Etiology of Valvular Heart Disease : Genetic and Developmental Origins

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  • Lincoln Joy
    Center for Cardiovascular and Pulmonary Research and The Heart Center at Nationwide Children’s Hospital Department of Pediatrics, Ohio State University
  • Garg Vidu
    Center for Cardiovascular and Pulmonary Research and The Heart Center at Nationwide Children’s Hospital Department of Pediatrics, Ohio State University Department of Molecular Genetics, Ohio State University

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タイトル別名
  • Etiology of Valvular Heart Disease
  • – Genetic and Developmental Origins –

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Valvular heart disease occurs as either a congenital or acquired condition and advances in medical care have resulted in valve disease becoming increasingly prevalent. Unfortunately, treatments remain inadequate because of our limited understanding of the genetic and molecular etiology of diseases affecting the heart valves. Therefore, surgical repair or replacement remains the most effective option, which comes with additional complications and no guarantee of life-long success. Over the past decade, there have been significant advances in our understanding of cardiac valve development and, not surprisingly, mutations in these developmental genes have been identified in humans with congenital valve malformations. Concurrently, there has been a greater realization that acquired valve disease is not simply a degenerative process. Molecular investigation of acquired valve disease has identified that numerous signaling pathways critical for normal valve development are re-expressed in diseased valves. This review will discuss recent advances in our understanding of the development of the heart valves, as well as the implications of these findings on the genetics of congenital and acquired valvular heart disease. (Circ J 2014; 78: 1801–1807)

収録刊行物

  • Circulation Journal

    Circulation Journal 78 (8), 1801-1807, 2014

    一般社団法人 日本循環器学会

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