Evidence map›Paper›PMID 41731060›Full record

ArticleNature cardiovascular research2026

Targeting immunometabolic pathways with AZD1656 alleviates inflammation and metabolic dysfunction in type 2 diabetic cardiomyopathy.

Stephanie Anderson, Anja Karlstaedt, Megan Young, Loucia Karatzia, Fenn Cullen, Jianmin Chen, Caroline E O'Riordan, Michael R Barnes, Zorana Štaka, Lauren J Albee and 12 more

Abstract read
In one paragraph

Article in Nature cardiovascular research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors.

Stephanie AndersonDepartment of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.
Anja KarlstaedtDepartment of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Megan YoungWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Loucia KaratziaWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Fenn CullenWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Jianmin ChenWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Caroline E O'RiordanWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Michael R BarnesWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Zorana ŠtakaWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0002-3779-7581
Lauren J AlbeeSchool of Cardiovascular Science and Medicine, The Rayne Institute, St Thomas Hospital, King's College London, London, UK.
Conor Garrod-KetchleyWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Sanushi DambureWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Hiran A PragMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-4753-8567
Filip CvetkoMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.
Jack J J J MillerThe MR Research Centre and The PET Centre, Clinical Medicine, Aarhus University, Aarhus, Denmark.
Christoph ThiemermannWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Andrew J M LewisRadcliffe Department of Medicine, University of Oxford, Oxford, UK.
Michael P MurphyMRC Mitochondrial Biology Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-1115-9618
David M SmithEmerging Innovation Unit, Discovery Sciences, R&D, AstraZeneca, Cambridge, UK.ORCID http://orcid.org/0000-0001-6831-280X
Sian M Henson *William Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Damian J Tyler *Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-0780-8905
Dunja AksentijevicWilliam Harvey Research Institute, Bart's and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK. d.aksentijevic@qmul.ac.uk.ORCID http://orcid.org/0000-0002-8480-6727

Funding

Regulation of cardiac metabolism during LeukemiaR01HL177461 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI Anja Karlstaedt · 2025 to 2026
$1.1M
Metabolic Rewiring of the Heart Through Reductive CarboxylationR00HL141702 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI KARLSTAEDT, ANJA · 2021 to 2023
$747k
British Heart Foundation (BHF) AA/18/5/34222Diabetes UK 19/0005973NHLBI NIH HHS R00 HL141702NHLBI NIH HHS R01 HL177461Wellcome TrustWellcome Trust (Wellcome) 221604/Z/20/Z
6 · The paper itself

Abstract

Type 2 diabetes (T2D) precipitates diabetic cardiomyopathy (dbCM), a condition characterized by chronic inflammation, metabolic dysregulation and impaired cardiac performance. Here we show that the glucokinase activator AZD1656, originally developed for glycemic control but later identified to have immunomodulatory effects, reverses cardiac dysfunction and metabolic remodeling in dbCM. In obese, hyperglycemic db/db mice with diastolic dysfunction, 6 weeks of AZD1656 treatment improved myocardial performance, reduced infarct size and enhanced post-ischaemic recovery. Integrated metabolic, functional and histological analyses revealed restoration of mitochondrial metabolism and attenuation of fibrosis. Mechanistically, AZD1656 remodeled the cardiac immune landscape by promoting infiltration of regulatory T cells. These findings demonstrate a link between cardiac inflammation and metabolic remodeling in dbCM and highlight that modulation of immune cells and metabolism can protect the diabetic heart. Targeting immunometabolic pathways may therefore offer a therapeutic strategy to alleviate cardiac dysfunction and reduce infarct vulnerability in T2D.

Indexed as

Anti-Inflammatory AgentsDiabetes Mellitus, Type 2Diabetic CardiomyopathiesEnergy MetabolismMyocardiumAnimalsBlood GlucoseDisease Models, AnimalFibrosisGlucokinaseMaleMiceMice, Inbred C57BLSignal TransductionVentricular Function, LeftVentricular RemodelingAnti-Inflammatory AgentsBlood GlucoseGlucokinase

Identifiers

PMID41731060
PMCPMC12929057

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Registered trials

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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.