Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential

Heart failure (HF) is a leading cause of death in the United States, with a 5-year mortality rate of 50% despite modern pharmacological therapies. Plant-based diets are comprised of a diverse polyphenol profile, which lends to their association with reduced cardiovascular disease risk. Whether a pol...

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Main Authors: Rami S. Najjar, Rafaela G. Feresin
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/4/1668
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author Rami S. Najjar
Rafaela G. Feresin
author_facet Rami S. Najjar
Rafaela G. Feresin
author_sort Rami S. Najjar
collection DOAJ
description Heart failure (HF) is a leading cause of death in the United States, with a 5-year mortality rate of 50% despite modern pharmacological therapies. Plant-based diets are comprised of a diverse polyphenol profile, which lends to their association with reduced cardiovascular disease risk. Whether a polyphenol-rich diet can slow the progression of or reverse HF in humans is not known. To date, in vitro and in vivo studies have reported on the protective role of polyphenols in HF. In this review, we will discuss the major mechanisms by which polyphenols mitigate HF in vitro and in vivo, including (1) reduced cardiac inflammation and oxidative stress, (2) reduced mitochondrial dysfunction, (3) improved Ca<sup>2+</sup> homeostasis, (4) increased survival signaling, and (5) increased sirtuin 1 activity.
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spelling doaj.art-e33633ba91b74b1e94ee798212b864932023-12-03T12:45:38ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-02-01224166810.3390/ijms22041668Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic PotentialRami S. Najjar0Rafaela G. Feresin1Department of Nutrition, Georgia State University, Atlanta, GA 30302, USADepartment of Nutrition, Georgia State University, Atlanta, GA 30302, USAHeart failure (HF) is a leading cause of death in the United States, with a 5-year mortality rate of 50% despite modern pharmacological therapies. Plant-based diets are comprised of a diverse polyphenol profile, which lends to their association with reduced cardiovascular disease risk. Whether a polyphenol-rich diet can slow the progression of or reverse HF in humans is not known. To date, in vitro and in vivo studies have reported on the protective role of polyphenols in HF. In this review, we will discuss the major mechanisms by which polyphenols mitigate HF in vitro and in vivo, including (1) reduced cardiac inflammation and oxidative stress, (2) reduced mitochondrial dysfunction, (3) improved Ca<sup>2+</sup> homeostasis, (4) increased survival signaling, and (5) increased sirtuin 1 activity.https://www.mdpi.com/1422-0067/22/4/1668polyphenolsflavonoidsplant-based dietsheart failureinflammationoxidative stress
spellingShingle Rami S. Najjar
Rafaela G. Feresin
Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential
International Journal of Molecular Sciences
polyphenols
flavonoids
plant-based diets
heart failure
inflammation
oxidative stress
title Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential
title_full Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential
title_fullStr Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential
title_full_unstemmed Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential
title_short Protective Role of Polyphenols in Heart Failure: Molecular Targets and Cellular Mechanisms Underlying Their Therapeutic Potential
title_sort protective role of polyphenols in heart failure molecular targets and cellular mechanisms underlying their therapeutic potential
topic polyphenols
flavonoids
plant-based diets
heart failure
inflammation
oxidative stress
url https://www.mdpi.com/1422-0067/22/4/1668
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