Recent advances and future perspectives in therapeutic strategies for pulmonary arterial hypertension.

Abstract:

:Since the innovation of epoprostenol, a prostacyclin analog, providing treatment for pulmonary arterial hypertension (PAH) in the 1990s, two types of oral drugs, endothelin receptor antagonists (ERAs) and phosphodiesterase V inhibitors, have further improved therapy for PAH. In contrast, it has become clear that the efficacy of monotherapy with these drugs is limited, and the establishment of combination therapies should be considered for PAH. Given that the newest PAH drugs include a receptor tyrosine kinase antagonist (imatinib), a soluble guanylate cyclase stimulator (riociguat), an oral analog of prostacyclin (selexipag), and a tissue targeting ERA (macitentan) determination of appropriate combinations for various etiologies and clinical stages is urgently required. In the next decade, it can be expected that the discovery of efficacious combination therapies, involving old and new drugs, will lead to significant advances in the treatment of PAH.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Yao A

doi

10.1016/j.jjcc.2012.08.009

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

344-9

issue

5

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(12)00198-0

journal_volume

60

pub_type

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