期刊
CURRENT MEDICINAL CHEMISTRY
卷 25, 期 34, 页码 4402-4415出版社
BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/0929867325666180326161730
关键词
Antioxidant; cardioprotection; ischemia-reperfusion; reactive oxygen species; flavone; flavonol; kinase
In acute myocardial infarction (AMI), the first line of treatment is to rapidly restore blood flow to the ischemic myocardium to limit infarct size. It is now well established that though clearly beneficial, the positive outcomes of this intervention are limited by injury in response to the reperfusion itself in addition to the prior ischemia. This process is described as reperfusion injury and is considered to contribute to the arrhythmias, microvascular dysfunction and impaired cardiac contractility that is observed even after the restoration of coronary blood flow. Thus an important, currently unmet, therapeutic challenge is to address the outcomes of this reperfusion injury. In this article, we review the evidence that flavonols and flavones may prove useful in preserving cardiac function after ischemia and reperfusion and consider the possible mechanisms, in particular, the inhibition of kinases, by which they may exert protection.
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