sGC stimulators: Evidence for riociguat beyond groups 1 and 4 pulmonary hypertension.

Abstract:

:Pulmonary hypertension (PH) is a chronic cardiopulmonary disorder that if left untreated, progresses rapidly and is ultimately fatal. The World Health Organization (WHO) has classified PH into 5 distinct groups according to pathophysiology, hemodynamic characteristics, and clinical presentation. Dysfunction in the nitric oxide (NO) pathway plays a key role in the pulmonary hypertension disease process, including in WHO Groups 2 and 3 PH. PH is associated with endothelial dysfunction, impaired synthesis of NO, and insufficient stimulation of the NO-soluble guanylate cyclase (sGC)-cyclic guanosine monophosphate (cGMP) pathway, which reduces cGMP production. cGMP regulates vascular tone, cellular proliferation, inflammation, and fibrosis and its depletion can lead to a variety of abnormalities, including pulmonary vasoconstriction, impaired vascular remodeling, and in situ thrombosis. This review will examine a novel class of drugs called sGC stimulators which directly stimulate sGC independently of NO, leading to increased production of cGMP.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Benza R,Mathai S,Nathan SD

doi

10.1016/j.rmed.2016.11.010

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

S28-S34

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(16)30298-0

journal_volume

122 Suppl 1

pub_type

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