Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury

Despite important advances in the treatment of myocardial infarction that have significantly reduced mortality, there is still an unmet need to limit the infarct size after reperfusion injury in order to prevent the onset and severity of heart failure. Multiple cardioprotective maneuvers, therapeuti...

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Autores principales: Magda C. Díaz-Vesga, Úrsula Zúñiga-Cuevas, Andrés Ramírez-Reyes, Nicolas Herrera-Zelada, Iván Palomo, Roberto Bravo-Sagua, Jaime A. Riquelme
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/c5fbf5226e9e4b199430543279c58551
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spelling oai:doaj.org-article:c5fbf5226e9e4b199430543279c585512021-11-19T05:27:47ZPotential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury2297-055X10.3389/fcvm.2021.770421https://doaj.org/article/c5fbf5226e9e4b199430543279c585512021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.770421/fullhttps://doaj.org/toc/2297-055XDespite important advances in the treatment of myocardial infarction that have significantly reduced mortality, there is still an unmet need to limit the infarct size after reperfusion injury in order to prevent the onset and severity of heart failure. Multiple cardioprotective maneuvers, therapeutic targets, peptides and drugs have been developed to effectively protect the myocardium from reperfusion-induced cell death in preclinical studies. Nonetheless, the translation of these therapies from laboratory to clinical contexts has been quite challenging. Comorbidities, comedications or inadequate ischemia/reperfusion experimental models are clearly identified variables that need to be accounted for in order to achieve effective cardioprotection studies. The aging heart is characterized by altered proteostasis, DNA instability, epigenetic changes, among others. A vast number of studies has shown that multiple therapeutic strategies, such as ischemic conditioning phenomena and protective drugs are unable to protect the aged heart from myocardial infarction. In this Mini-Review, we will provide an updated state of the art concerning potential new cardioprotective strategies targeting the aging heart.Magda C. Díaz-VesgaMagda C. Díaz-VesgaMagda C. Díaz-VesgaÚrsula Zúñiga-CuevasAndrés Ramírez-ReyesNicolas Herrera-ZeladaIván PalomoIván PalomoRoberto Bravo-SaguaRoberto Bravo-SaguaRoberto Bravo-SaguaJaime A. RiquelmeJaime A. RiquelmeFrontiers Media S.A.articlecardioprotectionagingischemia/reperfusion injurymitochondriasenolyticsDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic cardioprotection
aging
ischemia/reperfusion injury
mitochondria
senolytics
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle cardioprotection
aging
ischemia/reperfusion injury
mitochondria
senolytics
Diseases of the circulatory (Cardiovascular) system
RC666-701
Magda C. Díaz-Vesga
Magda C. Díaz-Vesga
Magda C. Díaz-Vesga
Úrsula Zúñiga-Cuevas
Andrés Ramírez-Reyes
Nicolas Herrera-Zelada
Iván Palomo
Iván Palomo
Roberto Bravo-Sagua
Roberto Bravo-Sagua
Roberto Bravo-Sagua
Jaime A. Riquelme
Jaime A. Riquelme
Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury
description Despite important advances in the treatment of myocardial infarction that have significantly reduced mortality, there is still an unmet need to limit the infarct size after reperfusion injury in order to prevent the onset and severity of heart failure. Multiple cardioprotective maneuvers, therapeutic targets, peptides and drugs have been developed to effectively protect the myocardium from reperfusion-induced cell death in preclinical studies. Nonetheless, the translation of these therapies from laboratory to clinical contexts has been quite challenging. Comorbidities, comedications or inadequate ischemia/reperfusion experimental models are clearly identified variables that need to be accounted for in order to achieve effective cardioprotection studies. The aging heart is characterized by altered proteostasis, DNA instability, epigenetic changes, among others. A vast number of studies has shown that multiple therapeutic strategies, such as ischemic conditioning phenomena and protective drugs are unable to protect the aged heart from myocardial infarction. In this Mini-Review, we will provide an updated state of the art concerning potential new cardioprotective strategies targeting the aging heart.
format article
author Magda C. Díaz-Vesga
Magda C. Díaz-Vesga
Magda C. Díaz-Vesga
Úrsula Zúñiga-Cuevas
Andrés Ramírez-Reyes
Nicolas Herrera-Zelada
Iván Palomo
Iván Palomo
Roberto Bravo-Sagua
Roberto Bravo-Sagua
Roberto Bravo-Sagua
Jaime A. Riquelme
Jaime A. Riquelme
author_facet Magda C. Díaz-Vesga
Magda C. Díaz-Vesga
Magda C. Díaz-Vesga
Úrsula Zúñiga-Cuevas
Andrés Ramírez-Reyes
Nicolas Herrera-Zelada
Iván Palomo
Iván Palomo
Roberto Bravo-Sagua
Roberto Bravo-Sagua
Roberto Bravo-Sagua
Jaime A. Riquelme
Jaime A. Riquelme
author_sort Magda C. Díaz-Vesga
title Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury
title_short Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury
title_full Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury
title_fullStr Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury
title_full_unstemmed Potential Therapies to Protect the Aging Heart Against Ischemia/Reperfusion Injury
title_sort potential therapies to protect the aging heart against ischemia/reperfusion injury
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/c5fbf5226e9e4b199430543279c58551
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