cirrhosis. Even though the benefit of chronic cannabinoid 1 (CB1) receptor blockade with the currently available compounds may not outweigh the risks in chronic conditions such as obesity, modulation of the ECS may hold great therapeutic promise in various cardiovascular conditions/disorders. In this review we will discuss recent advances in understanding the role of CB1 receptors and endocannabinoids in the regulation of cardiac function in cirrhotic cardiomyopathy and in doxorubicin-induced heart failure.
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