国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (11): 1812-1815.DOI: 10.3760/cma.j.cn441417-20250106-11010

• 心血管疾病专栏 • 上一篇    下一篇

PI3K/Akt/KDM5A通路在心房颤动中的研究进展

赵珂 刘振兴 时大宇 徐会圃   

  1. 滨州医学院附属医院心血管内科,滨州 256600

  • 收稿日期:2025-01-06 出版日期:2025-06-01 发布日期:2025-06-12
  • 通讯作者: 徐会圃,Email:xuhuip1967@163.com
  • 基金资助:

    山东省医药卫生科技项目(202303010661)

Research progress of P13K/AKT/KDM5A pathway in atrial fibrillation 

Zhao Ke, Liu Zhenxing, Shi Dayu, Xu Huipu   

  1. Department of Cardiovascular Medicine, Binzhou Medical University Hospital, Binzhou 256600,China

  • Received:2025-01-06 Online:2025-06-01 Published:2025-06-12
  • Contact: Xu Huipu, Email: xuhuipu1967@163.com
  • Supported by:

    Shandong Province Medical and Health Science and Technology Project(202303010661)

摘要:

心脏重构是高血压、心肌梗死、心力衰竭等疾病的终末期病理表现,其核心环节是心肌纤维化。现已有大量研究证实,心房重构是引发心房颤动的重要机制之一。其中,磷脂酰肌醇3-激酶(phosphatidylinositol 3-kinase,PI3K)/丝氨酸/苏氨酸激酶(serine/threonine kinase,Akt)信号通路调控心肌纤维化进展,与心房重构密切相关。目前,对于赖氨酸特异性脱甲基酶5 A(lysine-specific demethylase 5A,KDM5A)如何调节心肌纤维化发生的研究处于刚起步阶段,进一步研究KDM5A在心肌纤维化中的作用机制可能成为未来治疗心房颤动的有效策略之一。

关键词: 心肌纤维化, 心房颤动, PI3K/Akt, 赖氨酸特异性脱甲基酶5A, 综述

Abstract:

Cardiac remodeling is the pathological manifestation in the end stages of diseases such as hypertension, myocardial infarction, and heart failure, with myocardial fibrosis being a core component. Numerous studies have confirmed that atrial remodeling is one of the important mechanisms that trigger atrial fibrillation. Among these, the phosphatidylinositol 3-kinase (PI3K)/Serine/Threonine kinase (Akt) signaling pathway regulates the progression of myocardial fibrosis and is closely related to atrial remodeling. However, research on how lysine-specific demethylase 5A (KDM5A) regulates the occurrence of myocardial fibrosis is still in its early stages. Further investigation into the mechanisms of KDM5A in myocardial fibrosis may become one of the effective strategies for treating atrial fibrillation in the future.

Key words: Myocardial fibrosis,  , Atrial fibrillation,  , PI3K/AKT,  , KDM5A,  , Review