The role of phosphodiesterase 9A inhibitors in heart failure.

IF 4.9 2区 医学 Q1 PHARMACOLOGY & PHARMACY Expert opinion on investigational drugs Pub Date : 2024-06-01 Epub Date: 2024-05-08 DOI:10.1080/13543784.2024.2349813
Saam Foroshani, Avrohom Karp, Wilbert S Aronow, Gregg M Lanier
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Abstract

Introduction: There are currently limited effective treatments available to improve lusitropy in patients suffering from heart failure with preserved ejection fraction. The role of PDE9A in diastolic dysfunction has been well-studied over recent years, with a special focus on its association with myocardial hypertrophy. Recent insights into PDE9A inhibition have brought to light the potential for reversal of cardiac remodeling, with multiple studies showing promising results in preclinical data.

Areas covered: This expert opinion provides an overview of the role of PDE9A in diastolic heart dysfunction along with the efficacy of PDE9A inhibitors in laboratory models of heart failure with preserved ejection fraction.

Expert opinion: The available data on PDE9A inhibition in preclinical studies suggest that there is potential for reversal of diastolic dysfunction and myocardial hypertrophy, however, conflicting data suggests that further studies are required before progressing to clinical trials.

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磷酸二酯酶 9A 抑制剂在心力衰竭中的作用。
简介:目前,改善射血分数保留型心力衰竭患者舒张功能的有效治疗方法有限。近年来,人们对 PDE9A 在舒张功能障碍中的作用进行了深入研究,尤其关注其与心肌肥厚的关系。最近对 PDE9A 抑制的深入研究揭示了其逆转心脏重塑的潜力,多项研究显示临床前数据结果很有希望:本专家意见概述了 PDE9A 在舒张性心功能障碍中的作用,以及 PDE9A 抑制剂在射血分数保留型心力衰竭实验室模型中的疗效:临床前研究中有关 PDE9A 抑制的现有数据表明,PDE9A 有可能逆转舒张功能障碍和心肌肥厚,但是,相互矛盾的数据表明,在进入临床试验之前还需要进一步的研究。
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来源期刊
CiteScore
10.00
自引率
0.00%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Expert Opinion on Investigational Drugs (ISSN 1354-3784 [print], 1744-7658 [electronic]) is a MEDLINE-indexed, peer-reviewed, international journal publishing review articles and original papers on drugs in preclinical and early stage clinical development, providing expert opinion on the scope for future development. The Editors welcome: Reviews covering preclinical through to Phase II data on drugs or drug classes for specific indications, and their potential impact on future treatment strategies Drug Evaluations reviewing the clinical and pharmacological data on a particular drug Original Research papers reporting the results of clinical investigations on agents that are in Phase I and II clinical trials The audience consists of scientists, managers and decision-makers in the pharmaceutical industry, and others closely involved in R&D.
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