© 2001 by European Society of Cardiology
Copyright © 2000, European Society of Cardiology
Nucleoside diphosphate kinase: a new player in heart failure?
Pediatric Cardiology, TWR Suite 9-V, NYU Medical Center, 540 First Avenue, New York, NY 10016, USA
* Corresponding author. Tel.: +1-212-263-5993; fax: +1-212-263-5808 michael.artman@med.nyu.edu
Received 30 October 2000; accepted 30 October 2000
| The first 150 words of the full text of this article appear below. |
See article by Lutz et al. [33] (pages 48–55) in this issue.
Despite considerable efforts, the incidence, prevalence and mortality of heart failure remain high in most industrialized countries [1,2]. This is partially due to the complex nature of the heart failure syndrome. As a final outcome of many types of heart disease, the degree of heart failure varies from case to case depending on the pathological history, genetic basis and environmental background. However, the most common feature of the failing heart is diminished systolic and/or diastolic function, associated with disturbed intracellular Ca2+ homeostasis. Under physiological conditions, cardiac contraction is initiated by Ca2+ influx through sarcolemmal L-type Ca2+ channels, which subsequently triggers a large amount of Ca2+ release from the internal sarcoplasmic reticulum (SR) stores via ryanodine receptors. The increased intracellular Ca2+ activates the contractile myofilaments, and then is either recycled back into the SR by SR Ca2+ pumps