Immune cells on a branched path with checkpoints at intervals

Immune checkpoints in cardiac physiology and pathology

Therapeutic targets for heart failure

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  • A diverse group of people

    This ongoing Series of articles highlights the importance of a more diverse, equitable and inclusive cardiovascular workforce in improving the quality of patient care and scientific research.

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    This Collection of articles from across the Nature Reviews portfolio explores the transformative role of artificial intelligence in health care, from drug discovery and development, through to applications in the risk stratification, diagnosis, imaging, monitoring, prognostication, and pharmacological and surgical treatment of patients.

  • Computer circuit board representing metabolic pathways

    This ongoing Series of articles from Nature Reviews Cardiology covers all aspects of cardiometabolism, including the role of metabolism in cardiovascular physiology, metabolic remodelling in cardiovascular and cardiometabolic diseases, and novel and potential preventative and therapeutic strategies targeting metabolic pathways.

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    • In this Review, Porsch and Binder discuss the evidence for and mechanisms of the increased and premature risk of atherosclerotic cardiovascular disease in patients with autoimmune disease, with particular focus on systemic lupus erythematosus and rheumatoid arthritis.

      • Florentina Porsch
      • Christoph J. Binder
      Review Article
    • In this Review, Khan and colleagues explore the evolving global epidemiology of heart failure (HF), focusing on changes in incidence and prevalence across the spectrum of left ventricular ejection fraction. The authors highlight the disparities in our understanding of HF epidemiology in low-income and middle-income countries, affirming the need for improved surveillance and resource allocation in vulnerable areas and populations.

      • Muhammad Shahzeb Khan
      • Izza Shahid
      • Javed Butler
      Review Article
    • In this Review, Adkar and Leeper describe the mechanisms of programmed cell death and efferocytosis, discuss how efferocytosis becomes impaired in atherosclerosis and other cardiometabolic diseases, and suggest potential strategies to target these pathways for the treatment of atherosclerotic cardiovascular disease.

      • Shaunak S. Adkar
      • Nicholas J. Leeper
      Review Article
    • In 1993, Lincoff and Topol claimed that the thrombolytic treatment of ST-segment elevation myocardial infarction was suboptimal in many patients and gave an ‘illusion of reperfusion’. In this Perspective article, the authors propose that a similar illusion of revascularization exists for contemporary percutaneous revascularization in patients with coronary artery disease and ischaemia, and identify how outcomes might be improved.

      • Simone Fezzi
      • Daixin Ding
      • William Wijns
      Perspective
  • Preliminary experience with the use of transcatheter aortic valve implantation (TAVI) to treat non-calcific aortic regurgitation has raised concerns about the short-term effectiveness of TAVI in this setting. A deeper understanding of the interaction between transcatheter heart valves and anatomy in patients with non-calcific aortic valve disease, coupled with the introduction of dedicated TAVI devices, is providing new opportunities in the management of this condition.

    • Marco Barbanti
    • Giulia Laterra
    • Francesco Maisano
    Clinical Outlook
  • The advent of pulsed-field ablation — a series of ultra-rapid, high-energy pulses that result in non-thermal cell death via electroporation — is revolutionizing the field of atrial fibrillation ablation. Data on first iterations of the technology indicate that safety and efficacy are at least similar to that of thermal ablation but with meaningfully shorter procedure duration.

    • Leonid Maizels
    • Jonathan M. Kalman
    Clinical Outlook
  • In this Tools of the Trade article, Jablonska describes the use of proximity-based labelling for the proteomic profiling of novel protein–protein interactions.

    • Zuzanna Jablonska
    Tools of the Trade
  • Findings from a new study published in Science Immunology suggest that epigenetic changes in haematopoietic stem cells promote the production of pro-inflammatory macrophages and influence their capacity to generate protective macrophage subsets.

    • Karina Huynh
    Research Highlight
  • Data from the phase IIb MUIR and ARCHES-2 trials show that RNA interference approaches that target either apolipoprotein C-III or ANGPTL3 significantly reduce plasma triglyceride levels in patients with mixed hyperlipidaemia.

    • Gregory B. Lim
    Research Highlight

Anticoagulants

Anticoagulant drugs are used to prevent and treat thrombotic disorders in millions of patients worldwide. This Milestone plots the history of anticoagulant drugs, starting with the discovery and clinical trials of heparin and warfarin.
Milestone

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