Reversal of cardiac remodeling by modulation of adrenergic receptors: a new frontier in heart failure

Curr Opin Cardiol. 2007 Sep;22(5):443-9. doi: 10.1097/HCO.0b013e3282294d72.

Abstract

Purpose of review: Heart failure is a common clinical syndrome, and despite intensive medical therapy it remains a leading cause of global morbidity and mortality. Pathological stimuli promote a general remodeling process in the heart.

Recent findings: Recent animal studies have highlighted very promising novel therapeutic possibilities, based on the regulation of adrenergic receptor function, and novel signaling pathways are being discovered that could be relevant for future molecular approaches.

Summary: This review highlights some of the novel approaches to reverse pathological remodeling and improve cardiac dysfunction, placing emphasis on strategies targeting the adrenergic receptors.

Publication types

  • Review

MeSH terms

  • Adrenergic Agonists / pharmacology
  • Adrenergic Antagonists / pharmacology
  • Animals
  • Cardiomegaly / physiopathology
  • G-Protein-Coupled Receptor Kinase 2 / physiology
  • GTP-Binding Protein Regulators / physiology*
  • Heart Failure / drug therapy
  • Heart Failure / physiopathology*
  • Humans
  • Mice
  • Phosphatidylinositol 3-Kinases / physiology
  • Receptors, Adrenergic / genetics
  • Receptors, Adrenergic / physiology*
  • Ventricular Remodeling / drug effects
  • Ventricular Remodeling / physiology*

Substances

  • Adrenergic Agonists
  • Adrenergic Antagonists
  • GTP-Binding Protein Regulators
  • Receptors, Adrenergic
  • Phosphatidylinositol 3-Kinases
  • G-Protein-Coupled Receptor Kinase 2