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Title: Emerging Actors in Diabetic Cardiomyopathy: Heartbreaker Biomarkers or Therapeutic Targets?
Author: Palomer Tarridas, Francesc Xavier
Pizarro Delgado, Javier
Vázquez Carrera, Manuel
Keywords: Insulina
Insuficiència cardíaca
Heart failure
Issue Date: 1-May-2018
Publisher: Elsevier Current Trends
Abstract: The diabetic heart is characterized by metabolic disturbances that are often accompanied by local inflammation, oxidative stress, myocardial fibrosis, and cardiomyocyte apoptosis. Overall changes result in contractile dysfunction, concentric left ventricular (LV) hypertrophy, and dilated cardiomyopathy, that together affect cardiac output and eventually lead to heart failure, the foremost cause of death in diabetic patients. There are currently several validated biomarkers for the diagnosis and risk assessment of cardiac diseases, but none is capable of discriminating patients with diabetic cardiomyopathy (DCM). In this review we point to several novel candidate biomarkers from new activated molecular pathways (including microRNAs) with the potential to detect or prevent DCM in its early stages, or even to treat it once established. The prospective use of selected biomarkers that integrate inflammation, oxidative stress, fibrosis, and metabolic dysregulation is widely discussed.
Note: Versió postprint del document publicat a:
It is part of: Trends in Pharmacological Sciences, 2018, vol. 39, num. 5, p. 452-467
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ISSN: 0165-6147
Appears in Collections:Articles publicats en revistes (Farmacologia, Toxicologia i Química Terapèutica)

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