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Research progress on improving myocardial sarcoplasmic reticulum calcium ATPase 2a with the treatment of traditional Chinese medicine in chronic heart failure |
LI Huiling JIA Meijun LIU Yongming |
Department of Cardiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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Abstract Chronic heart failure (CHF ) is the end stage of a variety of cardiovascular diseases, with high incidence, high mortality and expensive treatment. The abnormal expression and activity of cardiac myocyte sarcoplasmic reticulum calcium ATPase 2a (SERCA2a) are the key pathological mechanism for the occurrence and development of CHF. The results of the clinical trial that AAV1/SERCA2a genetically treats CHF were not satisfactory, and the researchers restated that full attention should be paid to drug screening, research and development to improve the endogenous myocardial SERCA2a expression level and activity. Traditional Chinese medicine has a long history in treating CHF with remarkable therapeutic effects. In traditional Chinese medicine, CHF can be classified to the cotogories of "palpitation", "asthma syndrome" and "edema". A lot of researches indicate that Chinese medicine compound, single Chinese herb and Chinese medicine monomer can prevent and treat CHF through improving endogenous myocardial SERCA2a expression and activity.
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