Targeting Age-Related Pathways in Heart Failure

Circ Res. 2020 Feb 14;126(4):533-551. doi: 10.1161/CIRCRESAHA.119.315889. Epub 2020 Feb 13.

Abstract

During aging, deterioration in cardiac structure and function leads to increased susceptibility to heart failure. The need for interventions to combat this age-related cardiac decline is becoming increasingly urgent as the elderly population continues to grow. Our understanding of cardiac aging, and aging in general, is limited. However, recent studies of age-related decline and its prevention through interventions like exercise have revealed novel pathological and cardioprotective pathways. In this review, we summarize recent findings concerning the molecular mechanisms of age-related heart failure and highlight exercise as a valuable experimental platform for the discovery of much-needed novel therapeutic targets in this chronic disease.

Keywords: aging; epigenetics; exercise; heart failure; senescence.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Aging / genetics
  • Aging / metabolism
  • Aging / physiology*
  • Exercise / physiology*
  • Gene Expression Regulation, Developmental
  • Heart / physiopathology*
  • Heart Failure / metabolism
  • Heart Failure / physiopathology*
  • Heart Failure / prevention & control
  • Humans
  • MicroRNAs / genetics
  • Myocardium / metabolism*
  • Signal Transduction / genetics
  • Signal Transduction / physiology*

Substances

  • MicroRNAs