Towards Personalized Therapy of Aortic Stenosis

Calcific aortic stenosis (CAS) is the most common cause of acquired valvular heart disease in adults with no available pharmacological treatment to inhibit the disease progression to date. This review provides an up-to-date overview of current knowledge of molecular mechanisms underlying CAS pathobi...

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Main Authors: Piotr Mazur, Magdalena Kopytek, Michał Ząbczyk, Anetta Undas, Joanna Natorska
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/12/1292
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author Piotr Mazur
Magdalena Kopytek
Michał Ząbczyk
Anetta Undas
Joanna Natorska
author_facet Piotr Mazur
Magdalena Kopytek
Michał Ząbczyk
Anetta Undas
Joanna Natorska
author_sort Piotr Mazur
collection DOAJ
description Calcific aortic stenosis (CAS) is the most common cause of acquired valvular heart disease in adults with no available pharmacological treatment to inhibit the disease progression to date. This review provides an up-to-date overview of current knowledge of molecular mechanisms underlying CAS pathobiology and the related treatment pathways. Particular attention is paid to current randomized trials investigating medical treatment of CAS, including strategies based on lipid-lowering and antihypertensive therapies, phosphate and calcium metabolism, and novel therapeutic targets such as valvular oxidative stress, coagulation proteins, matrix metalloproteinases, and accumulation of advanced glycation end products.
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spelling doaj.art-1303d6469f1f45b08b9d896354833d902023-11-23T09:07:29ZengMDPI AGJournal of Personalized Medicine2075-44262021-12-011112129210.3390/jpm11121292Towards Personalized Therapy of Aortic StenosisPiotr Mazur0Magdalena Kopytek1Michał Ząbczyk2Anetta Undas3Joanna Natorska4Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55902, USAInstitute of Cardiology, Jagiellonian University Medical College, 80 Pradnicka St, 31-202 Kraków, PolandInstitute of Cardiology, Jagiellonian University Medical College, 80 Pradnicka St, 31-202 Kraków, PolandInstitute of Cardiology, Jagiellonian University Medical College, 80 Pradnicka St, 31-202 Kraków, PolandInstitute of Cardiology, Jagiellonian University Medical College, 80 Pradnicka St, 31-202 Kraków, PolandCalcific aortic stenosis (CAS) is the most common cause of acquired valvular heart disease in adults with no available pharmacological treatment to inhibit the disease progression to date. This review provides an up-to-date overview of current knowledge of molecular mechanisms underlying CAS pathobiology and the related treatment pathways. Particular attention is paid to current randomized trials investigating medical treatment of CAS, including strategies based on lipid-lowering and antihypertensive therapies, phosphate and calcium metabolism, and novel therapeutic targets such as valvular oxidative stress, coagulation proteins, matrix metalloproteinases, and accumulation of advanced glycation end products.https://www.mdpi.com/2075-4426/11/12/1292calcific aortic stenosisnon-vitamin K antagonist oral anticoagulantsadvanced glycation end productstissue inhibitors of matrix metalloproteinasesinflammationcalcification
spellingShingle Piotr Mazur
Magdalena Kopytek
Michał Ząbczyk
Anetta Undas
Joanna Natorska
Towards Personalized Therapy of Aortic Stenosis
Journal of Personalized Medicine
calcific aortic stenosis
non-vitamin K antagonist oral anticoagulants
advanced glycation end products
tissue inhibitors of matrix metalloproteinases
inflammation
calcification
title Towards Personalized Therapy of Aortic Stenosis
title_full Towards Personalized Therapy of Aortic Stenosis
title_fullStr Towards Personalized Therapy of Aortic Stenosis
title_full_unstemmed Towards Personalized Therapy of Aortic Stenosis
title_short Towards Personalized Therapy of Aortic Stenosis
title_sort towards personalized therapy of aortic stenosis
topic calcific aortic stenosis
non-vitamin K antagonist oral anticoagulants
advanced glycation end products
tissue inhibitors of matrix metalloproteinases
inflammation
calcification
url https://www.mdpi.com/2075-4426/11/12/1292
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