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Article Dans Une Revue Frontiers in Cardiovascular Medicine Année : 2022

Therapeutic Peptides to Treat Myocardial Ischemia-Reperfusion Injury

Résumé

Cardiovascular diseases (CVD) including acute myocardial infarction (AMI) rank first in worldwide mortality and according to the World Health Organization (WHO), they will stay at this rank until 2030. Prompt revascularization of the occluded artery to reperfuse the myocardium is the only recommended treatment (by angioplasty or thrombolysis) to decrease infarct size (IS). However, despite beneficial effects on ischemic lesions, reperfusion leads to ischemia-reperfusion (IR) injury related mainly to apoptosis. Improvement of revascularization techniques and patient care has decreased myocardial infarction (MI) mortality however heart failure (HF) morbidity is increasing, contributing to the cost-intense worldwide HF epidemic. Currently, there is no treatment for reperfusion injury despite promising results in animal models. There is now an obvious need to develop new cardioprotective strategies to decrease morbidity/mortality of CVD, which is increasing due to the aging of the population and the rising prevalence rates of diabetes and obesity. In this review, we will summarize the different therapeutic peptides developed or used focused on the treatment of myocardial IR injury (MIRI). Therapeutic peptides will be presented depending on their interacting mechanisms (apoptosis, necroptosis, and inflammation) reported as playing an important role in reperfusion injury following myocardial ischemia. The search and development of therapeutic peptides have become very active, with increasing numbers of candidates entering clinical trials. Their optimization and their potential application in the treatment of patients with AMI will be discussed.
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Dates et versions

hal-03601220 , version 1 (08-03-2022)

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Carlota Fernandez Rico, Michel Koenig, Emilie Josse, Joël Nargeot, Stéphanie Barrère-Lemaire, et al.. Therapeutic Peptides to Treat Myocardial Ischemia-Reperfusion Injury. Frontiers in Cardiovascular Medicine, 2022, 9, ⟨10.3389/fcvm.2022.792885⟩. ⟨hal-03601220⟩
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