Obesity is a ‘key’ component that contributes to the further development of type 2 diabetes mellitus (T2DM). Adipose tissue releases adipokines that act on the cardiovascular system in an endocrine and paracrine manner, different adipokines have different effects. Pro-inflammatory adipokines exacerbate inflammatory responses and oxidative stress in cardiomyocytes, leading to myocardial hypertrophy and interstitial fibrosis, inducing heart failure. Anti-inflammatory adipokines protect against high glucose-induced vascular endothelial dysfunction and delay the development of cardiovascular complications in T2DM by inhibiting endoplasmic reticulum stress, oxidative stress and increasing nitric oxide production. Balancing the roles played by pro-inflammatory and anti-inflammatory adipokines in diabetic cardiomyopathy (DCM) is crucial. In this paper, we will study the effect of obesity-associated adipokines in DCM, summarise novel glucose-lowering drugs in the clinic that can both reduce body weight and benefit the heart, and provide a theoretical basis for preventing and treating the development of obesity-combined DCM.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |