Evidence map›Paper›PMID 36172969›Full record

ArticleJournal of the American Heart Association2022

Long-Term Activation of Glucagon-like peptide-1 receptor by Dulaglutide Prevents Diabetic Heart Failure and Metabolic Remodeling in Type 2 Diabetes.

Saiyang Xie, Min Zhang, Wenke Shi, Yun Xing, Yan Huang, Wen-Xi Fang, Shi-Qiang Liu, Meng-Ya Chen, Tong Zhang, Si Chen and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Contractile effects of dulaglutide in the human atrium.Naunyn-Schmiedeberg's archives of pharmacology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Saiyang XieDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.ORCID 0000-0002-5021-6315
Min ZhangDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.
Wenke ShiDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.
Yun XingDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.ORCID 0000-0003-2905-0709
Yan HuangDepartment of Endocrinology Renmin Hospital of Wuhan University Wuhan P.R. China.
Wen-Xi FangDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.
Shi-Qiang LiuDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.ORCID 0000-0001-7720-6443
Meng-Ya ChenDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.ORCID 0000-0003-3598-1243
Tong ZhangDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.ORCID 0000-0003-2377-6779
Si ChenCardiovascular Research Institute of Wuhan University Wuhan P.R. China.
Xiaofeng ZengCardiovascular Research Institute of Wuhan University Wuhan P.R. China.
Shasha WangCardiovascular Research Institute of Wuhan University Wuhan P.R. China.
Wei DengDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.
Qizhu TangDepartment of Cardiology Renmin Hospital of Wuhan University Wuhan P.R. China.ORCID 0000-0003-2210-3169
Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Mechanistic insights of glucagon-like peptide-1 receptor agonists remain incompletely identified, despite the efficacy in heart failure observed in clinical trials. Here, we evaluated the effects of dulaglutide on heart complications and illuminated its underlying mechanism. Methods and Results We used mice with high-fat diet (HFD)/streptozotocin-induced type 2 diabetes to investigate the effects of dulaglutide upon diabetic cardiac dysfunction. After the onset of diabetes, control and diabetic mice were injected subcutaneously with either dulaglutide (type 2 diabetes-dulaglutide and control-dulaglutide groups) or vehicle (type 2 diabetes-vehicle and control-vehicle groups) for 8 weeks. Subsequently, heart characteristics, cardiometabolic profile and mitochondrial morphology and function were evaluated. Also, we analyzed the effects of dulaglutide on neonatal rat ventricular myocytes treated with high glucose plus palmitic acid. In addition, wild type and AMP-activated protein kinase α2 mutant mice were used to evaluate the underlying mechanism. In type 2 diabetes mouse model, dulaglutide ameliorated insulin resistance, improved glucose tolerance, reduced hyperlipidemia, and promoted fatty acid use in the myocardium. Dulaglutide treatment functionally attenuated cardiac remodeling and dysfunction and promoted metabolic reprogramming in diabetic mice. Furthermore, dulaglutide improved mitochondria fragmentation in myocytes, and simultaneously reinstated mitochondrial morphology and function in diabetic hearts. We also found that dulaglutide preserved AMP-activated protein kinase α2-dependent mitochondrial homeostasis, and the protective effects of dulaglutide on diabetic heart was almost abated by AMP-activated protein kinase α2 knockout. Conclusions Dulaglutide prevents diabetic heart failure and favorably affects myocardial metabolic remodeling by impeding mitochondria fragmentation, and we suggest a potential strategy to develop a long-term activation of glucagon-like peptide-1 receptor-based therapy to treat diabetes associated cardiovascular complications.

Indexed as

Diabetes Mellitus, ExperimentalDiabetes Mellitus, Type 2Heart FailureAMP-Activated Protein KinasesAnimalsGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesGlucoseHypoglycemic AgentsImmunoglobulin Fc FragmentsMicePalmitic AcidRatsRecombinant Fusion ProteinsStreptozocinAMP-Activated Protein KinasesdulaglutideGlucagon-Like Peptide-1 Receptor AgonistsGlucagon-Like PeptidesGlucoseHypoglycemic AgentsImmunoglobulin Fc FragmentsPalmitic AcidRecombinant Fusion ProteinsStreptozocindulaglutideheart failuremetabolic remodelingmitochondriatype 2 diabetes

Identifiers

PMID36172969
PMCPMC9673690
OpenAlexW4297965379

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.