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Shared pathophysiological mechanisms between diabetes and calcific aortic valve disease: an immunometabolic perspective - PubMed

3 hours ago
  • #immunometabolism
  • #calcific aortic valve disease
  • #diabetes
  • Diabetes increases the risk and severity of calcific aortic valve disease (CAVD) independently of other cardiovascular risk factors.
  • Seven interconnected pathways link diabetes to CAVD, including hyperglycemia-induced cell changes, inflammation, oxidative stress, and osteogenic reprogramming.
  • These mechanisms promote valvular inflammation, matrix remodeling, and ectopic ossification, accelerating calcification.
  • Potential therapies for diabetic CAVD include metformin, SGLT2 inhibitors, and anti-inflammatory drugs targeting NLRP3-IL-1β.
  • Integrated biomarkers and valve-focused clinical trials are needed to translate these insights into effective treatments.