摘要
背景:冠心病是死亡和发病的主要原因,造成重大医疗负担。即使应用紧急再通(PCI和CABG)治疗,缺血和缺血再灌注损伤仍然是损害心肌细胞的主要病理过程。线粒体醛脱氢酶-2(ALDH2)是催化醛氧化的多功能酶。 目的:积累的数据显示,ALDH2可以通过消除有毒醛并参与细胞适应和存活重要的细胞信号传导来帮助恢复线粒体功能。本文回顾了ALDH2在缺血性心血管疾病中的生物学和病理生物学作用,重点关注与东方患者相关的遗传学证据。 结论:ALDH2 * 2突变体等位基因(缺陷型基因型)存在于近一半的东亚人群中。开发一种安全的ALDH2功能恢复方法,从而具有临床意义。
关键词: ALDH2,酶,缺血性心脏病,线粒体,多态性,心脏损伤。
图形摘要
Current Drug Targets
Title:Aldehyde Dehydrogenase-2 Roles in Ischemic Cardiovascular Disease
Volume: 18 Issue: 15
关键词: ALDH2,酶,缺血性心脏病,线粒体,多态性,心脏损伤。
摘要: Background: Coronary heart disease is the leading cause of mortality and morbidity, incurring a major burden of medical care. Even with increasing application of emergent recanalization (PCI and CABG) therapy, ischemia and ischemic reperfusion injury remain as the dominant pathological process that damages cardiomyocytes. Mitochondrial Aldehyde dehydrogenase-2 (ALDH2) is a multifunctional enzyme catalyzing the oxidation of aldehydes.
Objective: Accumulating data have shown that ALDH2 can help restore mitochondria function by eliminating toxic aldehyde and participating in cellular signaling important for cell adaption and survival. This article reviews the biology and pathobiology roles of ALDH2 in the ischemic cardiovascular disease, focusing on the genetic evidence associated with the oriental patients.
Conclusion: The ALDH2*2 mutant allele (deficiency genotype) is present in nearly half of the East Asian population. Development of a safe way to restore ALDH2 function in this population thus has unique clinical implication.
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Cite this article as:
Aldehyde Dehydrogenase-2 Roles in Ischemic Cardiovascular Disease, Current Drug Targets 2017; 18 (15) . https://dx.doi.org/10.2174/1389450117666160912174417
DOI https://dx.doi.org/10.2174/1389450117666160912174417 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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