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Diabetic cardiomyopathy and metabolic remodeling of the heart

机译:糖尿病心肌病和心脏的代谢重塑

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摘要

The incidence and prevalence of diabetes mellitus are both increasing rapidly in societies around the globe. The majority of patients with diabetes succumb ultimately to heart disease, much of which stems from atherosclerotic disease and hypertension. However, the diabetic milieu is itself intrinsically noxious to the heart, and cardiomyopathy can develop independent of elevated blood pressure or coronary artery disease. This process, termed diabetic cardiomyopathy, is characterized by significant changes in the physiology, structure, and mechanical function of the heart. Presently, therapy for patients with diabetes focuses largely on glucose control, and attention to the heart commences with the onset of symptoms. When the latter develops, standard therapy for heart failure is applied. However, recent studies highlight that specific elements of the pathogenesis of diabetic heart disease are unique, raising the prospect of diabetes-specific therapeutic intervention. Here, we review recently unveiled insights into the pathogenesis of diabetic cardiomyopathy and associated metabolic remodeling with an eye toward identifying novel targets with therapeutic potential. ? 2013 Published by Elsevier Inc.
机译:糖尿病的发病率和患病率均在全球各地的社会中迅速增加。大多数糖尿病患者最终屈服于心脏病,其中大部分源于动脉粥样硬化疾病和高血压。然而,糖尿病Milieu本身就是心脏本质上有害,并且心肌病可以与血压升高或冠状动脉疾病一起发展。该方法称为糖尿病心肌病,其特征在于心脏的生理学,结构和机械功能的显着变化。目前,对糖尿病患者的治疗主要侧重于葡萄糖对照,并注意到心脏的注意力随着症状的发生而开始。当后一种发展时,应用心力衰竭的标准治疗。然而,最近的研究突出了糖尿病心脏病发病机制的特定要素是独一无二的,提高了糖尿病特异性治疗干预的前景。在这里,我们审查最近揭开了患有糖尿病心肌病的发病机制和相关的代谢重塑的洞察力,以旨在识别具有治疗潜力的新靶标。还是2013年由elsevier公司发布

著录项

  • 来源
    《Life sciences》 |2013年第11期|共7页
  • 作者单位

    Department of Internal Medicine (Cardiology) University of Texas Southwestern Medical Center;

    Centro Estudios Moleculares de la C茅lula Facultad de Ciencias Qu铆micas y Farmac茅uticas;

    Department of Internal Medicine (Cardiology) University of Texas Southwestern Medical Center;

    Department of Internal Medicine (Cardiology) University of Texas Southwestern Medical Center;

    Department of Internal Medicine (Cardiology) University of Texas Southwestern Medical Center;

    Department of Internal Medicine (Cardiology) University of Texas Southwestern Medical Center;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
  • 关键词

    Diabetic cardiomyopathy; FoxO; Heart; Insulin resistance; Metabolism; mTOR;

    机译:糖尿病心肌病;foxo;心脏;胰岛素抵抗;新陈代谢;mtor;

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