Beta-Blockers and Oxidative Stress in Patients with Heart Failure

Oxidative stress has been implicated in the pathogenesis of heart failure. Reactive oxygen species (ROS) are produced in the failing myocardium, and ROS cause hypertrophy, apoptosis/cell death and intracellular Ca2+ overload in cardiac myocytes. ROS also cause damage to lipid cell membranes in the p...

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Main Authors: Kazufumi Nakamura (Author), Kenki Enko (Author), Kei Yunoki (Author), Daiji Miura (Author), Masato Murakami (Author), Hiroshi Ito (Author), Tohru Ohe (Author), Hiromi Matsubara (Author), Kengo F Kusano (Author), Hiroshi Morita (Author), Kunihisa Kohno (Author), Satoshi Nagase (Author), Norihisa Toh (Author), Masashi Yoshida (Author), Hiroki Oe (Author), Toru Miyoshi (Author), Nobuhiro Nishii (Author), Yukihiro Saito (Author), Masamichi Tanaka (Author)
Format: Book
Published: MDPI AG, 2011-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Kazufumi Nakamura  |e author 
700 1 0 |a Kenki Enko  |e author 
700 1 0 |a Kei Yunoki  |e author 
700 1 0 |a Daiji Miura  |e author 
700 1 0 |a Masato Murakami  |e author 
700 1 0 |a Hiroshi Ito  |e author 
700 1 0 |a Tohru Ohe  |e author 
700 1 0 |a Hiromi Matsubara  |e author 
700 1 0 |a Kengo F Kusano  |e author 
700 1 0 |a Hiroshi Morita  |e author 
700 1 0 |a Kunihisa Kohno  |e author 
700 1 0 |a Satoshi Nagase  |e author 
700 1 0 |a Norihisa Toh  |e author 
700 1 0 |a Masashi Yoshida  |e author 
700 1 0 |a Hiroki Oe  |e author 
700 1 0 |a Toru Miyoshi  |e author 
700 1 0 |a Nobuhiro Nishii  |e author 
700 1 0 |a Yukihiro Saito  |e author 
700 1 0 |a Masamichi Tanaka  |e author 
245 0 0 |a Beta-Blockers and Oxidative Stress in Patients with Heart Failure 
260 |b MDPI AG,   |c 2011-08-01T00:00:00Z. 
500 |a 10.3390/ph4081088 
500 |a 1424-8247 
520 |a Oxidative stress has been implicated in the pathogenesis of heart failure. Reactive oxygen species (ROS) are produced in the failing myocardium, and ROS cause hypertrophy, apoptosis/cell death and intracellular Ca2+ overload in cardiac myocytes. ROS also cause damage to lipid cell membranes in the process of lipid peroxidation. In this process, several aldehydes, including 4-hydroxy-2-nonenal (HNE), are generated and the amount of HNE is increased in the human failing myocardium. HNE exacerbates the formation of ROS, especially H2O2 and ·OH, in cardiomyocytes and subsequently ROS cause intracellular Ca2+ overload. Treatment with beta-blockers such as metoprolol, carvedilol and bisoprolol reduces the levels of oxidative stress, together with amelioration of heart failure. This reduction could be caused by several possible mechanisms. First, the beta-blocking effect is important, because catecholamines such as isoproterenol and norepinephrine induce oxidative stress in the myocardium. Second, anti-ischemic effects and negative chronotropic effects are also important. Furthermore, direct antioxidative effects of carvedilol contribute to the reduction of oxidative stress. Carvedilol inhibited HNE-induced intracellular Ca2+ overload. Beta-blocker therapy is a useful antioxidative therapy in patients with heart failure. 
546 |a EN 
690 |a beta-blocker 
690 |a oxidative stress 
690 |a heart failure 
690 |a Medicine 
690 |a R 
690 |a Pharmacy and materia medica 
690 |a RS1-441 
655 7 |a article  |2 local 
786 0 |n Pharmaceuticals, Vol 4, Iss 8, Pp 1088-1100 (2011) 
787 0 |n http://www.mdpi.com/1424-8247/4/8/1088/ 
787 0 |n https://doaj.org/toc/1424-8247 
856 4 1 |u https://doaj.org/article/f5320ccea57c4f58a33b0491f4c4e08c  |z Connect to this object online.