Aficamten在肥厚型心肌病中的临床研究进展

李春燕, 唐宇靖, 汪祥勇, 等. Aficamten在肥厚型心肌病中的临床研究进展[J]. 临床心血管病杂志, 2023, 39(11): 890-893. doi: 10.13201/j.issn.1001-1439.2023.11.014
引用本文: 李春燕, 唐宇靖, 汪祥勇, 等. Aficamten在肥厚型心肌病中的临床研究进展[J]. 临床心血管病杂志, 2023, 39(11): 890-893. doi: 10.13201/j.issn.1001-1439.2023.11.014
LI Chunyan, TANG Yujing, WANG Xiangyong, et al. Progress of clinical study of aficamten in hypertrophic cardiomyopathy[J]. J Clin Cardiol, 2023, 39(11): 890-893. doi: 10.13201/j.issn.1001-1439.2023.11.014
Citation: LI Chunyan, TANG Yujing, WANG Xiangyong, et al. Progress of clinical study of aficamten in hypertrophic cardiomyopathy[J]. J Clin Cardiol, 2023, 39(11): 890-893. doi: 10.13201/j.issn.1001-1439.2023.11.014

Aficamten在肥厚型心肌病中的临床研究进展

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Progress of clinical study of aficamten in hypertrophic cardiomyopathy

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  • 肥厚型心肌病患者左心室流出道梗阻会增加不良结局的风险,疾病进展可能会出现严重的运动受限、心律失常和过早死亡。Aficamte是一种新型心脏肌球蛋白抑制剂,aficamten可抑制心脏肌节的过度收缩,改善肥厚型心肌病患者的心室肥厚,减轻左室流出道梗阻,进而改善心脏功能。本文主要阐述心脏肌球蛋白抑制剂aficamten在肥厚型心肌病防治方面的最新研究进展,为肥厚型心肌病的治疗提供新思路。
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  • [1]

    Marian AJ, Braunwald E. Hypertrophic cardiomyopathy: genetics, pathogenesis, clinical manifestations, diagnosis, and therapy[J]. Circ Res, 2017, 121(7): 749-770. doi: 10.1161/CIRCRESAHA.117.311059

    [2]

    Sherrid MV. Drug therapy for hypertrophic cardiomypathy: physiology and practice[J]. Curr Cardiol Rev, 2016, 12(1): 52-65. doi: 10.2174/1573403X1201160126125403

    [3]

    Makavos G, Kairis C, Tselegkidi ME, et al. Hypertrophic cardiomyopathy: an updated review on diagnosis, prognosis, and treatment[J]. Heart Fail Rev, 2019, 24(4): 439-459. doi: 10.1007/s10741-019-09775-4

    [4]

    Muresan ID, Agoston-Coldea L. Phenotypes of hypertrophic cardiomyopathy: genetics, clinics, and modular imaging[J]. Heart Fail Rev, 2021, 26(5): 1023-1036. doi: 10.1007/s10741-020-09931-1

    [5]

    Medical Masterclass contributors, Firth J. Cardiology: hypertrophic cardiomyopathy[J]. Clin Med(Lond), 2019, 19(1): 61-63.

    [6]

    Maron BJ, Gardin JM, Flack JM, et al. Prevalence of hypertrophic cardiomyopathy in a general population of young adults. Echocardiographic analysis of 4111 subjects in the CARDIA Study. Coronary Artery Risk Development in(Young)Adults[J]. Circulation, 1995, 92(4): 785-789. doi: 10.1161/01.CIR.92.4.785

    [7]

    Authors/Task Force members, Elliott PM, Anastasakis A, et al. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology(ESC)[J]. Eur Heart J, 2014, 35(39): 2733-2779. doi: 10.1093/eurheartj/ehu284

    [8]

    吴明星, 黄泽旭, 慕家盛, 等. 肥厚型心肌病节段性心肌纤维化与微循环障碍之间的关系研究[J]. 临床心血管病杂志, 2021, 37(9): 840-846. https://lcxxg.whuhzzs.com/article/doi/10.13201/j.issn.1001-1439.2021.09.012

    [9]

    Maron MS, Rowin EJ, Olivotto I, et al. Contemporary Natural History and Management of Nonobstructive Hypertrophic Cardiomyopathy[J]. J Am Coll Cardiol, 2016, 67(12): 1399-1409. doi: 10.1016/j.jacc.2016.01.023

    [10]

    Malik FI, Robertson LA, Armas DR, et al. A Phase 1 Dose-Escalation Study of the Cardiac Myosin Inhibitor Aficamten in Healthy Participants[J]. JACC Basic Transl Sci, 2022, 7(8): 763-775. doi: 10.1016/j.jacbts.2022.04.008

    [11]

    Krendel M, Mooseker MS. Myosins: tails(and heads)of functional diversity[J]. Physiology(Bethesda), 2005, 20: 239-251.

    [12]

    Schmid M, Toepfer CN. Cardiac myosin super relaxation(SRX): a perspective on fundamental biology, human disease and therapeutics[J]. Biol Open, 2021, 10(2): bio057646. doi: 10.1242/bio.057646

    [13]

    Marcucci L, Washio T, Yanagida T. Proposed mechanism for the length dependence of the force developed in maximally activated muscles[J]. Sci Rep, 2019, 9(1): 1317. doi: 10.1038/s41598-018-36706-4

    [14]

    Zampieri M, Berteotti M, Ferrantini C, et al. Pathophysiology and Treatment of Hypertrophic Cardiomyopathy: New Perspectives[J]. Curr Heart Fail Rep, 2021, 18(4): 169-179. doi: 10.1007/s11897-021-00523-0

    [15]

    Ferrantini C, Belus A, Piroddi N, et al. Mechanical and energetic consequences of HCM-causing mutations[J]. J Cardiovasc Transl Res, 2009, 2(4): 441-451. doi: 10.1007/s12265-009-9131-8

    [16]

    Spudich JA. Three perspectives on the molecular basis of hypercontractility caused by hypertrophic cardiomyopathy mutations[J]. Pflugers Arch, 2019, 471(5): 701-717. doi: 10.1007/s00424-019-02259-2

    [17]

    Toepfer CN, Garfinkel AC, Venturini G, et al. Myosin Sequestration Regulates Sarcomere Function, Cardiomyocyte Energetics, and Metabolism, Informing the Pathogenesis of Hypertrophic Cardiomyopathy[J]. Circulation, 2020, 141(10): 828-842. doi: 10.1161/CIRCULATIONAHA.119.042339

    [18]

    Olivotto I, Oreziak A, Barriales-Villa R, et al. Mavacamten for treatment of symptomatic obstructive hypertrophic cardiomyopathy(EXPLORER-HCM): a randomised, double-blind, placebo-controlled, phase 3 trial[J]. Lancet, 2020, 396(10253): 759-769. doi: 10.1016/S0140-6736(20)31792-X

    [19]

    Chuang C, Collibee S, Ashcraft L, et al. Discovery of Aficamten(CK-274), a Next-Generation Cardiac Myosin Inhibitor for the Treatment of Hypertrophic Cardiomyopathy[J]. J Med Chem, 2021, 64(19): 14142-14152. doi: 10.1021/acs.jmedchem.1c01290

    [20]

    Toepfer CN, Garfinkel AC, Venturini G, et al. Myosin Sequestration Regulates Sarcomere Function, Cardiomyocyte Energetics, and Metabolism, Informing the Pathogenesis of Hypertrophic Cardiomyopathy[J]. Circulation. 2020, 141(10): 828-842. doi: 10.1161/CIRCULATIONAHA.119.042339

    [21]

    Zampieri M, Argirò A, Marchi A, et al. Mavacamten, a Novel Therapeutic Strategy for Obstructive Hypertrophic Cardiomyopathy[J]. Curr Cardiol Rep, 2021, 23(7): 79. doi: 10.1007/s11886-021-01508-0

    [22]

    García-Giustiniani D, Arad M, Ortíz-Genga M, et al. Phenotype and prognostic correlations of the converter region mutations affecting the β myosin heavy chain[J]. Heart, 2015, 101(13): 1047-1053. doi: 10.1136/heartjnl-2014-307205

    [23]

    Anderson RL, Trivedi DV, Sarkar SS, et al. Deciphering the super relaxed state of human β-cardiac myosin and the mode of action of mavacamten from myosin molecules to muscle fibers[J]. Proc Natl Acad Sci U S A, 2018, 115(35): E8143-E8152.

    [24]

    Kawas RF, Anderson RL, Ingle S, et al. A small-molecule modulator of cardiac myosin acts on multiple stages of the myosin chemomechanical cycle[J]. J Biol Chem, 2017, 292(40): 16571-16577. doi: 10.1074/jbc.M117.776815

    [25]

    Tuohy CV, Kaul S, Song HK, et al. Hypertrophic cardiomyopathy: the future of treatment[J]. Eur J Heart Fail, 2020, 22(2): 228-240. doi: 10.1002/ejhf.1715

    [26]

    杨昭, 杨旭明, 杜来景. Mavacamten特异性治疗肥厚型心肌病的研究进展[J]. 临床心血管病杂志, 2022, 38(4): 267-271. https://www.cnki.com.cn/Article/CJFDTOTAL-LCXB202204003.htm

    [27]

    Hwee DT, Wu YS, Cremin P, et al. The cardiac myosin Inhibitor, CK-3773274, reduces contractility in the R403q mouse model of hypertrophic cardiomyopathy[EB/OL]. Circ Res, 2019, 125: A615.

    [28]

    Argirò A, Zampieri M, Berteotti M, et al. Emerging Medical Treatment for Hypertrophic Cardiomyopathy[J]. J Clin Med, 2021, 10(5): 951. doi: 10.3390/jcm10050951

    [29]

    Grillo MP, Erve J, Dick R, et al. In vitro and in vivo pharmacokinetic characterization of mavacamten, a first-in-class small molecule allosteric modulator of beta cardiac myosin[J]. Xenobiotica, 2019, 49(6): 718-733. doi: 10.1080/00498254.2018.1495856

    [30]

    Heitner SB, Jacoby D, Lester SJ, et al. Mavacamten Treatment for Obstructive Hypertrophic Cardiomyopathy: A Clinical Trial[J]. Ann Intern Med, 2019, 170(11): 741-748. doi: 10.7326/M18-3016

    [31]

    Maron MS, Masri A, Choudhury L, et al. Phase 2 study of aficamten in patients with obstructive hypertrophic cardiomyopathy[J]. J Am Coll Cardiol, 2023, 81(1): 34-45. doi: 10.1016/j.jacc.2022.10.020

    [32]

    Owens AT, Masri A, Abraham TP, et al. Aficamten for drug-refractory severe obstructive hypertrophic cardiomyopathy in patients receiving disopyramide: REDWOOD-HCM Cohort 3[J]. J Card Fail, 2023: S1071-9164(23)00261-0.

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出版历程
收稿日期:  2022-11-21
刊出日期:  2023-11-13

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