Evidence mapPaperPMID 41410049Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2026

Sotagliflozin Enhances Left Ventricular Function and Myocardial Perfusion in Chronic Myocardial Ischemia Through Metabolic and Redox Remodeling.

Kelsey C Muir, Christopher Stone, Riya Reddy, Meghamsh Kanuparthy, Jad Hamze, Dwight D Harris, M Ruhul Abid, Frank W Sellke

Abstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

8 authors.

Kelsey C MuirDepartment of Surgery, Division of Cardiothoracic Surgery, Warren Alpert Medical School, Brown University, Providence, RI (K.C.M., C.S., M.K., D.D.H., M.R.A., F.W.S.).ORCID 0000-0001-8768-5468
Christopher StoneDepartment of Surgery, Division of Cardiothoracic Surgery, Warren Alpert Medical School, Brown University, Providence, RI (K.C.M., C.S., M.K., D.D.H., M.R.A., F.W.S.).ORCID 0000-0001-6457-2663
Riya ReddyCardiovascular Research Center, Division of Cardiothoracic Surgery, Rhode Island Hospital, Providence, RI (K.C.M., C.S., R.R., M.K., J.H., D.D.H., M.R.A., F.W.S.).ORCID 0000-0002-2033-6279
Meghamsh KanuparthyDepartment of Surgery, Division of Cardiothoracic Surgery, Warren Alpert Medical School, Brown University, Providence, RI (K.C.M., C.S., M.K., D.D.H., M.R.A., F.W.S.).ORCID 0009-0005-7581-0555
Jad HamzeCardiovascular Research Center, Division of Cardiothoracic Surgery, Rhode Island Hospital, Providence, RI (K.C.M., C.S., R.R., M.K., J.H., D.D.H., M.R.A., F.W.S.).ORCID 0009-0000-2758-8746
Dwight D HarrisDepartment of Surgery, Division of Cardiothoracic Surgery, Warren Alpert Medical School, Brown University, Providence, RI (K.C.M., C.S., M.K., D.D.H., M.R.A., F.W.S.).
M Ruhul AbidDepartment of Surgery, Division of Cardiothoracic Surgery, Warren Alpert Medical School, Brown University, Providence, RI (K.C.M., C.S., M.K., D.D.H., M.R.A., F.W.S.).ORCID 0000-0003-2981-2638
Frank W SellkeDepartment of Surgery, Division of Cardiothoracic Surgery, Warren Alpert Medical School, Brown University, Providence, RI (K.C.M., C.S., M.K., D.D.H., M.R.A., F.W.S.).ORCID 0000-0002-8886-801X

Funding

CARDIOPLEGIA AND CORONARY MICROVASCULAR REACTIVITYR01HL046716 · BETH ISRAEL DEACONESS MEDICAL CENTER · 1997 to 2004
$1.5M
Vascular Dysfunction in Myocardial Ischemia and Metabolic SyndromeR01HL128831 · RHODE ISLAND HOSPITAL · 2025 to 2025
$818k
Coronary Vascular Resilience by Modulation of Mitochondrial ROS in EndotheliumR01HL175045 · RHODE ISLAND HOSPITAL · 2025 to 2025
$651k
Cardiovascular Surgery Research TrainingT32HL160517 · RHODE ISLAND HOSPITAL · 2025 to 2025
$338k
NCRR NIH HHS S10 RR027027NHLBI NIH HHS R01 HL046716NHLBI NIH HHS R01 HL128831NHLBI NIH HHS R01 HL133624NHLBI NIH HHS R01 HL175045NHLBI NIH HHS R56 HL133624NHLBI NIH HHS T32 HL160517NIGMS NIH HHS P20 GM103652NIH HHS S10 OD036295
6 · The paper itself

Abstract

backgroundIschemic heart disease is the leading cause of mortality and human suffering globally. It often leaves patients with residual symptomatic burden despite current optimized procedural and medical options. Sotagliflozin, a dual SGLT1/2 (sodium-glucose cotransporter 1 and 2) inhibitor, has emerged for its clinically evident ischemic cardiovascular benefits. We hypothesize that sotagliflozin treatment exerts direct myocardial benefits in ischemic heart disease, independent of comorbid conditions.

methodsYorkshire swine (n=22) underwent placement of an ameroid constrictor around the left circumflex coronary artery. Following a 2-week period in which the ameroid gradually closes, swine (n=18) were randomized to receive either 400 mg daily sotagliflozin (n=8) or no drug (n=10) for 5 weeks. Afterwards, swine underwent terminal harvest to acquire cardiac functional data with pressure-volume loops, myocardial perfusion by microsphere injection, and ventricular sectioning. To investigate the cellular and tissue-level impact of therapy, histology, immunoblotting, and high-throughput techniques were performed.

resultsSotagliflozin swine had improved ejection fraction, cardiac output, and stroke work compared with no drug (

conclusionsSotagliflozin treatment improved left ventricular function, myocardial perfusion, and diastolic relaxation, likely through reduced nitrosative stress and myocardial fibrosis, improved nitric oxide coupling, enhanced insulin signaling, and favorable metabolic shifts. This study suggests a potential role for sotagliflozin as a cardioprotective therapy in patients with ischemic heart disease beyond current treatment strategies.

Indexed as

Coronary CirculationEnergy MetabolismGlycosidesMyocardial IschemiaMyocardiumSodium-Glucose Transporter 2 InhibitorsVentricular Function, LeftVentricular RemodelingAnimalsChronic DiseaseDisease Models, AnimalFemaleFibrosisMaleOxidation-ReductionOxidative Stress(2S,3R,4R,5S,6R)-2-(4-chloro-3-(4-ethoxybenzyl)phenyl)-6-(methylthio)tetrahydro-2H-pyran-3,4,5-triolGlycosidesSodium-Glucose Transporter 2 Inhibitorsfibrosisinflammationischemianitric oxideperfusionsodium-glucose transport proteins

Identifiers

PMID41410049
PMCPMC12716382

What Socratic holds

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Registered trials

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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.