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Eur J Cardiothorac Surg 2006;30:499-507
© 2006 Elsevier Science NL
Review |
a Huazhong University of Science and Technology, Tongji Medical College, Union Hospital, Department of Cardiovascular Surgery, Wuhan 430030, PR China
b Huazhong University of Science and Technology, Union Hospital, Department of Cardiovascular Surgery, Wuhan 430030, PR China
Received 8 March 2006; received in revised form 8 May 2006; accepted 15 May 2006.
* Corresponding author. Tel.: +86 83691185. (Email: emin_cn{at}yahoo.com; shi_liangxiao{at}yahoo.com).
In recent years, the process of the programmed cell death has gained much interest because it has important pathophysiological consequences contributing to the deletion of unwanted cells in the vessel wall, loss of pulmonary smooth muscle cells and therefore in reversing the pulmonary pressure. For the reason that most patients with pulmonary hypertension present with limited reversibility with vasodilators, antiremodeling approach for treatment appears to be feasible. Induction or enhancement of vascular smooth muscle cells apoptosis may be targeted to develop novel therapeutic approaches for pulmonary vascular remodeling in patients with pulmonary hypertension.
This review summarizes the current mechanisms, investigate the roles and provide novel insights into the potential therapeutic value of apoptosis in the pulmonary artery remodeling of pulmonary hypertension.
Key Words: Apoptosis Remodeling Pulmonary hypertension Muscle Smooth
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