Evidence mapPaperPMID 39453429Full record

ReviewAmerican journal of physiology. Heart and circulatory physiology2024

Recent advances associated with cardiometabolic remodeling in diabetes-induced heart failure.

Gaurav Sharma, Shyam S Chaurasia, Mark A Carlson, Paras K Mishra

Abstract readReview
In one paragraph

Review in American journal of physiology. Heart and circulatory physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
field-weighted citation impact
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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Electrostatic lipidopathy drives human diabetic heart failure.Cardiovascular diabetology. Endocrinology reports · 2026
    Article
  5. Metabolic syndrome and a broken heart: trust your gut or risk your heart.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  6. Article
  7. Article
  8. Article
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

4 authors.

Gaurav SharmaDepartment of Cardiovascular and Thoracic Surgery, UT Southwestern Medical Center, Dallas, Texas, United States.ORCID 0000-0002-1754-7163
Shyam S ChaurasiaOcular Immunology and Angiogenesis Lab, Department Ophthalmology & Visual Sciences, Milwaukee, Wisconsin, United States.ORCID 0000-0001-8725-676X
Mark A CarlsonDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, United States.
Paras K MishraDepartment of Cellular and Integrative Physiology, University of Nebraska Medical Center, Omaha, Nebraska, United States.ORCID 0000-0002-7810-9239

Funding

The Role of TP-R on Alcohol-Induced Multi-Organ Damage: Liver and HeartP50AA030407 · NIAAA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · 2023 to 2025
$4.7M
The role of hemoglobin alpha in diabetes-related vascular dysfunctionR01HL155618 · UNIVERSITY OF NEBRASKA MEDICAL CENTER · 2025 to 2025
$493k
American Heart Association (AHA) 23SCEFIA1154964American Heart Association (AHA) 24TPA1297929HHS | National Institutes of Health (NIH) P50AA030407HHS | National Institutes of Health (NIH) R56HL156806HHS | NIH | National Eye Institute (NEI) R01EY029795HHS | NIH | National Eye Institute (NEI) R01EY030077NEI NIH HHS R01 EY029795NEI NIH HHS R01 EY030077NHLBI NIH HHS R01 HL155618NHLBI NIH HHS R56 HL156806NIAAA NIH HHS P50 AA030407
6 · The paper itself

Abstract

Diabetes mellitus (DM) is characterized by chronic hyperglycemia, and despite intensive glycemic control, the risk of heart failure in patients with diabetes remains high. Diabetes-induced heart failure (DHF) presents a unique metabolic challenge, driven by significant alterations in cardiac substrate metabolism, including increased reliance on fatty acid oxidation, reduced glucose utilization, and impaired mitochondrial function. These metabolic alterations lead to oxidative stress, lipotoxicity, and energy deficits, contributing to the progression of heart failure. Emerging research has identified novel mechanisms involved in the metabolic remodeling of diabetic hearts, such as autophagy dysregulation, epigenetic modifications, polyamine regulation, and branched-chain amino acid (BCAA) metabolism. These processes exacerbate mitochondrial dysfunction and metabolic inflexibility, further impairing cardiac function. Therapeutic interventions targeting these pathways-such as enhancing glucose oxidation, modulating fatty acid metabolism, and optimizing ketone body utilization-show promise in restoring metabolic homeostasis and improving cardiac outcomes. This review explores the key molecular mechanisms driving metabolic remodeling in diabetic hearts, highlights advanced methodologies, and presents the latest therapeutic strategies for mitigating the progression of DHF. Understanding these emerging pathways offers new opportunities to develop targeted therapies that address the root metabolic causes of heart failure in diabetes.

Indexed as

Energy MetabolismHeart FailureAnimalsAutophagyDiabetes MellitusDiabetic CardiomyopathiesEpigenesis, GeneticFatty AcidsHumansMitochondria, HeartMyocardiumOxidative StressFatty Acidscardiac metabolismdiabetes mellitusheart failure mechanismsmetabolic therapiesmitochondrial dysfunction

Identifiers

PMID39453429
PMCPMC11684949

What Socratic holds

Textmetadata
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.