PMID- 31393254 OWN - NLM STAT- MEDLINE DCOM- 20210218 LR - 20211102 IS - 1875-6557 (Electronic) IS - 1573-403X (Print) IS - 1573-403X (Linking) VI - 16 IP - 4 DP - 2020 TI - Endothelial to Mesenchymal Transition in the Cardiogenesis and Cardiovascular Diseases. PG - 306-314 LID - 10.2174/1573403X15666190808100336 [doi] AB - Today, cardiovascular diseases remain a leading cause of morbidity and mortality worldwide. Endothelial to mesenchymal transition (EndMT) does not only play a major role in the course of development but also contributes to several cardiovascular diseases in adulthood. EndMT is characterized by down-regulation of the endothelial proteins and highly up-regulated fibrotic specific genes and extracellular matrix-forming proteins. EndMT is also a transforming growth factor- beta-driven (TGF-beta) process in which endothelial cells lose their endothelial characteristics and acquire a mesenchymal phenotype with expression of alpha-smooth muscle actin (alpha-SMA), fibroblastspecific protein 1, etc. EndMT is a vital process during cardiac development, thus disrupted EndMT gives rise to the congenital heart diseases, namely septal defects and valve abnormalities. In this review, we have discussed the main signaling pathways and mechanisms participating in the process of EndMT such as TGF-beta and Bone morphogenetic protein (BMP), Wnt#, and Notch signaling pathway and also studied the role of EndMT in physiological cardiovascular development and pathological conditions including myocardial infarction, pulmonary arterial hypertension, congenital heart defects, cardiac fibrosis, and atherosclerosis. As a perspective view, having a clear understanding of involving cellular and molecular mechanisms in EndMT and conducting Randomized controlled trials (RCTs) with a large number of samples for involving pharmacological agents may guide us into novel therapeutic approaches of congenital disorders and heart diseases. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Anbara, Taha AU - Anbara T AD - Department of Surgery, Erfan Specialty Hospital, Tehran, Iran. FAU - Sharifi, Masuomeh AU - Sharifi M AD - Physiology Department, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. FAU - Aboutaleb, Nahid AU - Aboutaleb N AD - Physiology Research Center, Physiology Department, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Cardiol Rev JT - Current cardiology reviews JID - 101261935 SB - IM MH - Cardiovascular Diseases/pathology/*physiopathology MH - Endothelial Cells/*metabolism MH - Heart Defects, Congenital/*physiopathology MH - Humans PMC - PMC7903503 OTO - NOTNLM OT - Endothelial to mesenchymal transition OT - TGF-beta OT - cardiogenesis OT - cardiovascular disease OT - congenital heart diseases EDAT- 2019/08/09 06:00 MHDA- 2021/02/20 06:00 PMCR- 2021/11/01 CRDT- 2019/08/09 06:00 PHST- 2019/04/28 00:00 [received] PHST- 2019/07/05 00:00 [revised] PHST- 2019/07/09 00:00 [accepted] PHST- 2019/08/09 06:00 [pubmed] PHST- 2021/02/20 06:00 [medline] PHST- 2019/08/09 06:00 [entrez] PHST- 2021/11/01 00:00 [pmc-release] AID - CCR-EPUB-100200 [pii] AID - CCR-16-306 [pii] AID - 10.2174/1573403X15666190808100336 [doi] PST - ppublish SO - Curr Cardiol Rev. 2020;16(4):306-314. doi: 10.2174/1573403X15666190808100336.