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A Mitochondrial Basis for Heart Failure Progression

Watson, William D. ; Arvidsson, Per M. LU ; Miller, Jack J.J. ; Lewis, Andrew J. and Rider, Oliver J. (2024) In Cardiovascular Drugs and Therapy
Abstract

In health, the human heart is able to match ATP supply and demand perfectly. It requires 6 kg of ATP per day to satisfy demands of external work (mechanical force generation) and internal work (ion movements and basal metabolism). The heart is able to link supply with demand via direct responses to ADP and AMP concentrations but calcium concentrations within myocytes play a key role, signalling both inotropy, chronotropy and matched increases in ATP production. Calcium/calmodulin-dependent protein kinase (CaMKII) is a key adapter to increased workload, facilitating a greater and more rapid calcium concentration change. In the failing heart, this is dysfunctional and ATP supply is impaired. This review aims to examine the mechanisms and... (More)

In health, the human heart is able to match ATP supply and demand perfectly. It requires 6 kg of ATP per day to satisfy demands of external work (mechanical force generation) and internal work (ion movements and basal metabolism). The heart is able to link supply with demand via direct responses to ADP and AMP concentrations but calcium concentrations within myocytes play a key role, signalling both inotropy, chronotropy and matched increases in ATP production. Calcium/calmodulin-dependent protein kinase (CaMKII) is a key adapter to increased workload, facilitating a greater and more rapid calcium concentration change. In the failing heart, this is dysfunctional and ATP supply is impaired. This review aims to examine the mechanisms and pathologies that link increased energy demand to this disrupted situation. We examine the roles of calcium loading, oxidative stress, mitochondrial structural abnormalities and damage-associated molecular patterns.

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Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
ATP, Calcium, Heart failure, Mitochondria, Redox
in
Cardiovascular Drugs and Therapy
publisher
Springer
external identifiers
  • scopus:85196106234
ISSN
0920-3206
DOI
10.1007/s10557-024-07582-0
language
English
LU publication?
yes
id
203e5ff2-8c2e-4dcf-aec1-df2141860625
date added to LUP
2024-09-11 15:28:09
date last changed
2024-09-11 15:28:24
@article{203e5ff2-8c2e-4dcf-aec1-df2141860625,
  abstract     = {{<p>In health, the human heart is able to match ATP supply and demand perfectly. It requires 6 kg of ATP per day to satisfy demands of external work (mechanical force generation) and internal work (ion movements and basal metabolism). The heart is able to link supply with demand via direct responses to ADP and AMP concentrations but calcium concentrations within myocytes play a key role, signalling both inotropy, chronotropy and matched increases in ATP production. Calcium/calmodulin-dependent protein kinase (CaMKII) is a key adapter to increased workload, facilitating a greater and more rapid calcium concentration change. In the failing heart, this is dysfunctional and ATP supply is impaired. This review aims to examine the mechanisms and pathologies that link increased energy demand to this disrupted situation. We examine the roles of calcium loading, oxidative stress, mitochondrial structural abnormalities and damage-associated molecular patterns.</p>}},
  author       = {{Watson, William D. and Arvidsson, Per M. and Miller, Jack J.J. and Lewis, Andrew J. and Rider, Oliver J.}},
  issn         = {{0920-3206}},
  keywords     = {{ATP; Calcium; Heart failure; Mitochondria; Redox}},
  language     = {{eng}},
  publisher    = {{Springer}},
  series       = {{Cardiovascular Drugs and Therapy}},
  title        = {{A Mitochondrial Basis for Heart Failure Progression}},
  url          = {{http://dx.doi.org/10.1007/s10557-024-07582-0}},
  doi          = {{10.1007/s10557-024-07582-0}},
  year         = {{2024}},
}