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Weiss, A; Boehm, M; Egemnazarov, B; Grimminger, F; Pullamsetti, SS; Kwapiszewska, G; Schermuly, RT.
Kinases as potential targets for treatment of pulmonary hypertension and right ventricular dysfunction.
Br J Pharmacol. 2019; 9(4):
Doi: 10.1111/bph.14919
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Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
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Egemnazarov Bakytbek
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Kwapiszewska-Marsh Grazyna
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- Abstract:
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Pulmonary hypertension is a progressive pulmonary vasculopathy that causes chronic right ventricular pressure overload and that often leads to RV failure and death. Various kinase inhibitors have been studied in the setting of PH and either improved or worsened the disease, highlighting the importance of understanding the specific role of the respective kinases in a spatiotemporal cellular context. In this review, we will summarize the knowledge on the role of kinases in PH and focus on druggable targets for which certain criteria are met: A) Deregulation of the kinase in PH, B) Small-molecule inhibitors are available (e.g. from the oncology field), C) pre-clinical studies have shown efficacy in PH models, and D) when available, therapeutic exploitation in human PH has been initiated. Along this line, clinical considerations such as personalized medicine approaches to predict therapy response and adverse side events such as cardiotoxicity together with their clinical management are discussed.
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