Mineralocorticoid receptor activation in myocardial infarction and failure: recent advances.

Abstract:

:The classical view of aldosterone actions via the mineralocorticoid receptor (MR) limited to control of fluid balance and blood pressure homoeostasis has been progressively overcome by clinical and experimental evidence emphasizing the pleiotropic role of MR activation in the pathogenesis of cardiovascular disease. Clinical studies have shown the benefit of MR blockade in patients with left ventricular dysfunction and heart failure after myocardial infarction (MI), hypertension or diabetic nephropathy. Deleterious effects of MR activation include cardiac structural and electrical remodelling, cardiovascular fibrosis, inflammation and oxidative stress. Complexity of pathophysiological role of MR derives from the presence of circulating glucocorticoids at higher concentrations than aldosterone and the equal affinity of the MR for aldosterone, cortisol and corticosterone. Recent experimental studies using different animal models and genetic tools have deeply explored the cell-specific functional role of MR in cardiovascular pathology. This review addresses emerging preclinical studies as well as ongoing clinical trials regarding MR activation in MI and failure.

journal_name

Eur J Clin Invest

authors

Galuppo P,Bauersachs J

doi

10.1111/j.1365-2362.2012.02676.x

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1112-20

issue

10

eissn

0014-2972

issn

1365-2362

journal_volume

42

pub_type

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