Melatonin in Heart Failure: A Promising Therapeutic Strategy?

被引:44
作者
Nduhirabandi, Frederic [1 ]
Maarman, Gerald J. [1 ]
机构
[1] Univ Cape Town, Fac Hlth Sci, Dept Med, Cardioprotect Grp,HICRA, ZA-7935 Cape Town, South Africa
基金
新加坡国家研究基金会; 欧洲研究理事会;
关键词
cardiac remodeling; cardioprotection; cardiomyopathy; fibrosis; heart failure; hypertension; ischemic heart disease; melatonin; metabolic syndrome; ISCHEMIA-REPERFUSION INJURY; NOCTURNAL BLOOD-PRESSURE; PULMONARY-HYPERTENSION; MYOCARDIAL-INFARCTION; METABOLIC SYNDROME; EJECTION FRACTION; RISK-FACTORS; PROTECTS; RATS; ASSOCIATION;
D O I
10.3390/molecules23071819
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Heart failure is a multifactorial clinical syndrome characterized by the inability of the heart to pump sufficient blood to the body. Despite recent advances in medical management, poor outcomes in patients with heart failure remain very high. This highlights a need for novel paradigms for effective, preventive and curative strategies. Substantial evidence supports the importance of endogenous melatonin in cardiovascular health and the benefits of melatonin supplementation in various cardiac pathologies and cardiometabolic disorders. Melatonin plays a crucial role in major pathological processes associated with heart failure including ischemic injury, oxidative stress, apoptosis, and cardiac remodeling. In this review, available evidence for the role of melatonin in heart failure is discussed. Current challenges and possible limitations of using melatonin in heart failure are also addressed. While few clinical studies have investigated the role of melatonin in the context of heart failure, current findings from experimental studies support the potential use of melatonin as preventive and adjunctive curative therapy in heart failure.
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页数:18
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