The Role of Signalling Pathways in Myocardial Fibrosis in Hypertrophic Cardiomyopathy.

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Reviews in cardiovascular medicine Pub Date : 2025-02-21 eCollection Date: 2025-02-01 DOI:10.31083/RCM27152
Patryk Skórka, Jakub Piotrowski, Estera Bakinowska, Kajetan Kiełbowski, Andrzej Pawlik
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Abstract

Hypertrophic cardiomyopathy (HCM) is the most prevalent hereditary cardiovascular disorder, characterised by left ventricular hypertrophy and cardiac fibrosis. Cardiac fibroblasts, transformed into myofibroblasts, play a crucial role in the development of fibrosis. However, interactions between fibroblasts, cardiomyocytes, and immune cells are considered major mechanisms driving fibrosis progression. While the disease has a strong genetic background, its pathogenetic mechanisms remain complex and not fully understood. Several signalling pathways are implicated in fibrosis development. Among these, transforming growth factor-beta and angiotensin II are frequently studied in the context of cardiac fibrosis. In this review, we summarise the most current evidence on the involvement of signalling pathways in the pathogenesis of HCM. Additionally, we discuss the potential role of monitoring pro-fibrotic molecules in predicting clinical outcomes in patients with HCM.

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肥厚性心肌病心肌纤维化信号通路的作用。
肥厚性心肌病(HCM)是最常见的遗传性心血管疾病,以左心室肥厚和心脏纤维化为特征。心肌成纤维细胞转化为肌成纤维细胞,在纤维化的发展中起关键作用。然而,成纤维细胞、心肌细胞和免疫细胞之间的相互作用被认为是驱动纤维化进展的主要机制。虽然该病具有很强的遗传背景,但其发病机制仍然很复杂,尚未完全了解。几种信号通路与纤维化的发展有关。其中,转化生长因子- β和血管紧张素II在心脏纤维化的背景下经常被研究。在这篇综述中,我们总结了信号通路参与HCM发病机制的最新证据。此外,我们讨论了监测促纤维化分子在预测HCM患者临床结果中的潜在作用。
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来源期刊
Reviews in cardiovascular medicine
Reviews in cardiovascular medicine 医学-心血管系统
CiteScore
2.70
自引率
3.70%
发文量
377
审稿时长
1 months
期刊介绍: RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.
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