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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Jia, Guanghong DeMarco, Vincent G. Sowers, James R. |
Description | Country affiliation: United States Author Affiliation: Jia G ( Diabetes and Cardiovascular Center, University of Missouri School of Medicine, D109 Diabetes Center HSC, One Hospital Drive, Columbia, Missouri, 65212, USA.); DeMarco VG ( Diabetes and Cardiovascular Center, University of Missouri School of Medicine, D109 Diabetes Center HSC, One Hospital Drive, Columbia, Missouri, 65212, USA.); Sowers JR ( Diabetes and Cardiovascular Center, University of Missouri School of Medicine, D109 Diabetes Center HSC, One Hospital Drive, Columbia, Missouri, 65212, USA.) |
Abstract | Insulin resistance, type 2 diabetes mellitus and associated hyperinsulinaemia can promote the development of a specific form of cardiomyopathy that is independent of coronary artery disease and hypertension. Termed diabetic cardiomyopathy, this form of cardiomyopathy is a major cause of morbidity and mortality in developed nations, and the prevalence of this condition is rising in parallel with increases in the incidence of obesity and type 2 diabetes mellitus. Of note, female patients seem to be particularly susceptible to the development of this complication of metabolic disease. The diabetic cardiomyopathy observed in insulin- resistant or hyperinsulinaemic states is characterized by impaired myocardial insulin signalling, mitochondrial dysfunction, endoplasmic reticulum stress, impaired calcium homeostasis, abnormal coronary microcirculation, activation of the sympathetic nervous system, activation of the renin-angiotensin-aldosterone system and maladaptive immune responses. These pathophysiological changes result in oxidative stress, fibrosis, hypertrophy, cardiac diastolic dysfunction and eventually systolic heart failure. This Review highlights a surge in diabetic cardiomyopathy research, summarizes current understanding of the molecular mechanisms underpinning this condition and explores potential preventive and therapeutic strategies. |
File Format | HTM / HTML |
ISSN | 17595029 |
e-ISSN | 17595037 |
DOI | 10.1038/nrendo.2015.216 |
Journal | Nature Reviews Endocrinology |
Issue Number | 3 |
Volume Number | 12 |
Language | English |
Publisher | Nature Publishing Group |
Publisher Date | 2016-03-01 |
Publisher Place | Great Britain (UK) |
Access Restriction | Open |
Subject Keyword | Discipline Endocrinology Diabetic Cardiomyopathies Physiopathology Hyperinsulinism Complications Insulin Resistance Animals Diabetes Mellitus, Type 1 Metabolism Research Support, N.i.h., Extramural Research Support, U.s. Gov't, Non-p.h.s. |
Content Type | Text |
Resource Type | Article |
Subject | Endocrinology Endocrinology, Diabetes and Metabolism |
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