Novel Therapeutic Targets for the Treatment of Right Ventricular Remodeling: Insights from the Pulmonary Artery Banding Model.
Argen MamazhakypovNatascha SommerBirgit AssmusKhodr TelloRalph Theo SchermulyDjuro KosanovicAkpay Sh SarybaevNorbert WeissmannOleg PakPublished in: International journal of environmental research and public health (2021)
Right ventricular (RV) function is the main determinant of the outcome of patients with pulmonary hypertension (PH). RV dysfunction develops gradually and worsens progressively over the course of PH, resulting in RV failure and premature death. Currently, approved therapies for the treatment of left ventricular failure are not established for the RV. Furthermore, the direct effects of specific vasoactive drugs for treatment of pulmonary arterial hypertension (PAH, Group 1 of PH) on RV are not fully investigated. Pulmonary artery banding (PAB) allows to study the pathogenesis of RV failure solely, thereby testing potential therapies independently of pulmonary vascular changes. This review aims to discuss recent studies of the mechanisms of RV remodeling and RV-directed therapies based on the PAB model.
Keyphrases
- pulmonary artery
- mycobacterium tuberculosis
- pulmonary hypertension
- pulmonary arterial hypertension
- coronary artery
- left ventricular
- heart failure
- combination therapy
- acute coronary syndrome
- coronary artery disease
- transcatheter aortic valve replacement
- mass spectrometry
- percutaneous coronary intervention
- aortic stenosis