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    Cardiac fibrosis in the ageing heart: Contributors and mechanisms

    Access Status
    Fulltext not available
    Authors
    Lu, L.
    Guo, J.
    Hua, Y.
    Huang, K.
    Magaye, R.
    Cornell, J.
    Kelly, D.
    Reid, Christopher
    Liew, D.
    Zhou, Y.
    Chen, A.
    Xiao, W.
    Fu, Q.
    Wang, B.
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Lu, L. and Guo, J. and Hua, Y. and Huang, K. and Magaye, R. and Cornell, J. and Kelly, D. et al. 2017. Cardiac fibrosis in the ageing heart: Contributors and mechanisms. Clinical and Experimental Pharmacology and Physiology.
    Source Title
    Clinical and Experimental Pharmacology and Physiology
    DOI
    10.1111/1440-1681.12753
    ISSN
    0305-1870
    School
    Department of Health Policy and Management
    URI
    http://hdl.handle.net/20.500.11937/57233
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 John Wiley & Sons Australia, Ltd. Cardiac fibrosis refers to an excessive deposition of extracellular matrix (ECM) in cardiac tissue. Fibrotic tissue is stiffer and less compliant, resulting in subsequent cardiac dysfunction and heart failure. Cardiac fibrosis in the ageing heart may involve activation of fibrogenic signalling and inhibition of anti-fibrotic signalling, leading to an imbalance of ECM turnover. Excessive accumulation of ECM such as collagen in older patients contributes to progressive ventricular dysfunction. Overexpression of collagen is derived from various sources, including higher levels of fibrogenic growth factors, proliferation of fibroblasts and cellular transdifferentiation. These may be triggered by factors, such as oxidative stress, inflammation, hypertension, cellular senescence and cell death, contributing to age-related fibrotic cardiac remodelling. In this review, we will discuss the fibrogenic contributors in age-related cardiac fibrosis, and the potential mechanisms by which fibrogenic processes can be interrupted for therapeutic intent.

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