Emerging roles of proteoglycans in cardiac remodeling

Int J Cardiol. 2019 Mar 1:278:192-198. doi: 10.1016/j.ijcard.2018.11.125. Epub 2018 Nov 28.

Abstract

Cardiac remodeling is the response of the heart to a range of pathological stimuli. Cardiac remodeling is initially adaptive; however, if sustained, it ultimately causes adverse clinical outcomes. Cardiomyocyte loss or hypertrophy, inflammation and fibrosis are hallmarks of cardiac remodeling. Proteoglycans, which are composed of glycosaminoglycans and a core protein, are a non-structural component of the extracellular matrix. The lack of proteoglycans results in cardiovascular defects during development. Moreover, emerging evidence has indicated that proteoglycans act as significant modifiers in ischemia and pressure overload-related cardiac remodeling. Proteoglycans may also provide novel therapeutic strategies for further improvement in the prognosis of cardiovascular diseases.

Keywords: Cardiac remodeling; Heart failure; Myocardial ischemia; Pressure overload; Proteoglycan.

Publication types

  • Review

MeSH terms

  • Animals
  • Cardiovascular Agents / administration & dosage
  • Cardiovascular Agents / metabolism
  • Heart Failure / metabolism*
  • Heart Failure / physiopathology
  • Humans
  • Myocardial Ischemia / drug therapy
  • Myocardial Ischemia / metabolism*
  • Myocardial Ischemia / physiopathology
  • Proteoglycans / metabolism*
  • Ventricular Remodeling / drug effects
  • Ventricular Remodeling / physiology*

Substances

  • Cardiovascular Agents
  • Proteoglycans