2015
DOI: 10.1155/2015/230182
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Iron-Induced Damage in Cardiomyopathy: Oxidative-Dependent and Independent Mechanisms

Abstract: The high incidence of cardiomyopathy in patients with hemosiderosis, particularly in transfusional iron overload, strongly indicates that iron accumulation in the heart plays a major role in the process leading to heart failure. In this context, iron-mediated generation of noxious reactive oxygen species is believed to be the most important pathogenetic mechanism determining cardiomyocyte damage, the initiating event of a pathologic progression involving apoptosis, fibrosis, and ultimately cardiac dysfunction.… Show more

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Cited by 131 publications
(92 citation statements)
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References 95 publications
(119 reference statements)
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“…These events enhance the destructions in insulin signaling, diminished endothelialmediated vaso-relaxation and associated renal and cardiovascular risks [12]. Similarly, acute hypoxia in the body is accumulating extracellular and cytosolic irons that damage the cardiovascular tissue which is also a reason of redox homeostatic imbalance that leads to hypertension and progression of metabolic dysregulation [13].…”
Section: Metabolic Syndrome and Mitochondrial Dysfunction: A Complex mentioning
confidence: 99%
“…These events enhance the destructions in insulin signaling, diminished endothelialmediated vaso-relaxation and associated renal and cardiovascular risks [12]. Similarly, acute hypoxia in the body is accumulating extracellular and cytosolic irons that damage the cardiovascular tissue which is also a reason of redox homeostatic imbalance that leads to hypertension and progression of metabolic dysregulation [13].…”
Section: Metabolic Syndrome and Mitochondrial Dysfunction: A Complex mentioning
confidence: 99%
“…All the cell types that constitute the heart may be susceptible to ROS-induced damage, including endothelial cells and the cardiomyocytes. Iron's toxicity within cells arises from its capacity to catalyse the production of ROS that cause lipid peroxidation and organelle damage, which leads to cell death and fibrosis and ultimately impaired systolic and diastolic function [49] [50].…”
Section: Discussionmentioning
confidence: 99%
“…Iron also accumulates in the atria, but to a lesser extent. When iron content surpasses transferrin‐binding capacity and hemosiderin/ferritin‐storage capability, formation of toxic free unbound iron enters the mitochondria and promotes the formation of hydroxyl radicals . This complex biochemical process culminates in gene alteration, cell apoptosis, and the potential for fibrosis formation.…”
Section: Thalassemia Iron and The Heartmentioning
confidence: 99%
“…Mild to moderate iron overload is ascribed to T2* values ranging from 10 to 20 ms. Severe cardiac siderosis is associated with T2* values <10 ms …”
Section: Assessing the Heart In β‐Thalassemia Major: The Role Of Cmrmentioning
confidence: 99%
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