首页|铁死亡介导KATP通道功能受损致心力衰竭机制的研究进展

铁死亡介导KATP通道功能受损致心力衰竭机制的研究进展

Dysfunctional Mechanism of KATP Channel in Heart Failure Induced by Ferroptosis

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心力衰竭是一种以临床预后差、死亡率高为主要特点的心血管疾病.KATP通道偶联能量代谢与细胞膜兴奋性,在可兴奋细胞中起着关键调控作用.KATP通道激活使膜电位超极化,减少早期后除极介导心律失常的发生.心肌细胞KATP通道在生理条件下活性较低,而在严重缺血和长时间缺氧导致腺苷三磷酸/腺苷二磷酸比值降低时激活,降低细胞兴奋性,从而阻止动作电位的产生和细胞收缩.铁死亡是一种新型细胞程序性死亡方式,其特征在于Fe2+和脂质过氧化物代谢异常导致的膜系统中脂质过氧化物的致死性积累,研究发现铁死亡可能对KATP通道的功能造成损伤,恶化心脏功能.因此,现就铁死亡介导KATP通道功能受损在心力衰竭中调控机制进行综述.
Heart failure is a global cardiovascular disease characterized by poor clinical prognosis and high mortality.KATP channel play pivotal roles in excitable cells and link cellular metabolism with membrane excitability.The action potential converts electricity into dynamics by ion channels mediated ion-exchange generate the systole,which composes every single heartbeat.Activation of the KATP channel repolarizes the membrane potential and decreases the occurrence of early after-depolarization-mediated arrhythmias.Cardiac KATP channel have less function under physiological conditions and open during severe and prolonged anoxia due to reduced adenosine triphosphate/adenosine diphosphate ratio,lessening cellular excitability,thus preventing action potential generation and cell contraction.Accumulated evidence indicated that ferroptosis may cause damage to the KATP channel.Hence,we describe the potential damage role of ferroptosis in the KATP channel,lucubrating the potential mechanisms and insight into the clinical therapeutic strategy.

KATP channelFerroptosisHeart failureArrhythmia

汪志诚、张子玥、邹紫莹、张代民

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南京医科大学附属逸夫医院心内科,江苏南京 211112

KATP通道 铁死亡 心力衰竭 心律失常

国家自然科学资金国家自然科学资金江苏省重点研发计划临床前沿

8197034281370304BE2018611

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(6)