Evidence map›Paper›PMID 31456369›Full record

ArticleKorean circulation journal2019

Cardioprotective Potential of an SGLT2 Inhibitor Against Doxorubicin-Induced Heart Failure.

Chang Myung Oh, Sungsoo Cho, Ji Yong Jang, Hyeongseok Kim, Sukyung Chun, Minkyung Choi, Sangkyu Park, Young Guk Ko

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Korean circulation journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06103279 (Evaluation of Empagliflozin Effect Against Doxorubicin Induced Cardiomyopathy), which is not on this map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06103279 phase2 / phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

Evaluation of Empagliflozin Effect Against Doxorubicin Induced Cardiomyopathy

TypeinterventionalSponsorAin Shams UniversityRan2023 to 2024Enrolled40ConditionsCancerArmsEmpagliflozin 10 MG
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Chang Myung Oh *Division of Endocrinology and Metabolism, CHA Bundang Medical Center, School of Medicine CHA University, Seongnam, Korea.ORCID https://orcid.org/0000-0001-6681-4478
Sungsoo Cho *Division of Cardiovascular medicine, Department of Internal medicine, Dankook University Hospital, Dankook University School of Medicine, Cheonan, Korea.ORCID https://orcid.org/0000-0003-2059-1584
Ji Yong JangDivision of Cardiology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0003-2842-7500
Hyeongseok KimGraduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Korea.ORCID https://orcid.org/0000-0002-7093-0399
Sukyung ChunDivision of Endocrinology and Metabolism, CHA Bundang Medical Center, School of Medicine CHA University, Seongnam, Korea.
Minkyung ChoiDivision of Endocrinology and Metabolism, CHA Bundang Medical Center, School of Medicine CHA University, Seongnam, Korea.
Sangkyu ParkDepartment of Biochemistry, College of Medicine, Catholic Kwandong University, Gangneung, Korea. 49park@cku.ac.kr.ORCID https://orcid.org/0000-0001-5525-2860
Young Guk KoDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea. ygko@yuhs.ac.ORCID https://orcid.org/0000-0001-7748-5788
CHA University Bundang Medical Center · KRCatholic Kwandong University · KRDankook University Hospital · KRKorea Advanced Institute of Science and Technology · KRNational Health Insurance Service Ilsan Hospital · KRYonsei University · KR

Funding

Korean Cardiac Research Foundation 201702-02National Research Foundation of Korea 2016R1A6A3A04010466
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRecent studies have shown that sodium-glucose co-transporter 2 (SGLT2) inhibitors reduce the risk of heart failure (HF)-associated hospitalization and mortality in patients with diabetes. However, it is not clear whether SGLT2 inhibitors have a cardiovascular benefit in patients without diabetes. We aimed to determine whether empagliflozin (EMPA), an SGLT2 inhibitor, has a protective role in HF without diabetes.

methodsCardiomyopathy was induced in C57BL/6J mice using intraperitoneal injection of doxorubicin (Dox). Mice with HF were fed a normal chow diet (NCD) or an NCD containing 0.03% EMPA. Then we analyzed their phenotypes and performed in vitro experiments to reveal underlying mechanisms of the EMPA's effects.

resultsMice fed NCD with EMPA showed improved heart function and reduced fibrosis. In vitro studies showed similar results. Phloridzin, a non-specific SGLT inhibitor, did not show any protective effect against Dox toxicity in H9C2 cells. SGLT2 inhibitor can cause increase in blood ketone levels. Beta hydroxybutyrate (βOHB), which is well known ketone body associated with SGLT2 inhibitor, showed a protective effect against Dox in H9C2 cells and in Dox-treated mice. These results suggest elevating βOHB might be a convincing mechanism for the protective effects of SGLT2 inhibitor.

conclusionsSGLT2 inhibitors have a protective effect in Dox-induced HF in mice. This implied that SGLT2 inhibitor therapy could be a good treatment strategy even in HF patients without diabetes.

Indexed as

DoxycyclineHeart failureSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID31456369
PMCPMC6875592
OpenAlexW2966319220

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.