Evolution of Hydrogen Sulfide Therapeutics to Treat Cardiovascular Disease.

Li, Zhen; Polhemus, David J; Lefer, David J · Circ Res · 2018

review · Level V

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Abstract

Hydrogen sulfide (H<sub>2</sub>S)-a potent gaseous signaling molecule-has emerged as a critical regulator of cardiovascular homeostasis. H<sub>2</sub>S is produced enzymatically by 3 constitutively active endogenous enzymes in all mammalian species. Within the past 2 decades, studies administering H<sub>2</sub>S-donating agents and the genetic manipulation of H<sub>2</sub>S-producing enzymes have revealed multiple beneficial effects of H<sub>2</sub>S, including vasodilation, activation of antiapoptotic and antioxidant pathways, and anti-inflammatory effects. More recently, the heightened enthusiasm in this field has shifted to the development of novel H<sub>2</sub>S-donating agents that exert favorable pharmacological profiles. This has led to the discovery of novel H<sub>2</sub>S-mediated signaling pathways. This review will discuss recently developed H<sub>2</sub>S therapeutics, introduce signaling pathways that are influenced by H<sub>2</sub>S-dependent sulfhydration, and explore the dual-protective effect of H<sub>2</sub>S in cardiorenal syndrome.

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