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Targeting Mitochondria in Cardiovascular Diseases

Silva, Filomena S G ; Simoes, Rui F LU ; Couto, Renata and Oliveira, Paulo J (2016) In Current Pharmaceutical Design 22(37). p.5698-5717
Abstract

BACKGROUND: Cardiovascular diseases (CVDs) are one of the main factors responsible for human morbidity and mortality. Since mitochondria play a critical role in the regulation of cardiac tissue homeostasis, this organelle is a critical target for the protective effects of several pharmaceuticals. Although specific mitochondria-targeted antioxidants and some pharmacological agents are described as potential cardioprotective agents, there are still a few effective mitochondrial therapies for the treatment of CVDs. Agents which have potential cardioprotective effects by directly targeting mitochondria in vitro and in vivo are still in pre-clinical or clinical trials, hence their widespread use in the clinic is still far. Also, some of... (More)

BACKGROUND: Cardiovascular diseases (CVDs) are one of the main factors responsible for human morbidity and mortality. Since mitochondria play a critical role in the regulation of cardiac tissue homeostasis, this organelle is a critical target for the protective effects of several pharmaceuticals. Although specific mitochondria-targeted antioxidants and some pharmacological agents are described as potential cardioprotective agents, there are still a few effective mitochondrial therapies for the treatment of CVDs. Agents which have potential cardioprotective effects by directly targeting mitochondria in vitro and in vivo are still in pre-clinical or clinical trials, hence their widespread use in the clinic is still far. Also, some of these agents have a decreased bioavailability or show some intrinsic toxicity, which also limits their working mitochondrial concentrations.

METHODS: By initially using PubMed specific queries for literature search, we review here cardiac mitochondrial effects of specific targeted and non-targeted antioxidants and pharmacological agents, including MitoE, MitoQ, MitoSNO, Mito-TEMPOL, SkQ1, SkQR1, carvedilol, trimetazidine, ranolazine, diazoxide and propofol.

RESULTS: The present review emphasizes new mitochondrial-targeting strategies which have emerged to address difficulties arising from current approaches. We also describe the strengths and weaknesses of these cardioprotective approaches.

CONCLUSION: Although effective therapies to target mitochondria in the context of CVDs are not under widespread clinical use, the new strategies proposed constitute a real promise for the development of therapies which may effectively prevent CVDs in the near future.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Animals, Antioxidants/chemistry, Cardiotonic Agents/chemistry, Cardiovascular Diseases/drug therapy, Humans, Mitochondria/drug effects
in
Current Pharmaceutical Design
volume
22
issue
37
pages
5698 - 5717
publisher
Bentham Science Publishers
external identifiers
  • scopus:85006060210
  • pmid:27549376
ISSN
1381-6128
DOI
10.2174/1381612822666160822150243
language
English
LU publication?
no
id
9b2aa1bc-cd76-4ea9-bd85-d6ef8207f0d2
date added to LUP
2021-09-21 19:25:44
date last changed
2024-06-30 20:35:50
@article{9b2aa1bc-cd76-4ea9-bd85-d6ef8207f0d2,
  abstract     = {{<p>BACKGROUND: Cardiovascular diseases (CVDs) are one of the main factors responsible for human morbidity and mortality. Since mitochondria play a critical role in the regulation of cardiac tissue homeostasis, this organelle is a critical target for the protective effects of several pharmaceuticals. Although specific mitochondria-targeted antioxidants and some pharmacological agents are described as potential cardioprotective agents, there are still a few effective mitochondrial therapies for the treatment of CVDs. Agents which have potential cardioprotective effects by directly targeting mitochondria in vitro and in vivo are still in pre-clinical or clinical trials, hence their widespread use in the clinic is still far. Also, some of these agents have a decreased bioavailability or show some intrinsic toxicity, which also limits their working mitochondrial concentrations.</p><p>METHODS: By initially using PubMed specific queries for literature search, we review here cardiac mitochondrial effects of specific targeted and non-targeted antioxidants and pharmacological agents, including MitoE, MitoQ, MitoSNO, Mito-TEMPOL, SkQ1, SkQR1, carvedilol, trimetazidine, ranolazine, diazoxide and propofol.</p><p>RESULTS: The present review emphasizes new mitochondrial-targeting strategies which have emerged to address difficulties arising from current approaches. We also describe the strengths and weaknesses of these cardioprotective approaches.</p><p>CONCLUSION: Although effective therapies to target mitochondria in the context of CVDs are not under widespread clinical use, the new strategies proposed constitute a real promise for the development of therapies which may effectively prevent CVDs in the near future.</p>}},
  author       = {{Silva, Filomena S G and Simoes, Rui F and Couto, Renata and Oliveira, Paulo J}},
  issn         = {{1381-6128}},
  keywords     = {{Animals; Antioxidants/chemistry; Cardiotonic Agents/chemistry; Cardiovascular Diseases/drug therapy; Humans; Mitochondria/drug effects}},
  language     = {{eng}},
  number       = {{37}},
  pages        = {{5698--5717}},
  publisher    = {{Bentham Science Publishers}},
  series       = {{Current Pharmaceutical Design}},
  title        = {{Targeting Mitochondria in Cardiovascular Diseases}},
  url          = {{http://dx.doi.org/10.2174/1381612822666160822150243}},
  doi          = {{10.2174/1381612822666160822150243}},
  volume       = {{22}},
  year         = {{2016}},
}