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Extracellular signals | Receptor | Signal pathway | Biological effects | Clinical effects on HF patients |
In vitro | In vivo |
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Triiodothyronine (T3) | TR1α (thyroid hormone receptor α1) | ① AMPK↑ [10] ② Regulating IGF1/IGF1-R/AKT [13] ③ ERK↑ [11] | CM growth↑ [10], CM maturation↑ [4], myofilament proteins expression↑ [12], L-type Ca2+ channel↓ [6] | CM proliferation and cardiac regeneration↑ [2], cardiac ischemia-reperfusion injury↓ [15–17], cardiac remodeling↓ [16, 18, 19] | Ventricular performance↑ [23], cardiac index↑ [24], cardiac function not improved [25], |
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Neuregulin-1 (NRG1) | ErbB receptor | ① ERK1/2MAPK↑ [34] ② PI3KAKT↑ [35, 36] ③ FAK↑ [37] | CM survival↑ [36], calcium handling↑ [39], CM communication↑ [40, 41], myofibrillar structural damage in response to ErbB inhibition [38] | Development of cardiac conduction system↑ [45, 46], CM dedifferentiation and proliferation↑ [42, 43], myofilament organization↑ [44] | cardiac output↑, LVEF↑, systemic vascular resistance↓, ESV↓ EDV↓ [50, 51] |
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Follistatin-like 1 (Fstl1) | DIP2A (disconnected interacting protein 2 homolog A) | ① AMPK↑ [57] ② p-AKT↑ [58] ③ ERK1/2↑ [55] | Cell apoptosis↓ [58] | Cardiac rupture↓ [55], CM proliferation↑, heart performance↑ [56] | N/A |
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TNF-related weak inducer of apoptosis (TWEAK) | Fn14 receptor | ① TRAFNF-κB↑ [68] ② ERK [70] ③ PI3KAKT↑ [70] | CM cell cycle reentry↑ [70], cardiomyocyte proliferation↑ [69], CM-derived proinflammatory cytokines↑ [68], fibroblast proliferation and myofibroblast differentiation↑ [71] | Cardiac hypertrophy↑ [72], myocardial inflammatory responses↑ [73], heart performance↓ [74] | N/A |
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