2022
DOI: 10.3390/life12101663
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Oxidative Stress Management in Cardiorenal Diseases: Focus on Novel Antidiabetic Agents, Finerenone, and Melatonin

Abstract: Oxidative stress is characterized by excessive production of reactive oxygen species together with exhausted antioxidant defenses. This constitutes a main pathophysiologic process that is implicated in cardiovascular and renal diseases. In particular, enhanced oxidative stress may lead to low-density lipoprotein accumulation and oxidation, endothelial cell activation, adhesion molecule overexpression, macrophage activation, and foam cell formation, promoting the development and progression of atherosclerosis. … Show more

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Cited by 9 publications
(4 citation statements)
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“…The endothelial cells become "sticky" when they express members of a family of immunoglobulin-like adhesion molecules that includes ICAM-1, ICAM-2, VCAM-1 and PECAM-1; this also aids in the transendothelial migration of the lymphocytes [30]. Melatonin has long been known to inhibit adhesion molecule expression on endothelial cells, which diminishes the likelihood of the occlusion of a coronary artery due to the buildup of lymphocytes [31,32] (Figure 1). Experimental evidence documents that this action of melatonin is mediated by the nuclear receptor for melatonin (RORα)/signal transducer and activator of transcription 3 (miR-223-STAT-3) signaling pathway [33].…”
Section: Melatonin and Arterial Plaque Integritymentioning
confidence: 99%
“…The endothelial cells become "sticky" when they express members of a family of immunoglobulin-like adhesion molecules that includes ICAM-1, ICAM-2, VCAM-1 and PECAM-1; this also aids in the transendothelial migration of the lymphocytes [30]. Melatonin has long been known to inhibit adhesion molecule expression on endothelial cells, which diminishes the likelihood of the occlusion of a coronary artery due to the buildup of lymphocytes [31,32] (Figure 1). Experimental evidence documents that this action of melatonin is mediated by the nuclear receptor for melatonin (RORα)/signal transducer and activator of transcription 3 (miR-223-STAT-3) signaling pathway [33].…”
Section: Melatonin and Arterial Plaque Integritymentioning
confidence: 99%
“…SGLT2-Is may be able to improve oxidative stress and inflammation [ 119 , 120 ]. Antioxidant and anti-inflammatory effects of SGLT2 inhibition have been demonstrated in recent experimental studies at the level of the heart [ 96 , 97 ], implicating key inflammatory mediators such as the NLRP3 inflammasome and NF-κB.…”
Section: A Novel Era In Heart Failure Pharmacotherapy: Sglt2 Inhibitorsmentioning
confidence: 99%
“…Type 5 is caused by other systemic diseases such as sepsis and diabetes [15]. Although a variety of factors can cause senescence-related cardiorenal interactions, a strong body of evidence indicates that oxidative stress plays a central role [14,16] via ageinduced metabolic, hemodynamic, neurohormonal, and inflammatory mechanisms, and atherosclerotic degeneration [17][18][19]. Aging is highly correlated to the process of mitochondrial dysfunction and causes the accumulation of oxidative stress in cardiomyocytes and nephrocytes [17,20,21].…”
Section: Introductionmentioning
confidence: 99%