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Corrigendum

    Comprehensive Physiology
    |June 23, 2017
    PubMed
    Summary

    Diabetic cardiomyopathy (DCM) involves heart dysfunction in diabetic patients, independent of other heart conditions. Research explores its complex causes, including metabolic changes and potential epigenetic factors for prevention and therapy.

    Area of Science:

    • Cardiology
    • Endocrinology
    • Molecular Biology

    Background:

    • Diabetic cardiomyopathy (DCM) affects type 1 and type 2 diabetic patients independently of other cardiovascular diseases.
    • Its precise mechanisms remain incompletely understood, despite being recognized over 40 years ago.

    Purpose of the Study:

    • To review the current understanding of pathophysiological bases for DCM.
    • To explore the role of epigenetic modulation in diabetes-induced cardiac complications.

    Main Methods:

    • Review of extensive clinical and experimental studies.
    • Analysis of proposed pathophysiological mechanisms including hyperglycemia, metabolic disturbances, mitochondrial dysfunction, and inflammation.

    Main Results:

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  • Proposed DCM mechanisms include hyperglycemia, nonenzymatic glycosylation, metabolic and mitochondrial dysfunction, impaired calcium handling, oxidative stress, inflammation, cell death, hypertrophy, and fibrosis.
  • Evidence suggests "metabolic memory" and epigenetic modulation play significant roles in DCM development.
  • Conclusions:

    • Understanding DCM pathophysiology and epigenetic mechanisms is crucial for developing prevention and therapy strategies.
    • Further research into epigenetic regulation is needed to fully elucidate DCM development in diabetic patients.