PI3K Inhibitors as Potential Therapeutic Agents for the Treatment of COPD with Associated Atherosclerosis.

IF 13 1区 医学 Q1 PHARMACOLOGY & PHARMACY
Drugs Pub Date : 2025-06-01 Epub Date: 2025-04-11 DOI:10.1007/s40265-025-02179-9
Mario Cazzola, Clive Page, Paola Rogliani, Luigino Calzetta, Maria Gabriella Matera
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引用次数: 0

Abstract

Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) share a complex and multifactorial relationship characterized by overlapping risk factors, systemic inflammation, and intertwined pathophysiological mechanisms, with atherosclerosis emerging as a central inflammatory process connecting COPD and CVD, driven by systemic inflammation, oxidative stress, and endothelial dysfunction. While systemic inflammation is recognized as a critical link between these conditions, the precise pathways through which inflammation arises remain under investigation. There is therefore a need for therapeutic strategies to mitigate cardiovascular risks in patients with COPD. Among the pathways contributing to this interplay, the phosphoinositide 3-kinase (PI3K) signaling pathway has gained significant attention. Dysregulated PI3K signaling contributes to inflammation, oxidative stress, and endothelial dysfunction, which are key drivers of both COPD and CVD. Consequently, PI3K inhibitors have emerged as a promising therapeutic approach to mitigate inflammation and oxidative damage, offering a targeted strategy to address the shared pathological mechanisms underlying these diseases. A comprehensive understanding of the role of PI3K signaling and its inhibitors could facilitate the development of novel interventions to reduce cardiovascular risk in patients with COPD.

PI3K抑制剂作为COPD合并动脉粥样硬化的潜在治疗药物
慢性阻塞性肺疾病(COPD)和心血管疾病(CVD)具有复杂的多因素关系,其特征是重叠的危险因素、全身性炎症和相互交织的病理生理机制,动脉粥样硬化是连接COPD和CVD的中心炎症过程,由全身性炎症、氧化应激和内皮功能障碍驱动。虽然全身性炎症被认为是这些疾病之间的关键联系,但炎症产生的确切途径仍在研究中。因此,有必要采取治疗策略来降低COPD患者的心血管风险。在促成这种相互作用的途径中,磷酸肌肽3-激酶(PI3K)信号通路受到了极大的关注。PI3K信号失调会导致炎症、氧化应激和内皮功能障碍,这些都是COPD和CVD的关键驱动因素。因此,PI3K抑制剂已成为减轻炎症和氧化损伤的一种有前景的治疗方法,为解决这些疾病的共同病理机制提供了一种有针对性的策略。全面了解PI3K信号及其抑制剂的作用可以促进开发新的干预措施来降低COPD患者的心血管风险。
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来源期刊
Drugs
Drugs 医学-毒理学
CiteScore
22.70
自引率
0.90%
发文量
134
审稿时长
3-8 weeks
期刊介绍: Drugs is a journal that aims to enhance pharmacotherapy by publishing review and original research articles on key aspects of clinical pharmacology and therapeutics. The journal includes: Leading/current opinion articles providing an overview of contentious or emerging issues. Definitive reviews of drugs and drug classes, and their place in disease management. Therapy in Practice articles including recommendations for specific clinical situations. High-quality, well designed, original clinical research. Adis Drug Evaluations reviewing the properties and place in therapy of both newer and established drugs. AdisInsight Reports summarising development at first global approval. Moreover, the journal offers additional digital features such as animated abstracts, video abstracts, instructional videos, and podcasts to increase visibility and educational value. Plain language summaries accompany articles to assist readers with some knowledge of the field in understanding important medical advances.
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