Potential of p38-MAPK inhibitors in the treatment of ischaemic heart disease

J E Clark, N Sarafraz, M S Marber

Research output: Contribution to journalLiterature reviewpeer-review

83 Citations (Scopus)

Abstract

Chronic heart failure is debilitating, often fatal, expensive to treat and common. In most patients it is a late consequence of myocardial infarction (MI). The intracellular signals following infarction that lead to diminished contractility, apoptosis, fibrosis and ultimately heart failure are not fully understood but probably involve p38-mitogen activated protein kinases (p38), a family of serine/threonine kinases which, when activated, cause cardiomyocyte contractile dysfunction and death. Pharmacological inhibitors of p38 suppress inflammation and are undergoing clinical trials in rheumatoid arthritis, Chrohn's disease, psoriasis and surgery-induced tissue injury. In this review, we discuss the mechanisms, circumstances and consequences of p38 activation in the heart. The purpose is to evaluate p38 inhibition as a potential therapy for ischaemic heart disease. (c) 2007 Elsevier Inc. All rights reserved
Original languageEnglish
Pages (from-to)192 - 206
Number of pages15
JournalPharmacology and Therapeutics
Volume116
Issue number2
Publication statusPublished - Nov 2007

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