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射血分数保留的心力衰竭中的心脏代谢表型:来自小鼠模型的见解

Cardiometabolic Phenotype in HFpEF: Insights from Murine Models.

作者信息

Ogurtsova Ekaterina, Arefieva Tatiana, Filatova Anastasiia, Radyukhina Natalya, Ovchinnikov Artem

机构信息

Laboratory of Cell Immunology, National Medical Research Center of Cardiology Named After Academician E.I. Chazov, Academician Chazov St., 15a, 121552 Moscow, Russia.

Faculty of Medicine, Lomonosov Moscow State University, Lomonosovsky Prospekt, 27/1, 117192 Moscow, Russia.

出版信息

Biomedicines. 2025 Mar 18;13(3):744. doi: 10.3390/biomedicines13030744.

Abstract

Heart failure with preserved ejection fraction (HFpEF) remains a significant challenge in modern healthcare. It accounts for the majority of heart failure cases and their number worldwide is steadily increasing. With its high prevalence and substantial clinical impact, therapeutic strategies for HFpEF are still inadequate. This review focuses on the cardiometabolic phenotype of HFpEF which is characterised by such conditions as obesity, type 2 diabetes mellitus, and hypertension. Various murine models that mimic this phenotype are discussed. Each model's pathophysiological aspects, namely inflammation, oxidative stress, endothelial dysfunction, changes in cardiomyocyte protein function, and myocardial metabolism alterations are examined in detail. Understanding these models can provide insight into the mechanisms underlying HFpEF and aid in the development of effective therapeutic interventions.

摘要

射血分数保留的心力衰竭(HFpEF)仍然是现代医疗保健中的一项重大挑战。它占心力衰竭病例的大多数,并且全球范围内其病例数量正在稳步增加。鉴于其高患病率和巨大的临床影响,HFpEF的治疗策略仍然不足。本综述重点关注HFpEF的心脏代谢表型,其特征为肥胖、2型糖尿病和高血压等病症。讨论了各种模拟这种表型的小鼠模型。详细研究了每个模型的病理生理方面,即炎症、氧化应激、内皮功能障碍、心肌细胞蛋白功能变化和心肌代谢改变。了解这些模型可以深入了解HFpEF的潜在机制,并有助于开发有效的治疗干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dd9/11940576/bc350d6341b0/biomedicines-13-00744-g001.jpg

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