2022
DOI: 10.3390/ijms23052617
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The Pathogenesis of Cardiac Fibrosis: A Review of Recent Progress

Abstract: Fibrosis is defined as the excessive deposition of extracellular matrix (ECM) proteins in the interstitium. It is an essential pathological response to chronic inflammation. ECM protein deposition is initially protective and is critical for wound healing and tissue regeneration. However, pathological cardiac remodeling in excessive and continuous tissue damage with subsequent ECM deposition results in a distorted organ architecture and significantly impacts cardiac function. In this review, we summarized and d… Show more

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Cited by 92 publications
(70 citation statements)
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References 240 publications
(274 reference statements)
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“…The lymphatic vascular system plays diverse roles in the maintenance of tissue fluid balance, immune surveillance, lipid absorption from the gut, and tumor metastasis ( Oliver and Alitalo, 2005 ). Furthermore, recent progress in molecular and cellular characterization has unveiled the processes involved in the development of the lymphatic vasculature and the roles played by the lymphatic vasculature in various pathophysiological conditions ( Klaourakis et al, 2021 ; Maruyama et al, 2021 ; Maruyama and Imanaka-Yoshida, 2022 ; Oliver et al, 2020 ; Oliver and Alitalo, 2005 ).…”
Section: Introductionmentioning
confidence: 99%
“…The lymphatic vascular system plays diverse roles in the maintenance of tissue fluid balance, immune surveillance, lipid absorption from the gut, and tumor metastasis ( Oliver and Alitalo, 2005 ). Furthermore, recent progress in molecular and cellular characterization has unveiled the processes involved in the development of the lymphatic vasculature and the roles played by the lymphatic vasculature in various pathophysiological conditions ( Klaourakis et al, 2021 ; Maruyama et al, 2021 ; Maruyama and Imanaka-Yoshida, 2022 ; Oliver et al, 2020 ; Oliver and Alitalo, 2005 ).…”
Section: Introductionmentioning
confidence: 99%
“…Cardiac fibrosis is a crucial pathological change of ventricular remodeling and a common consequence of multitudinous cardiovascular diseases, resulting in stiffer tissue and cardiac dysfunction. Therefore, effective antifibrotic therapies are essential to improving prognoses of these diseases [ 31 ]. Unfortunately, the current medicines have not been sufficiently successful in treating cardiac fibrosis.…”
Section: Discussionmentioning
confidence: 99%
“…В последние годы изучается возможность потенцирования этого эффекта путем направленного воздействия на ключевые механизмы патологического накопления коллагена и изменения его композиции в интерстиции, а также ведется поиск возможных терапевтических мишеней (галектин-3, матриксные металлопротеиназы, тканевый ингибитор матриксных металлопротеиназ 1, фактор дифференцировки роста-15, остеопонтин и др.) [148][149][150][151][152][153][154][155][156][157] Коррекция провоспалительного статуса Существенное значение патологии иммунной системы в механизмах ХСН является хорошо доказанным фактом [158][159][160][161]. В качестве перспективных мишеней терапии, направленной на снижение выраженности провоспалительных сдвигов на системном и локальном уровне, а также готовности кардиомиоцитов к реализации программ апоптоза, пироптоза и аутофагии, чаще всего обозначают Toll-подобные рецепторы, инфламмасомы (включая NODподобные рецепторы), цитокины, а также апоптотические и пироптотические эффекторные механизмы [162][163][164][165][166][167][168][169][170][171][172][173].…”
Section: лечебные подходыunclassified