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2015 ; 17
(3
): 20
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Metabolic Dysfunction in Pulmonary Arterial Hypertension
#MMPMID25754317
Assad TR
; Hemnes AR
Curr Hypertens Rep
2015[Mar]; 17
(3
): 20
PMID25754317
show ga
Previously considered a disease isolated to the pulmonary circulation, pulmonary
arterial hypertension is now being recognized as a systemic disorder that is
associated with significant metabolic dysfunction. Numerous animal models have
demonstrated the development of pulmonary arterial hypertension following the
onset of insulin resistance, indicating that insulin resistance may be causal.
Recent publications highlighting alterations in aerobic glycolysis, fatty acid
oxidation, and the tricarboxylic acid cycle in the pulmonary circulation and
right ventricle have expanded our understanding of the complex pathobiology of
this disease. By targeting these derangements in metabolism, numerous researchers
are investigating noninvasive techniques to monitor disease activity and
therapeutics that address the underlying metabolic condition. In the following
review, we will explore pre-clinical and clinical studies investigating the
metabolic dysfunction seen in pulmonary arterial hypertension.