"Know Diabetes by Heart": role of adipocyte-cardiomyocyte communications

Yajing Wang1, Wayne Bond Lau1, Xinliang Ma1

  • 1Department of Emergency Medicine, Thomas Jefferson University, Philadelphia 19107, PA, USA.

Medical Review (2021)
|September 19, 2023
PubMed

Insights

Diabetic cardiovascular disease is a major health issue. New research explores how fat cell (adipocyte) dysfunction and communication with heart cells (cardiomyocytes) contribute to diabetic cardiac injury, identifying key research questions.

Area of Science:

  • Cardiovascular Science
  • Metabolic Disease Research
  • Cellular Biology

Background:

  • Cardiovascular disease (CVD) is the primary cause of illness and death in individuals with diabetes mellitus.
  • The collaborative initiative "Know Diabetes by Heart™" was established to decrease cardiovascular mortality in type 2 diabetes.
  • The precise molecular mechanisms connecting diabetes and cardiovascular complications remain incompletely understood.

Purpose of the Study:

  • To review recent advancements in understanding adipocyte-cardiomyocyte communication.
  • To highlight critical unanswered questions in the field of diabetic cardiac injury.
  • To explore the role of adipocyte dysfunction in the pathogenesis of diabetic cardiomyopathy.

Main Methods:

  • Review of recent clinical and experimental studies.
  • Analysis of literature on adipocyte biology and cardiac function.
  • Perspective on current knowledge gaps and future research directions.

Main Results:

  • Evidence suggests adipocyte dysfunction is implicated in diabetic cardiac injury.
  • Pathological communication between adipocytes and cardiomyocytes is a key factor.
  • This review synthesizes current findings on these cellular interactions.

Conclusions:

  • Adipocyte dysfunction and aberrant adipocyte-cardiomyocyte signaling are critical contributors to diabetic cardiac complications.
  • Further research is needed to fully elucidate these molecular pathways.
  • Identifying these pathways may lead to novel therapeutic strategies for diabetic heart disease.

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