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Global Translational Medicine





                                        REVIEW ARTICLE
                                        Succinate metabolism in cardiovascular diseases



                                                   1
                                        Wenxin Shan , Hongtu Cui , Yangkai Xu , Jing Xue , and Lemin Zheng *
                                                                                                    1,3
                                                                                   3
                                                               2
                                                                          1
                                        1 The Institute of Cardiovascular Sciences and Institute of Systems Biomedicine, School of Basic
                                        Medical Sciences, Key Laboratory of Molecular Cardiovascular Science of Ministry of Education,
                                        NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Beijing Key
                                        Laboratory of Cardiovascular Receptors Research, Health Science Center, Peking University,
                                        Beijing 100 191, China
                                        2 Department of Cardiology and Institute of Vascular Medicine, Peking University Third Hospital; NHC
                                        Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides; Key Laboratory of
                                        Molecular Cardiovascular Science, Ministry of Education; Beijing Key Laboratory of Cardiovascular
                                        Receptors Research; Research Unit of Medical Science Research Management/Basic and Clinical
                                        Research  of Metabolic  Cardiovascular  Diseases, Chinese Academy  of Medical  Sciences; Haihe
                                        Laboratory of Cell Ecosystem, Beijing 100 191, China
                                        3 Beijing  Tiantan Hospital, China National Clinical Research Center for Neurological Diseases,
                                        Advanced Innovation Center for Human Brain Protection, The Capital Medical University, Beijing
                                        100 050, China



                                        Abstract

                                        Cardiovascular disease (CVD) refers to a class of diseases related to the heart or
                                        blood vessels that have high global incidence. Succinate is generally considered an
                                        important intermediate product of the tricarboxylic acid cycle. Recent studies have
                                        shown that succinate is related to the pathophysiology of CVD, such as atherosclerosis,
                                        acute aortic dissection, hypertension, myocardial ischemia-reperfusion injury, and
                                        heart failure. It may represent a potential target or biomarker for CVD. It has been
                                        demonstrated that succinate not only participates in various energy metabolic
            *Corresponding author:      pathways but also plays an important role in various pathophysiological activities as
            Lemin Zheng                 a signaling molecule. Given the significance of metabolism in CVD, it is important to
            (zhengl@bjmu.edu.cn)        focus on the metabolic regulation mechanism of succinate in CVD. This review outlines
            Citation: Shan W, Cui H, Xu Y,   the latest evidence pointing to the potential role of succinate in CVD, along with its
            et  al., 2022, Succinate metabolism   mechanisms, and updates the current understanding on the role of succinate in CVD.
            in cardiovascular diseases. Global   Further studies may focus on identifying succinate, its receptor, and its downstream
            Transl Med, 1(2): 160.
            https://doi.org/10.36922/gtm.v1i2.160  signaling molecules as new targets for the prevention and treatment of CVD.
            Received: July 18, 2022
            Accepted: August 30, 2022   Keywords: Cardiovascular diseases; Metabolism; Succinate; Succinate receptor 1
            Published Online: September 19,
            2022
            Copyright: © 2022 Author(s).
            This is an Open Access article
            distributed under the terms of the   1. Introduction
            Creative Commons Attribution
                                                                                                         [1]
            License, permitting distribution,   Cardiovascular disease (CVD) is the leading cause of mortality worldwide . It
            and reproduction in any medium,   includes atherosclerosis, acute aortic dissection (AAD), hypertension, myocardial
            provided the original work is                                                                  [2,3]
            properly cited.             ischemia-reperfusion injury (MIRI), heart failure, and metabolic cardiomyopathy  .
                                        The progression of the disease cannot be well controlled with medication and surgery.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Therefore, it is particularly important to look for new prevention and treatment targets.
            regard to jurisdictional claims in
            published maps and institutional   Succinate is an important metabolic intermediate of the tricarboxylic acid (TCA)
            affiliations.               cycle and glutamine metabolism [4,5] . In addition, it acts as a signaling molecule by binding


            Volume 1 Issue 2 (2022)                         1                      https://doi.org/10.36922/gtm.v1i2.160
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