Inflammatory mediators and the failing heart: past, present, and the foreseeable future.
نویسنده
چکیده
Recent studies have identified the importance of proinflammatory mediators in the development and progression of heart failure. The growing appreciation of the pathophysiological consequences of sustained expression of proinflammatory mediators in preclinical and clinical heart failure models culminated in a series of multicenter clinical trials that used "targeted" approaches to neutralize tumor necrosis factor in patients with moderate to advanced heart failure. However, these targeted approaches have resulted in worsening heart failure, thereby raising a number of important questions about what role, if any, proinflammatory cytokines play in the pathogenesis of heart failure. This review will summarize the tremendous growth of knowledge that has taken place in this field, with a focus on what we have learned from the negative clinical trials, as well as the potential direction of future research in this area.
منابع مشابه
Inflammatory Mediators and the Failing Heart: Past, Present, and the Foreseeable Future Inflammatory Cytokines and Postmyocardial Infarction Remodeling Chemokines in the Pathogenesis of Vascular Disease Cytokine-Induced Modulation of Cardiac Function
Cytokines act in an autocrine and/or paracrine fashion to induce a diverse variety of biological responses. Several cardiac diseases are associated with cytokine activation, and such activation significantly influences several physiologic parameters, including cardiac mechanical function. This review summarizes the current concepts regarding the modulation of myocardial function by cytokines an...
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متن کاملInflammatory Mediators and the Failing Heart: Past, Present, and the Foreseeable Future Inflammatory Cytokines and Postmyocardial Infarction Remodeling Chemokines in the Pathogenesis of Vascular Disease Cytokines in Ventricular Function
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متن کاملThe cardioprotective effects of 4-O-(2″-O-acetyl-6″-O- p-coumaroyl-β-D-glucopyranosyl)-p-coumaric acid (4-ACGC) on chronic heart failure
The 4-ACGC isolated from BP was prepared to investigate the cardioprotective effects on attenuating chronic heart failure in vivo and in vitro. A chronic heart failure (CHF) rat model was established to investigate the cardioprotective effects of 4-ACGC. From this, several cardiac function indexes were recorded. The inflammatory markers including tumor necrosis factor-α (TNF-α), Interleukin-6 (...
متن کاملThe cardioprotective effects of 4-O-(2″-O-acetyl-6″-O- p-coumaroyl-β-D-glucopyranosyl)-p-coumaric acid (4-ACGC) on chronic heart failure
The 4-ACGC isolated from BP was prepared to investigate the cardioprotective effects on attenuating chronic heart failure in vivo and in vitro. A chronic heart failure (CHF) rat model was established to investigate the cardioprotective effects of 4-ACGC. From this, several cardiac function indexes were recorded. The inflammatory markers including tumor necrosis factor-α (TNF-α), Interleukin-6 (...
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ورودعنوان ژورنال:
- Circulation research
دوره 91 11 شماره
صفحات -
تاریخ انتشار 2002