Beijing Key Laboratory of Diabetes Prevention and Research, Center for Endocrine Metabolic and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Front Endocrinol (Lausanne). 2023 Mar 31;14:1162754. doi: 10.3389/fendo.2023.1162754. eCollection 2023.
Diabetic cardiomyopathy (DCM), a main cardiovascular complication of diabetes, can eventually develop into heart failure and affect the prognosis of patients. Myocardial fibrosis is the main factor causing ventricular wall stiffness and heart failure in DCM. Early control of myocardial fibrosis in DCM is of great significance to prevent or postpone the progression of DCM to heart failure. A growing body of evidence suggests that cardiomyocytes, immunocytes, and endothelial cells involve fibrogenic actions, however, cardiac fibroblasts, the main participants in collagen production, are situated in the most central position in cardiac fibrosis. In this review, we systematically elaborate the source and physiological role of myocardial fibroblasts in the context of DCM, and we also discuss the potential action and mechanism of cardiac fibroblasts in promoting fibrosis, so as to provide guidance for formulating strategies for prevention and treatment of cardiac fibrosis in DCM.
糖尿病心肌病(DCM)是糖尿病的主要心血管并发症,最终可发展为心力衰竭并影响患者的预后。心肌纤维化是 DCM 导致心室壁僵硬和心力衰竭的主要因素。早期控制 DCM 中的心肌纤维化对于预防或延缓 DCM 向心力衰竭的进展具有重要意义。越来越多的证据表明,心肌细胞、免疫细胞和内皮细胞参与成纤维作用,然而,心肌成纤维细胞是胶原产生的主要参与者,位于心肌纤维化的最中心位置。在这篇综述中,我们系统地阐述了 DCM 背景下心肌成纤维细胞的来源和生理作用,还讨论了心肌成纤维细胞在促进纤维化中的潜在作用和机制,以期为制定 DCM 中心肌纤维化的防治策略提供指导。
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