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SGLT2 inhibitor dapagliflozin treats heart failure with preserved ejection fraction via the SIRT1/PGC-1α pathway - PubMed

4 hours ago
  • #Mitochondrial homeostasis
  • #Heart failure
  • #SGLT2 inhibitor
  • Dapagliflozin, an SGLT2 inhibitor, improves diastolic function and reduces cardiac hypertrophy, fibrosis, and apoptosis in a rat model of HFpEF.
  • The drug restores mitochondrial structure and function, enhancing mitochondrial respiratory capacity in cardiomyocytes in both in vivo and in vitro models.
  • Mechanistic studies show dapagliflozin reactivates the suppressed SIRT1/PGC-1α/Mitofusin-2 signaling axis in HFpEF, promoting mitochondrial biogenesis and dynamics.
  • This reveals that dapagliflozin's cardioprotective effects in HFpEF are mediated through mitochondrial homeostasis restoration via the SIRT1/PGC-1α/Mfn-2 pathway.