Bidirectional interplay of sleep apnea syndrome and cardio-vascular disorders in diabetes
Diabetes Research and Clinical Practice,
Journal Year:
2025,
Volume and Issue:
220, P. 111984 - 111984
Published: Jan. 5, 2025
Highlights•OSA
and
diabetes
exert
synergistic
effects
for
the
risk
of
CV
complications.•The
association
OSA
with
CVD
heart
failure
is
bi-directional
in
diabetes.•Artery
markers
metrics
hypoxia
should
be
considered
stratification.•Targeting
weight
loss
(e.g.
by
incretin-based
therapy)
upmost
importance
obese
patients
OSA.•SGLT2
inhibitors
seem
to
good
candidates
prevention
management.AbstractAlthough
often
overlooked
sleep
apnea
has
emerged
as
a
significant
public
health
concern.
Obstructive
(OSA)
commonly
co-exist
vicious
cycle
worsening
incidence
severity
both
conditions.
many
implications
including
cardiometabolic
disorders
impaired
cardiovascular
(CV)
prognosis.
combined
generates
cumulative
effect
on
outcomes.
The
several
comorbidities
disease
meaning
that
some
them
are
likely
contribute
OSA.
In
diabetes,
treatment
integrated
holistic
strategy
microvascular
complications.
This
article
provides
clues
advance
understanding
interplay
between
consider
role
like
cardiac
autonomic
neuropathy
artery
stiffness
novel
hypoxic-related
events
stratification,
offers
discussion
medical
approaches
strategies,
GLP1-receptor
agonists
sodium–glucose
cotransporter
2
inhibitors.
It
guidance
improve
screening
diagnosis
OSA,
adherence
diabetes.
Language: Английский
Personalized approach in the management of women with heart failure with preserved ejection fraction and carbohydrate metabolism disorders
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine),
Journal Year:
2025,
Volume and Issue:
20(8), P. 622 - 632
Published: Jan. 4, 2025
Background.
The
progression
of
heart
failure
(HF)
in
individuals
with
carbohydrate
metabolism
disorders
is
one
the
many
fatal
complications
among
comorbid
conditions.
It
found
that
risk
developing
HF
women
diabetes
mellitus
(DM)
five
times
higher
than
those
without
it.
Due
to
both
heterogeneity
and
syntropy
etiopathogenetic
mechanisms
occurrence,
prevalence
DM
increasing
world
population,
delayed
treatment
potentiates
a
poor
prognosis.
main
task
medical
community
undoubtedly
early
diagnosis
preserved
ejection
fraction
(HFpEF)
prescription
justified
pathogenetic
treatment,
especially
for
prediabetes/type
2
(T2DM).
Therefore,
strategy
pathology
use
patient-oriented
approaches
taking
into
account
gender
characteristics
search
alternative
ways
achieve
glycemic
goals
safely
HFpEF
disorders.
purpose
study
was
examine
results
12-week
course
metformin
alone
or
combination
dapagliflozin
an
emphasis
on
correction
functional
iron
deficiency
prediabetes/T2DM.
Materials
methods.
Sixty
female
who
met
criteria
were
examined
divided
two
groups:
group
I
(n
=
30)
—
prediabetes;
II
T2DM.
Depending
therapy,
patients
groups
randomized
subgroup
A
(IA:
n
15;
IIA:
15),
received
(at
daily
dose
500–2000
mg)
B
(IB:
IIB:
15)
(500–2000
mg/day)
(10
mg/day).
According
design
scientific
study,
all
at
beginning
after
12
weeks
therapy
underwent
assessment
basic
anthropometric
data,
set
laboratory
examinations,
clinical
instrumental
diagnosis.
Results.
In
IB
group,
high
effectiveness
confirmed
according
indicators
(glycated
hemoglobin
(HbA1C):
∆–10.67
%,
p
<
0.001)
significant
increase
left
ventricular
(∆+7.73
compared
receiving
(∆–1.53
>
0.5).
When
using
studied
treatments
prediabetes,
it
reliable
normalization
control
chance
(odds
ratio
0.12,
95%
confidence
interval
0.011–1.339)
preventing
additional
together
confirms
safe
transferrin
saturation
(IB/IIB
∆+38.51
0.001/∆+
29.59
0.001);
content
serum
∆+14.93
10.07
0.5)
tendency
towards
compensatory
hypoferritinemia.
On
background
(daily
2000
mg,
10
mg),
there
comparable
decrease
IIB
(IIA/IIB
HbA1C
treatment:
∆–1.75
%/∆–10.67
0.001,
respectively)
improvement
parameters
NT-pro-BNP
content:
∆–5.96
0.05/∆–13.65
0.001;
fraction:
∆+1.38
%/∆+9.00
respectively).
Conclusions.
proposed
personalized
approaches
prediabetes
have
prognosis-modifying
effect
manifestations
effective
control.
Timely
contributes
deficiency.
As
result
combined
compensation
signs
These
conclusions
contribute
better
understanding
therapeutic
potential
prevention
polypharmacy
comorbidity.
Language: Английский
Association of triglyceride-glucose-body mass index with all-cause mortality among individuals with cardiovascular disease: results from NHANES
Frontiers in Endocrinology,
Journal Year:
2025,
Volume and Issue:
16
Published: Jan. 27, 2025
The
objective
of
this
study
was
to
explore
the
relationship
between
triglyceride-glucose-body
mass
index
(TyG-BMI)
and
all-cause
mortality
rate
determine
valuable
predictive
factors
for
survival
status
patients
with
cardiovascular
disease
(CVD).
Conduct
a
on
CVD
in
NHANES
database
from
2007
2016.
Patients
were
divided
into
four
groups
based
weighted
quartiles
TyG-BMI.
Kaplan-Meier
curves,
Cox
regression,
restricted
cubic
spline
(RCS)
used
analyze
correlation
mortality.
Receiver
operating
characteristic
(ROC)
curves
evaluate
its
ability,
sensitivity,
specificity.
This
included
1085
patients,
revealed
significant
differences
rates
among
different
TyG-BMI
levels.
higher
group
have
lower
risk,
yet
there
is
no
evident
non-linear
relationship.
ROC
curve
indicates
that
indicator
can
serve
as
value
demonstrating
good
sensitivity
found
association
CVD.
be
patients.
Language: Английский
Piezo1 deletion mitigates diabetic cardiomyopathy by maintaining mitochondrial dynamics via ERK/Drp1 pathway
Weipin Niu,
No information about this author
Xin Liu,
No information about this author
Bo Deng
No information about this author
et al.
Cardiovascular Diabetology,
Journal Year:
2025,
Volume and Issue:
24(1)
Published: March 20, 2025
Increasing
evidence
highlights
the
critical
role
of
Piezo1
in
cardiovascular
diseases,
with
its
expression
upregulated
diabetic
heart.
However,
involvement
pathogenesis
cardiomyopathy
(DCM)
remains
unclear.
This
study
aims
to
elucidate
regulatory
mitochondrial
dynamics
within
context
DCM
and
investigate
underlying
mechanisms.
We
constructed
cardiac-specific
knockout
(Piezo1∆Myh6)
mice.
Type
1
diabetes
was
induced
using
streptozotocin
(STZ)
injection
while
type
2
established
through
a
high-fat
diet
combined
STZ.
Echocardiography
assessed
left
ventricular
function,
histological
evaluations
used
HE
Masson
staining
examine
cardiac
pathology
Piezo1fl/fl
controls,
Piezo1∆Myh6
Mitochondrial
function
including
oxygen
species
level,
morphology,
respiration
rate
were
also
assessed.
Our
findings
revealed
that
myocardium
mice
high-glucose-treated
cells.
Cardiac-specific
improved
dysfunction
ameliorated
fibrosis
Moreover,
deficiency
attenuated
impairment.
exhibited
increased
calpain
activity
excessive
fission
mediated
by
Drp1
obvious
reduced
fusion;
however,
restored
levels
dysfunction.
These
observations
corroborated
H9C2
cells
neonatal
mouse
cardiomyocytes.
phosphorylation
ERK1/2
vivo
vitro.
or
treatment
inhibitor
function.
provides
first
is
elevated
modulation
dynamics,
which
reversed
deficiency.
Thus,
inhibition
may
provide
promising
therapeutic
strategy
for
DCM.
In
cardiomyocytes
mice,
Ca2+
entry
upregulates
activity,
phosphorylated
level
Drp1.
Therefore,
shown
hearts.
Whereas,
cardiomyocyte-specific
alleviates
Language: Английский
Types of cell death in diabetic cardiomyopathy: insights from animal models
Acta Biochimica et Biophysica Sinica,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 1, 2024
Approximately
one-tenth
of
the
global
population
is
affected
by
diabetes
mellitus,
and
its
incidence
continues
to
rise
each
year.
In
China,
1.4
million
patients
die
from
diabetes-related
complications
every
Additionally,
approximately
26%
with
develop
diabetic
cardiomyopathy,
heart
failure
being
one
main
causes
death
in
these
patients.
However,
early
detection
cardiomyopathy
has
proven
be
difficult
a
clinical
setting;
furthermore,
there
are
limited
guidelines
targeted
means
prevention
treatment
for
this
disease.
recent
years,
several
studies
have
provided
evidence
occurrence
various
forms
regulated
cell
myocardial
cells,
including
apoptosis,
necroptosis,
ferroptosis,
cuproptosis,
which
closely
linked
pathological
progression
cardiomyopathy.
Although
most
research
on
currently
animal
trial
phase,
inhibition
regulatory
processes
can
limit
or
slow
down
Therefore,
review
discusses
appropriate
experimental
models
available
evaluates
roles
cuproptosis
We
hope
provide
new
methods
ideas
future
Language: Английский