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Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
Published on: November 29, 2024
Diabetic cardiomyopathy: a comprehensive review of diagnosis, management, and future directions
Bhagyalakshmi Balakrishnan1, Divyashree M Somashekara1, Veena Nayak2
1Department of Biotechnology, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
Insights
Diabetic cardiomyopathy, characterized by heart changes and dysfunction, poses a significant health challenge. This review explores current and novel diagnostic and treatment strategies for this diabetes complication.
Area of Science:
- Cardiology
- Endocrinology
- Biomedical Research
Background:
- Diabetic cardiomyopathy (DCM) is a distinct cardiac pathology in diabetes, leading to fibrosis, hypertrophy, and heart failure.
- Diagnosis is challenging, necessitating advanced imaging and specialized techniques beyond routine tests.
- Current treatments primarily manage diabetes and its complications, often inadequately addressing DCM directly.
Purpose of the Study:
- To review current diagnostic and therapeutic approaches for diabetic cardiomyopathy.
- To evaluate the benefits and limitations of existing strategies.
- To explore novel diagnostic biomarkers and therapeutic interventions, including gene therapy and RNA-mediated regulation.
Main Methods:
- Comprehensive literature review of diagnostic tools (echocardiography, MRI, PET) and treatments (GLP-1 modulators, SGLT-2 inhibitors).
- Analysis of emerging therapies like gene therapy and noncoding RNA.
- Discussion of biomarkers for screening, diagnosis, and treatment response.
Main Results:
- Current diagnostic methods provide insights but face limitations in early detection.
- Standard treatments focus on glycemic control and complication management.
- Novel approaches like gene therapy and RNA-based strategies show promise for targeted DCM intervention.
Conclusions:
- Diabetic cardiomyopathy requires integrated diagnostic and therapeutic strategies.
- Advancements in biomarkers and novel therapies offer potential for improved patient outcomes.
- Further research is crucial for effective management and prevention of diabetic cardiomyopathy.
Abstract:
Diabetic cardiomyopathy is a growing challenge to global public health. The clinical characteristics are mainly fibrosis, hypertrophy, ventricular dysfunction, cardiac remodelling, and finally, heart failure. This alarming condition is often difficult to diagnose. Routine tests such as echocardiogram, electrocardiogram, and magnetic resonance imaging, along with specialized techniques such as transmitral Doppler, tissue Doppler imaging, and positron emission tomography, help diagnose and offer clearer insight into the condition. Current treatment strategies mainly address this medical condition as a condition secondary to diabetes. The main therapeutic practices involve glucose-lowering drugs such as glucagon-like peptide-1 modulators and sodium‒glucose cotransporter-2 inhibitors, along with other conventional lines of treatment to manage complications. Promising new potential therapeutic methods include gene therapy and noncoding RNA-mediated regulation of disarrayed signalling cascades. In this review, we address the benefits and limitations of the current system in the diagnosis and treatment of diabetic cardiomyopathy as well as the possibilities and advantages of novel techniques. In addition to discussing biomarkers for screening, diagnosis, and drug response for diabetic cardiomyopathy, we also discuss management and prevention strategies, adversities, and quality of life, and provide a brief outlook for research in this area.
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