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Molecular and cellular mechanisms in diabetic heart failure: Potential therapeutic targets
Misganaw Asmamaw Mengstie1, Endeshaw Chekol Abebe1, Awgichew Behaile Teklemariam1
1Department of Biochemistry, College of Medicine and Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Insights
Diabetes Mellitus (DM) significantly increases heart failure risk, even without other risk factors. This review explores the cellular and molecular mechanisms driving diabetes-induced heart failure to inform new therapeutic strategies.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Diabetes Mellitus (DM) is a global health concern linked to severe complications.
- Diabetic heart failure (HF) contributes significantly to morbidity and mortality worldwide.
- HF in DM patients often occurs independently of hypertension or coronary artery disease.
Purpose of the Study:
- To review current knowledge on diabetes-induced heart failure.
- To summarize recent findings on the cellular and molecular mechanisms involved.
- To provide insights for developing novel therapeutics.
Main Methods:
- Literature review of existing studies.
- Synthesis of current research on diabetes-induced heart failure.
- Analysis of cellular and molecular alterations in diabetic hearts.
Main Results:
- Diabetes induces heart failure through complex cellular and molecular pathways.
- Mechanisms include metabolic dysregulation, oxidative stress, and inflammation.
- Understanding these pathways is crucial for targeted interventions.
Conclusions:
- Diabetes is an independent risk factor for heart failure.
- Further research into molecular mechanisms can guide the development of preventative and therapeutic strategies.
- Targeting diabetes-specific pathways offers promise for managing diabetic cardiomyopathy.
Abstract:
Diabetes Mellitus (DM) is a worldwide health issue that can lead to a variety of complications. DM is a serious metabolic disorder that causes long-term microvascular and macro-vascular complications, as well as the failure of various organ systems. Diabetes-related cardiovascular diseases (CVD) including heart failure cause significant morbidity and mortality worldwide. Concurrent hypertensive heart disease and/or coronary artery disease have been thought to be the causes of diabetic heart failure in DM patients. However, heart failure is extremely common in DM patients even in the absence of other risk factors such as coronary artery disease and hypertension. The occurrence of diabetes-induced heart failure has recently received a lot of attention. Understanding how diabetes increases the risk of heart failure and how it mediates major cellular and molecular alteration will aid in the development of therapeutics to prevent these changes. Hence, this review aimed to summarize the current knowledge and most recent findings in cellular and molecular mechanisms of diabetes-induced heart failure.
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