Table 3.
Potential therapeutic targets in peripartum cardiomyopathy
| Therapeutic target | Molecular property | Potential benefit in PPCM |
|---|---|---|
| Ivabradine | Reduces heart rate through selective inhibition of the funny current (If) in the sinoatrial node | Reduction in workload on the heart and improvement of cardiac function |
| MicroRNA-146a antisense | Regulates inflammation and immune responses | Potential reduction in inflammation and improvement of cardiac function |
| Adiponectin | Holds pleiotropic metabolic effects, including potential benefits for cardiovascular health | Research is ongoing regarding its use as a therapeutic target of PPCM |
| Perhexiline | Prevents angina, thus improving myocardial energetics switching from fatty acids β oxidation to glycolysis | Potential improvement of cardiac function by improving the heart’s energy utilization |
| VEGF analogues | Promotes the production of new blood vessels | Promotion of better blood supply to cardiomyocytes |
| Seralaxin | Recombinant Relaxin-2, vasodilatory and anti-fibrotic effects | Potential treatment for heart failure, including PPCM |
| Pentoxyfylline | Anti-inflammatory properties | Prevention of inflammation associated with PPCM |
| Liver x receptor/ Retinoid x receptor (LXR/RXR) | Regulation of cholesterol metabolism-mediated anti-inflammation | Enhanced PPCM recovery through upregulation of LXR/RXR signalling |
MicroRNA-146a microribonucleic acid-146a, PPCM peripartum cardiomyopathy, VEGF vascular endothelial growth factor