1. The key role of apoptosis in the pathogenesis and treatment of pulmonary hypertension.
- Author
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Gurbanov E and Shiliang X
- Subjects
- Apoptosis drug effects, Dichloroacetic Acid therapeutic use, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors therapeutic use, Hypertension, Pulmonary drug therapy, Inhibitor of Apoptosis Proteins, Intracellular Signaling Peptides and Proteins therapeutic use, Lovastatin analogs & derivatives, Lovastatin therapeutic use, MAP Kinase Kinase Kinase 5 therapeutic use, Microtubule-Associated Proteins therapeutic use, Muscle, Smooth, Vascular physiopathology, Neoplasm Proteins therapeutic use, PPAR gamma therapeutic use, Pancreatic Elastase antagonists & inhibitors, Protein Serine-Threonine Kinases therapeutic use, Pulmonary Circulation physiology, Receptor, Bradykinin B2 agonists, Simvastatin therapeutic use, Survivin, Thrombosis physiopathology, Vasoconstriction physiology, rho-Associated Kinases, Apoptosis physiology, Hypertension, Pulmonary physiopathology
- Abstract
In recent years, the process of the programmed cell death has gained much interest because it has important pathophysiological consequences contributing to the deletion of unwanted cells in the vessel wall, loss of pulmonary smooth muscle cells and therefore in reversing the pulmonary pressure. For the reason that most patients with pulmonary hypertension present with limited reversibility with vasodilators, antiremodeling approach for treatment appears to be feasible. Induction or enhancement of vascular smooth muscle cells apoptosis may be targeted to develop novel therapeutic approaches for pulmonary vascular remodeling in patients with pulmonary hypertension. This review summarizes the current mechanisms, investigate the roles and provide novel insights into the potential therapeutic value of apoptosis in the pulmonary artery remodeling of pulmonary hypertension.
- Published
- 2006
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