Regulatory T Cells in Pathological Cardiac Hypertrophy: Mechanisms and Therapeutic Potential

Background Pathological cardiac hypertrophy is linked to immune-inflammatory injury, and regulatory T cells (Tregs) play a crucial role in suppressing immune-inflammatory responses. However, the precise role of Tregs in pathological cardiac hypertrophy remains unclear. Objective To summarize the cur...

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Veröffentlicht in:Cardiovascular drugs and therapy 2024-10, Vol.38 (5), p.999-1015
Hauptverfasser: Liu, Leiling, Hu, Jiahui, Lei, Hao, Qin, Huali, Wang, Chunfang, Gui, Yajun, Xu, Danyan
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container_end_page 1015
container_issue 5
container_start_page 999
container_title Cardiovascular drugs and therapy
container_volume 38
creator Liu, Leiling
Hu, Jiahui
Lei, Hao
Qin, Huali
Wang, Chunfang
Gui, Yajun
Xu, Danyan
description Background Pathological cardiac hypertrophy is linked to immune-inflammatory injury, and regulatory T cells (Tregs) play a crucial role in suppressing immune-inflammatory responses. However, the precise role of Tregs in pathological cardiac hypertrophy remains unclear. Objective To summarize the current knowledge on the role and mechanisms of Tregs in pathological cardiac hypertrophy and explore their perspectives and challenges as a new therapeutic approach. Results Treg cells may play an important protective role in pressure overload (hypertension, aortic stenosis), myocardial infarction, metabolic disorders (diabetes, obesity), acute myocarditis, cardiomyopathy (hypertrophic cardiomyopathy, storage diseases), and chronic obstructive pulmonary disease–related pathological cardiac hypertrophy. Although some challenges remain, the safety and efficacy of Treg-based therapies have been confirmed in some clinical trials, and engineered antigen-specific Treg cells may have better clinical application prospects due to stronger immunosuppressive function and stability. Conclusion Targeting the immune-inflammatory response via Treg-based therapies might provide a promising and novel future approach to the prevention and treatment of pathological cardiac hypertrophy.
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However, the precise role of Tregs in pathological cardiac hypertrophy remains unclear. Objective To summarize the current knowledge on the role and mechanisms of Tregs in pathological cardiac hypertrophy and explore their perspectives and challenges as a new therapeutic approach. Results Treg cells may play an important protective role in pressure overload (hypertension, aortic stenosis), myocardial infarction, metabolic disorders (diabetes, obesity), acute myocarditis, cardiomyopathy (hypertrophic cardiomyopathy, storage diseases), and chronic obstructive pulmonary disease–related pathological cardiac hypertrophy. Although some challenges remain, the safety and efficacy of Treg-based therapies have been confirmed in some clinical trials, and engineered antigen-specific Treg cells may have better clinical application prospects due to stronger immunosuppressive function and stability. 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subjects Animals
Aorta
Aortic stenosis
Cardiology
Cardiomegaly - immunology
Cardiomegaly - pathology
Cardiomegaly - physiopathology
Cardiomegaly - therapy
Cardiomyopathy
Chronic obstructive pulmonary disease
Clinical trials
Coronary artery disease
Diabetes mellitus
Heart diseases
Humans
Hypertension
Hypertrophy
Immunoregulation
Immunosuppressive agents
Inflammation
Inflammatory response
Lung diseases
Lymphocytes
Lymphocytes T
Medicine
Medicine & Public Health
Metabolic disorders
Myocardial infarction
Myocarditis
Review Article
Storage diseases
T-Lymphocytes, Regulatory - immunology
title Regulatory T Cells in Pathological Cardiac Hypertrophy: Mechanisms and Therapeutic Potential
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