Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response

The incidence of heart failure (HF) continues to increase rapidly in patients with diabetes. It is marked by myocardial remodeling, including fibrosis, hypertrophy, and cell death, leading to diastolic dysfunction with or without systolic dysfunction. Diabetic cardiomyopathy (DCM) is a distinct myoc...

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Main Authors: Namrita Kaur, Yingshu Guan, Rida Raja, Andrea Ruiz-Velasco, Wei Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.694864/full
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author Namrita Kaur
Yingshu Guan
Rida Raja
Andrea Ruiz-Velasco
Wei Liu
author_facet Namrita Kaur
Yingshu Guan
Rida Raja
Andrea Ruiz-Velasco
Wei Liu
author_sort Namrita Kaur
collection DOAJ
description The incidence of heart failure (HF) continues to increase rapidly in patients with diabetes. It is marked by myocardial remodeling, including fibrosis, hypertrophy, and cell death, leading to diastolic dysfunction with or without systolic dysfunction. Diabetic cardiomyopathy (DCM) is a distinct myocardial disease in the absence of coronary artery disease. DCM is partially induced by chronic systemic inflammation, underpinned by a hostile environment due to hyperglycemia, hyperlipidemia, hyperinsulinemia, and insulin resistance. The detrimental role of leukocytes, cytokines, and chemokines is evident in the diabetic heart, yet the precise role of inflammation as a cause or consequence of DCM remains incompletely understood. Here, we provide a concise review of the inflammatory signaling mechanisms contributing to the clinical complications of diabetes-associated HF. Overall, the impact of inflammation on the onset and development of DCM suggests the potential benefits of targeting inflammatory cascades to prevent DCM. This review is tailored to outline the known effects of the current anti-diabetic drugs, anti-inflammatory therapies, and natural compounds on inflammation, which mitigate HF progression in diabetic populations.
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spelling doaj.art-5bff189c86b445d19bc165202566f7042022-12-21T22:51:17ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-06-011210.3389/fphys.2021.694864694864Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory ResponseNamrita KaurYingshu GuanRida RajaAndrea Ruiz-VelascoWei LiuThe incidence of heart failure (HF) continues to increase rapidly in patients with diabetes. It is marked by myocardial remodeling, including fibrosis, hypertrophy, and cell death, leading to diastolic dysfunction with or without systolic dysfunction. Diabetic cardiomyopathy (DCM) is a distinct myocardial disease in the absence of coronary artery disease. DCM is partially induced by chronic systemic inflammation, underpinned by a hostile environment due to hyperglycemia, hyperlipidemia, hyperinsulinemia, and insulin resistance. The detrimental role of leukocytes, cytokines, and chemokines is evident in the diabetic heart, yet the precise role of inflammation as a cause or consequence of DCM remains incompletely understood. Here, we provide a concise review of the inflammatory signaling mechanisms contributing to the clinical complications of diabetes-associated HF. Overall, the impact of inflammation on the onset and development of DCM suggests the potential benefits of targeting inflammatory cascades to prevent DCM. This review is tailored to outline the known effects of the current anti-diabetic drugs, anti-inflammatory therapies, and natural compounds on inflammation, which mitigate HF progression in diabetic populations.https://www.frontiersin.org/articles/10.3389/fphys.2021.694864/fulldiabetes mellitusinflammationdiabetic cardiomyopathytreatmentheart failure
spellingShingle Namrita Kaur
Yingshu Guan
Rida Raja
Andrea Ruiz-Velasco
Wei Liu
Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response
Frontiers in Physiology
diabetes mellitus
inflammation
diabetic cardiomyopathy
treatment
heart failure
title Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response
title_full Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response
title_fullStr Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response
title_full_unstemmed Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response
title_short Mechanisms and Therapeutic Prospects of Diabetic Cardiomyopathy Through the Inflammatory Response
title_sort mechanisms and therapeutic prospects of diabetic cardiomyopathy through the inflammatory response
topic diabetes mellitus
inflammation
diabetic cardiomyopathy
treatment
heart failure
url https://www.frontiersin.org/articles/10.3389/fphys.2021.694864/full
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AT andrearuizvelasco mechanismsandtherapeuticprospectsofdiabeticcardiomyopathythroughtheinflammatoryresponse
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