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2017 ; 68
(ä): 51-67
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gab.com Text
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Therapeutics Targeting Drivers of Thoracic Aortic Aneurysms and Acute Aortic
Dissections: Insights from Predisposing Genes and Mouse Models
#MMPMID28099082
Milewicz DM
; Prakash SK
; Ramirez F
Annu Rev Med
2017[Jan]; 68
(ä): 51-67
PMID28099082
show ga
Thoracic aortic diseases, including aneurysms and dissections of the thoracic
aorta, are a major cause of morbidity and mortality. Risk factors for thoracic
aortic disease include increased hemodynamic forces on the ascending aorta,
typically due to poorly controlled hypertension, and heritable genetic variants.
The altered genes predisposing to thoracic aortic disease either disrupt smooth
muscle cell (SMC) contraction or adherence to an impaired extracellular matrix,
or decrease canonical transforming growth factor beta (TGF-?) signaling.
Paradoxically, TGF-? hyperactivity has been postulated to be the primary driver
for the disease. More recently, it has been proposed that the response of aortic
SMCs to the hemodynamic load on a structurally defective aorta is the primary
driver of thoracic aortic disease, and that TGF-? overactivity in diseased aortas
is a secondary, unproductive response to restore tissue function. The engineering
of mouse models of inherited aortopathies has identified potential therapeutic
agents to prevent thoracic aortic disease.
|Angiotensin II/*metabolism
[MESH]
|Animals
[MESH]
|Antihypertensive Agents/therapeutic use
[MESH]
|Aortic Aneurysm, Thoracic/*genetics/metabolism/prevention & control
[MESH]
|Aortic Dissection/*genetics/metabolism/prevention & control
[MESH]