Table 1

Mechanisms of action of trimetazidine

MechanismReferences
Inhibition of β-oxidation of free fatty acid3
Increased pyruvate dehydrogenase activity3,5,6
Increasing sarcolemma mechanical resistance8,9
Inhibiting apoptosis by increased miR-21 expression10
Reduced cardiac fibrosis by decreasing connective tissue growth factor (CTGF) expression in cardiac fibroblasts11
MechanismReferences
Inhibition of β-oxidation of free fatty acid3
Increased pyruvate dehydrogenase activity3,5,6
Increasing sarcolemma mechanical resistance8,9
Inhibiting apoptosis by increased miR-21 expression10
Reduced cardiac fibrosis by decreasing connective tissue growth factor (CTGF) expression in cardiac fibroblasts11
Table 1

Mechanisms of action of trimetazidine

MechanismReferences
Inhibition of β-oxidation of free fatty acid3
Increased pyruvate dehydrogenase activity3,5,6
Increasing sarcolemma mechanical resistance8,9
Inhibiting apoptosis by increased miR-21 expression10
Reduced cardiac fibrosis by decreasing connective tissue growth factor (CTGF) expression in cardiac fibroblasts11
MechanismReferences
Inhibition of β-oxidation of free fatty acid3
Increased pyruvate dehydrogenase activity3,5,6
Increasing sarcolemma mechanical resistance8,9
Inhibiting apoptosis by increased miR-21 expression10
Reduced cardiac fibrosis by decreasing connective tissue growth factor (CTGF) expression in cardiac fibroblasts11
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