Molecular mechanisms of diabetic cardiomyopathy
Open accessAbstract
In recent years, diabetes mellitus has become an epidemic and now represents one of the most prevalent disorders. Cardiovascular complications are the major cause of mortality and morbidity in diabetic patients. While ischaemic events dominate the cardiac complications of diabetes, it is widely recognised that the risk for developing heart failure is also increased in the absence of overt myocardial ischaemia and hypertension or is accelerated in the presence of these comorbidities. These diabetes-associated changes in myocardial structure and function have been called diabetic cardiomyopathy. Numerous molecular mechanisms have been proposed to contribute to the development of diabetic cardiomyopathy following analysis of various animal models of type 1 or type 2 diabetes and in genetically modified mouse models. The steady increase in reports presenting novel mechanistic data on this subject expands the list of potential underlying mechanisms. The current review provides an update on molecular alterations that may contribute to the structural and functional alterations in the diabetic heart.
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Maternal diabetes increases cardiac fibrosis in the offspring.
“Maternal diabetes also increased cardiomyocyte size and cardiac fibrosis in the offspring [119].”
From Recent Experimental Studies of Maternal Obesity, Diabetes during Pregnancy and the Developmental Origins of Cardiovascular Disease (2022) · cites this paper as [119]
The Fibrosis section reports increased fibrosis in people and rodents with diabetes, but does not discuss maternal diabetes or fibrosis in offspring. Searches for maternal diabetes, offspring, and cardiomyocyte size found no passage addressing that specific claim; the copy is not marked as truncated. (LLM, conf=0.70)
Experimental — accuracy not yet measuredMaternal diabetes increases cardiomyocyte size in the offspring.
“Maternal diabetes also increased cardiomyocyte size and cardiac fibrosis in the offspring [119].”
From Recent Experimental Studies of Maternal Obesity, Diabetes during Pregnancy and the Developmental Origins of Cardiovascular Disease (2022) · cites this paper as [119]
The Structural and functional changes section describes cardiac hypertrophy in people with diabetes, and the Fibrosis section describes fibrosis in diabetic hearts. Neither addresses cardiomyocyte size or cardiac fibrosis in offspring exposed to maternal diabetes; searches for maternal diabetes and offspring found no passage on that point. (LLM, conf=0.76)
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- Authors
- Bugger, H., & Abel, E. D.
- Affiliations
- University of Freiburg (DE)
- University of Iowa (US)
- Corresponding author
- Abel, E. Dale
- Venue
- Diabetologia
- Published
- 2014-01-30
- Volume
- 57
- Issue
- 4
- Pages
- 660-671
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- PMC
- PMC3969857
- OpenAlex
- W2006499762
- Cited by
- 903
- References
- 153
- Citations by year
- 2026: 51 · 2025: 76 · 2024: 75 · 2023: 79 · 2022: 95 · 2021: 103 · 2020: 100 · 2019: 66 · 2018: 84 · 2017: 62 · 2016: 54 · 2015: 43 · 2014: 14
- FWCI
- 9.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL108379, U01HL087947)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK092065)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Keywords
- diabetic cardiomyopathy, diabetes mellitus, heart failure, myocardial structure and function, type 1 diabetes, type 2 diabetes, animal models of diabetes, genetically engineered mouse models, cardiovascular complications of diabetes
- MeSH terms
- Animals, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Heart Failure, Humans, Diabetic Cardiomyopathies
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