Document Detail


Ischemic conditioning: the challenge of protecting the diabetic heart.
MedLine Citation:
PMID:  25414825     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The successful clinical translation of novel therapeutic strategies to attenuate lethal myocardial ischemia-reperfusion injury and limit infarct size has been identified as a major unmet need, and is of particular importance in patients with type-2 diabetes. There is a wealth of preclinical evidence that ischemic conditioning (encompassing the three paradigms of preconditioning, postconditioning and remote conditioning) is profoundly cardioprotective and, via up-regulation of endogenous signaling cascades, renders the heart resistant to infarction. However, current phase II trials aimed at exploiting ischemic conditioning for the clinical treatment of myocardial ischemia-reperfusion injury have yielded mixed results, possibly reflecting the emerging concern that the efficacy of conditioning-induced cardioprotection may be compromised in the diabetic heart. Our goal in this review is to provide a summary of our present understanding of the effect of type-2 diabetes on the infarct-sparing effect of ischemic conditioning, and the challenges of limiting ischemia-reperfusion injury in the diabetic heart.
Authors:
Joseph Wider; Karin Przyklenk
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Publication Detail:
Type:  REVIEW    
Journal Detail:
Title:  Cardiovascular diagnosis and therapy     Volume:  4     ISSN:  2223-3652     ISO Abbreviation:  Cardiovasc Diagn Ther     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-11-21     Completed Date:  -     Revised Date:  2014-11-21    
Medline Journal Info:
Nlm Unique ID:  101601613     Medline TA:  Cardiovasc Diagn Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  383-396     Citation Subset:  -    
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