The mitochondrial permeability transition pore: molecular nature and role as a target in cardioprotection.

The mitochondrial permeability transition pore: molecular nature and role as a target in cardioprotection.
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DOI:
10.1016/j.yjmcc.2014.09.023
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发表时间:
2015-01
影响因子:
5
通讯作者:
Di Lisa, Fabio
Di Lisa, Fabio
中科院分区:
医学2区
文献类型:
--
作者:
Bernardi, Paolo;Di Lisa, Fabio

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The mitochondrial permeability transition (PT) – an abrupt increase permeability of the inner membrane to solutes – is a causative event in ischemia–reperfusion injury of the heart, and the focus of intense research in cardioprotection. The PT is due to opening of the PT pore (PTP), a high conductance channel that is critically regulated by a variety of pathophysiological effectors. Very recent work indicates that the PTP forms from the F-ATP synthase, which would switch from an energy-conserving to an energy-dissipating device. This review provides an update on the current debate on how this transition is achieved, and on the PTP as a target for therapeutic intervention. This article is part of a Special Issue entitled "Mitochondria: from basic mitochondrial biology to cardiovascular disease". The mitochondrial permeability transition pore plays a key role in heart disease. Existing models for the permeability transition pore are critically reviewed. F-ATP synthase is the best molecular candidate for pore formation. Cyclophilin D is an important pore regulator but not a structural component. Cyclophilin inhibitors are promising but promiscuous drugs.
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