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Olschewski, A; Papp, R; Nagaraj, C; Olschewski, H.
Ion channels and transporters as therapeutic targets in the pulmonary circulation.
Pharmacol Ther. 2014; 144(3):349-368 Doi: 10.1016/j.pharmthera.2014.08.001
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Führende Autor*innen der Med Uni Graz
Olschewski Andrea
Co-Autor*innen der Med Uni Graz
Chandran Nagaraj
Olschewski Horst
Papp Rita
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Abstract:
Pulmonary circulation is a low pressure, low resistance, high flow system. The low resting vascular tone is maintained by the concerted action of ion channels, exchangers and pumps. Under physiological as well as pathophysiological conditions, they are targets of locally secreted or circulating vasodilators and/or vasoconstrictors, leading to changes in expression or to posttranslational modifications. Both structural changes in the pulmonary arteries and a sustained increase in pulmonary vascular tone result in pulmonary vascular remodeling contributing to morbidity and mortality in pediatric and adult patients. There is increasing evidence demonstrating the pivotal role of ion channels such as K(+) and Cl(-) or transient receptor potential channels in different cell types which are thought to play a key role in vasoconstrictive remodeling. This review focuses on ion channels, exchangers and pumps in the pulmonary circulation and summarizes their putative pathophysiological as well as therapeutic role in pulmonary vascular remodeling. A better understanding of the mechanisms of their actions may allow for the development of new options for attenuating acute and chronic pulmonary vasoconstriction and remodeling treating the devastating disease pulmonary hypertension. Copyright © 2014 Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Humans -
Hypertension, Pulmonary - drug therapy
Hypertension, Pulmonary - metabolism
Hypertension, Pulmonary - physiopathology
Ion Channels - antagonists & inhibitors
Ion Channels - genetics
Ion Channels - metabolism
Ion Pumps - antagonists & inhibitors
Ion Pumps - genetics
Ion Pumps - metabolism
Membrane Transport Modulators - pharmacology
Membrane Transport Modulators - therapeutic use
Molecular Targeted Therapy -
Pulmonary Circulation - drug effects
Vascular Remodeling - drug effects

Find related publications in this database (Keywords)
Ion channels
Prostacyclin
Endothelin receptor antagonists
Soluble guanylate cyclase stimulators
Sympathetic neurotransmitter
Pulmonary hypertension
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