Evidence mapPaperPMID 40080393Full record

ArticleDiabetes2025

Cardioprotection During Myocardial Infarction in Diabetic Cardiomyopathy.

Sebastià Alcover, Sergi López, Lisaidy Ramos-Regalado, Natàlia Muñoz-García, Alex Gallinat, Rosa Suades, Lina Badimon, Gemma Vilahur

Erratum issuedAbstract read
In one paragraph

Article in Diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sebastià AlcoverSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0003-3699-1769
Sergi LópezSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0003-1794-879X
Lisaidy Ramos-RegaladoSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0009-0004-3512-8474
Natàlia Muñoz-GarcíaSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0002-2982-8982
Alex GallinatSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0002-1521-2175
Rosa SuadesSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0002-0193-3115
Lina BadimonSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0002-9162-2459
Gemma VilahurSant Pau Research Institute (IR SANT PAU), Barcelona, Spain.ORCID 0000-0002-2828-8873

Funding

Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR1480Agencia Estatal de Investigación Grant M-ERA-NET-3 / PCI2023-143431Agencia Estatal de Investigación PID2019-107160RB-I00Agencia Estatal de Investigación PID2021-128891OB-I00Sociedad Española de Cardiología SEC/FEC-INV-TRL 20/015
6 · The paper itself

Abstract

Patients with diabetes are at an increased risk of diabetic cardiomyopathy (DCM) and acute myocardial infarction (AMI). Protecting the heart against AMI is more challenging in DCM than in nondiabetic hearts. We investigated whether intravenous (i.v.) atorvastatin administration during AMI exerts cardioprotection in DCM as seen in nondiabetic hearts. Sprague-Dawley rats were divided into streptozotocin-induced DCM and normoglycemic control groups. Our model of DCM rats exhibited interstitial fibrosis and cardiac dysfunction at 5 weeks. At this time point, all animals underwent AMI induction (coronary ligation for 45 min), receiving i.v. atorvastatin or vehicle during ischemia. Animals were reperfused and sacrificed 24 h later for myocardial infarct size analysis and cardiac tissue sampling. Echocardiography was performed. DCM vehicle rats had larger infarcts than normoglycemic vehicle-treated animals at a comparable area-at-risk. Intravenous atorvastatin reduced infarct size and preserved systolic function in both groups. Compared with vehicle animals, i.v. atorvastatin inhibited RhoA membrane translocation, induced AMPK phosphorylation, prevented apoptosis execution, and improved cardiac remodelling in the infarcted heart of both groups, whereas innate immune cell infiltration was further reduced in i.v. atorvastatin-treated DCM animals. The proven cardioprotective effectiveness of this i.v. statin formulation in the presence of DCM warrants its further development into a clinically therapeutic option. ARTICLE HIGHLIGHTS: Diabetic cardiomyopathy (DCM) significantly increases the risk of acute myocardial infarction and attenuates or abolishes the cardioprotective effects of several therapeutic approaches. Whether intravenous atorvastatin administration during ongoing acute myocardial infarction retains its cardioprotective potential in the presence of DCM was investigated. Intravenous atorvastatin during ischemia reduces infarct size and preserves cardiac function in DCM rats. The efficacy of this intravenous statin formulation in DCM supports its development as a viable therapeutic option for clinical use.

Indexed as

Cardiotonic AgentsDiabetic CardiomyopathiesHeptanoic AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsMyocardial InfarctionPyrrolesAnimalsApoptosisAtorvastatinDiabetes Mellitus, ExperimentalMaleRatsRats, Sprague-DawleyAtorvastatinCardiotonic AgentsHeptanoic AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsPyrroles

Identifiers

PMID40080393
PMCPMC12097457

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.