Frontiers in Cardiovascular Medicine,
Journal Year:
2023,
Volume and Issue:
9
Published: Jan. 12, 2023
In
the
past
few
decades,
non-alcoholic
fatty
liver
disease
(NAFLD)
and
heart
failure
with
preserved
ejection
fraction
(HFpEF)
have
become
most
common
chronic
main
form
of
(HF),
respectively.
NAFLD
is
closely
associated
HFpEF
by
sharing
risk
factors
and/or
boosting
systemic
inflammation,
releasing
other
secretory
factors,
having
an
expansion
epicardial
adipose
tissue
(EAT).
Therefore,
treatments
may
also
affect
development
prognosis
HFpEF.
However,
no
specific
drugs
for
been
approved
Food
Drug
Administration
(FDA)
some
non-specific
are
applied
in
clinic.
Currently,
can
be
divided
into
non-pharmacological
pharmacological
treatments.
Non-pharmacological
mainly
include
dietary
intervention,
weight
loss
exercise,
caloric
restriction,
bariatric
surgery.
Pharmacological
administering
statins,
thiazolidinediones,
glucagon-like
peptide-1
receptor
agonists,
sodium-glucose
cotransporter
2
inhibitors,
metformin.
This
review
will
focus
on
analyzing
how
these
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(2), P. 1132 - 1132
Published: Jan. 6, 2023
The
main
cause
of
morbidity
and
mortality
in
diabetes
mellitus
(DM)
is
cardiovascular
complications.
Diabetic
cardiomyopathy
(DCM)
remains
incompletely
understood.
Animal
models
have
been
crucial
exploring
DCM
pathophysiology
while
identifying
potential
therapeutic
targets.
Streptozotocin
(STZ)
has
widely
used
to
produce
experimental
both
type
1
2
DM
(T1DM
T2DM).
Here,
we
compared
these
two
for
their
effects
on
cardiac
structure,
function
transcriptome.
Different
doses
STZ
diet
chows
were
generate
T1DM
T2DM
C57BL/6J
mice.
Normal
euglycemic
nonobese
sex-
age-matched
mice
served
as
controls
(CTRL).
Immunohistochemistry,
RT-PCR
RNA-seq
employed
compare
hearts
from
the
three
animal
groups.
STZ-induced
affected
left
ventricular
myocardial
performance
differently.
displayed
exaggerated
apoptotic
cardiomyocyte
(CM)
death
reactive
hypertrophy
fibrosis,
along
with
increased
oxidative
stress,
CM
DNA
damage
senescence,
when
whole
transcriptome
In
conclusion,
mouse
showed
significant
differences
remodeling,
These
could
be
key
relevance
choosing
an
model
study
specific
features
DCM.
Cardiovascular Diabetology,
Journal Year:
2023,
Volume and Issue:
22(1)
Published: Sept. 29, 2023
The
impact
of
insulin
resistance
on
the
prognosis
heart
failure
with
preserved
ejection
fraction
(HFpEF)
remains
unknown.
This
study
aimed
to
investigate
association
between
triglyceride-glucose
(TyG)
index,
an
easily
calculated
marker
resistance,
and
long-term
HFpEF.A
total
823
patients
HFpEF
were
enrolled
in
study.
TyG
index
was
determined
using
formula
ln(fasting
triglycerides
[mg/dL]
×
fasting
glucose
[mg/dL]/2).
primary
endpoint
all-cause
death.
secondary
endpoints
cardiovascular
(CV)
death
(HF)
rehospitalization.
Restricted
cubic
spline,
multivariate
Cox
proportional
hazard
models,
competing
risk
models
used
for
analyses.During
a
median
follow-up
period
3.16
years,
147
(17.8%)
deaths,
139
(16.8%)
CV
222
(27.0%)
HF
rehospitalizations
occurred.
spline
analysis
revealed
J-shaped
mortality
rehospitalization
rates.
In
compared
those
lowest
tertile,
highest
tertile
exhibited
greatest
susceptibility
(HR
1.53,
95%
CI
1.19-1.98)
1.52,
1.19-1.96).
model,
significant
observed
1.31,
CI,
1.07-1.61).A
high
is
associated
increased
HFpEF.
may
serve
as
promising
prognostic
Frontiers in Medicine,
Journal Year:
2025,
Volume and Issue:
12
Published: Feb. 4, 2025
Alzheimer’s
disease
(AD)
is
the
most
common
cause
of
dementia
and
represents
75%
all
types.
AD
neuropathology
due
to
progressive
deposition
extracellular
amyloid-beta
(A
β
)
peptide
intracellular
hyperphosphorylated
tau
protein.
The
accumulated
Aβ
forms
amyloid
plaques,
while
protein
neurofibrillary
tangles
(NFTs).
Both
plaques
NFTs
are
hallmarks
neuropathology.
fundamental
mechanism
involved
in
pathogenesis
still
elusive,
although
more
conceivable
theory.
Aβ-induced
neurodegeneration
associated
neuroinflammation,
oxidative
stress,
endoplasmic
reticulum
stress
(ER),
mitochondrial
dysfunction
contribute
development
cognitive
impairment
dementia.
Of
note,
not
only
originated
from
brain
but
also
produced
peripherally
and,
via
blood–brain
barrier
(BBB),
can
accumulate
result
AD.
It
has
been
shown
that
cardiometabolic
conditions
such
as
obesity,
type
2
diabetes
(T2D),
heart
failure
(HF)
regarded
possible
risk
factors
for
other
types
dementia,
vascular
HF-induced
chronic
cerebral
hypoperfusion,
inflammation
induce
progression
Interestingly,
a
systemic
causes
which
turn
affects
peripheral
organs,
including
heart.
through
deranged
BBB
be
transported
into
circulation
heart,
leading
HF.
These
findings
suggest
close
relationship
between
However,
exact
AD-induced
HF
fully
elucidated.
Therefore,
this
review
aims
discuss
link
regarding
potential
role
Cardiovascular Diabetology,
Journal Year:
2023,
Volume and Issue:
22(1)
Published: March 4, 2023
Abstract
Background
Epicardial
adipose
tissue
(EAT)
accumulation
is
associated
with
multiple
cardiometabolic
risk
factors
and
prognosis
of
heart
failure
preserved
ejection
fraction
(HFpEF).
The
correlation
between
EAT
density
the
effect
on
clinical
outcome
in
HFpEF
remain
unclear.
We
evaluated
relationship
factors,
also
prognostic
value
patients
HFpEF.
Methods
included
154
who
underwent
noncontrast
cardiac
computed
tomography
(CT)
all
received
follow-up.
volume
were
quantified
semi-automatically.
associations
metabolic
syndrome
impact
analyzed.
Results
Lower
was
adverse
changes
factors.
Each
1
HU
increase
fat
density,
BMI
0.14
kg/m
2
lower
(95%
CI
0.08–0.21),
waist
circumference
0.34
cm
0.12–0.55),
non-HDL-cholesterol
0.02
mmol/L
0–0.04),
triglyceride
0.03
0.01–0.04),
fasting
plasma
glucose
0.05
0.02–0.08),
TyG
index
0.02–0.04),
Log
(TG/HDL-C)
0.02–0.05),
METS-IR
0.36
0.23–0.49),
MetS
Z-score
0.04
0.02–0.06),
(CACS
+
1)
0.09
0.02–0.15).
After
adjusting
for
volume,
non-HDL-cholesterol,
triglyceride,
glucose,
insulin
resistance
indexes,
Z-score,
CACS
remained
significant.
area
under
curve
(AUC)
presence
severity
greater
than
(AUC:
0.731
vs
0.694,
0.735
0.662,
respectively).
Over
a
median
follow-up
16
months,
cumulative
incidence
readmission
composite
endpoint
increased
level
(both
p
<
0.05).
Conclusions
an
independent
factor
might
have
better
predictive
it
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(8), P. 4407 - 4407
Published: April 17, 2024
This
review
examines
the
impact
of
obesity
on
pathophysiology
heart
failure
with
preserved
ejection
fraction
(HFpEF)
and
focuses
novel
mechanisms
for
HFpEF
prevention
using
a
glucagon-like
peptide-1
receptor
agonism
(GLP-1
RA).
Obesity
can
lead
to
through
various
mechanisms,
including
low-grade
systemic
inflammation,
adipocyte
dysfunction,
accumulation
visceral
adipose
tissue,
increased
pericardial/epicardial
tissue
(contributing
an
increase
in
myocardial
fat
content
interstitial
fibrosis).
Glucagon-like
peptide
1
(GLP-1)
is
incretin
hormone
that
released
from
enteroendocrine
L-cells
gut.
GLP-1
reduces
blood
glucose
levels
by
stimulating
insulin
synthesis,
suppressing
islet
α-cell
function,
promoting
proliferation
differentiation
β-cells.
regulates
gastric
emptying
appetite,
RA
currently
indicated
treating
type
2
diabetes
(T2D),
obesity,
metabolic
syndrome
(MS).
Recent
evidence
indicates
may
play
significant
role
preventing
patients
MS,
or
obese
T2D.
effect
be
due
activating
cardioprotective
(the
endogenous
counter-regulatory
renin
angiotensin
system
AMPK/mTOR
pathway)
inhibiting
deleterious
remodeling
PKA/RhoA/ROCK
pathway,
aldosterone
levels,
microinflammation).
However,
there
still
need
further
research
validate
these
humans.
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: Feb. 3, 2025
Diabetes
mellitus
(DM)
ranks
among
the
most
prevalent
chronic
metabolic
diseases,
characterized
primarily
by
a
persistent
elevation
in
blood
glucose
levels.
This
condition
typically
stems
from
either
insufficient
insulin
secretion
or
functional
defect
itself.
Clinically,
diabetes
is
classified
into
type
1
(T1DM)
and
2
(T2DM),
with
T2DM
comprising
nearly
90%
of
all
diagnosed
cases.
Notably,
global
incidence
has
surged
dramatically
over
recent
decades.
The
adenylate-activated
protein
kinase
(AMPK)
signaling
pathway
crucial
regulating
cellular
energy
metabolism,
marking
it
as
significant
therapeutic
target
for
related
complications.
Natural
products,
their
diverse
origins,
multifaceted
bioactivities,
relative
safety,
hold
considerable
promise
modulating
AMPK
pathway.
review
article
explores
advances
research
on
natural
products
that
pathway,
aiming
to
inform
development
innovative
antidiabetic
therapies.
Redox Biology,
Journal Year:
2024,
Volume and Issue:
70, P. 103081 - 103081
Published: Feb. 9, 2024
Heart
failure
with
preserved
ejection
fraction
(HFpEF)
is
a
devastating
health
issue
although
limited
knowledge
available
for
its
pathogenesis
and
therapeutics.
Given
the
perceived
involvement
of
mitochondrial
dysfunction
in
HFpEF,
this
study
was
designed
to
examine
role
dynamics
etiology
HFpEF.