Natural history and therapy of TTR-cardiac amyloidosis: emerging disease-modifying therapies from organ transplantation to stabilizer and silencer drugs

Verfasser / Beitragende:
[Adam Castaño, Brian Drachman, Daniel Judge, Mathew Maurer]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/2(2015-03-01), 163-178
Format:
Artikel (online)
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245 0 0 |a Natural history and therapy of TTR-cardiac amyloidosis: emerging disease-modifying therapies from organ transplantation to stabilizer and silencer drugs  |h [Elektronische Daten]  |c [Adam Castaño, Brian Drachman, Daniel Judge, Mathew Maurer] 
520 3 |a Transthyretin-cardiac amyloidoses (ATTR-CA) are an underdiagnosed but increasingly recognized cause of heart failure. Extracellular deposition of fibrillary proteins into tissues due to a variety of inherited transthyretin mutations in ATTRm or due to advanced age in ATTRwt eventually leads to organ failure. In the heart, amyloid deposition causes diastolic dysfunction, restrictive cardiomyopathy with progressive loss of systolic function, arrhythmias, and heart failure. While traditional treatments have consisted of conventional heart failure management and supportive care for systemic symptoms, numerous disease-modifying therapies have emerged over the past decade. From organ transplantation to transthyretin stabilizers (diflunisal, tafamidis, AG-1), TTR silencers (ALN-ATTR02, ISIS-TTR(Rx)), and degraders of amyloid fibrils (doxycycline/TUDCA), the potential for effective transthyretin amyloid therapy is greater now than ever before. In light of these multiple agents under investigation in human clinical trials, clinicians should be familiar with the systemic cardiac amyloidoses, their differing pathophysiology, natural histories, and unique treatment strategies. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Cardiac amyloidosis  |2 nationallicence 
690 7 |a Transthyretin  |2 nationallicence 
690 7 |a Cardiomyopathy  |2 nationallicence 
690 7 |a Senile systemic amyloidosis  |2 nationallicence 
690 7 |a Familial amyloid polyneuropathy  |2 nationallicence 
690 7 |a Diflunisal  |2 nationallicence 
690 7 |a ALN-TTR02  |2 nationallicence 
690 7 |a ALN-TTRSc  |2 nationallicence 
690 7 |a Tafamidis  |2 nationallicence 
690 7 |a Doxycycline  |2 nationallicence 
690 7 |a TUDCA  |2 nationallicence 
690 7 |a siRNA  |2 nationallicence 
690 7 |a Oligonucleotides  |2 nationallicence 
700 1 |a Castaño  |D Adam  |u Center for Advanced Cardiac Care, Columbia College of Physicians and Surgeons, New York City, NY, USA  |4 aut 
700 1 |a Drachman  |D Brian  |u Division of Cardiology, University of Pennsylvania, Philadelphia, PA, USA  |4 aut 
700 1 |a Judge  |D Daniel  |u Division of Cardiology, Johns Hopkins University, Baltimore, MD, USA  |4 aut 
700 1 |a Maurer  |D Mathew  |u Center for Advanced Cardiac Care, Columbia College of Physicians and Surgeons, New York City, NY, USA  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/2(2015-03-01), 163-178  |x 1382-4147  |q 20:2<163  |1 2015  |2 20  |o 10741 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Castaño  |D Adam  |u Center for Advanced Cardiac Care, Columbia College of Physicians and Surgeons, New York City, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Drachman  |D Brian  |u Division of Cardiology, University of Pennsylvania, Philadelphia, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Judge  |D Daniel  |u Division of Cardiology, Johns Hopkins University, Baltimore, MD, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Maurer  |D Mathew  |u Center for Advanced Cardiac Care, Columbia College of Physicians and Surgeons, New York City, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/2(2015-03-01), 163-178  |x 1382-4147  |q 20:2<163  |1 2015  |2 20  |o 10741