Evidence map›Paper›PMID 42845643›Full record

ArticleResearch square2026

Direct Coronary Vascular and Lipidomic Remodeling by Low-Dose GLP-1 Agonist Therapy in Cardiometabolic HFpEF.

David Lefer, David Polhemus, Mahmoud Elbatreek, Craig Resch, Annie Butt, Faisal Rahman, Cinthia Drachenberg, David Burk, Timothy Allerton, Amir Ravandi and 1 more

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

David LeferCedars-Sinai Medical Center.
David PolhemusJohns Hopkins University School of Medicine.
Mahmoud ElbatreekCedars-Sinai Medical Center.
Craig ReschUniversity of Manitoba.
Annie ButtJohns Hopkins University School of Medicine.
Faisal RahmanJohns Hopkins University School of Medicine.
Cinthia DrachenbergUniversity of Maryland.ORCID 0000-0002-3104-5661
David BurkPennington Biomedical Research Center.
Timothy AllertonPennington Biomedical Research Center.
Amir RavandiUniversity of Manitoba.ORCID 0000-0001-6663-1225
Traci GoodchildSmidt Heart Institute.ORCID 0009-0009-7377-780X

Funding

PATHOPHYSIOLOGY OF MYOCARDIAL DISEASEST32HL007227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Chulan Kwon, WENDY S POST · 1985 to 2026
$21.2M
Renal Denervation in Heart Failure with Preserved Ejection FractionR01HL159428 · NHLBI · LSU HEALTH SCIENCES CENTER · PI GOODCHILD, TRACI TAYLOR · 2021 to 2024
$2.9M
Hydrogen Sulfide and GLP-1 Combination Therapy to Treat HFpEFR01HL181016 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI DAVID JOSEPH LEFER · 2025 to 2026
$1.5M
Epigenetic Regulation of Heart Failure with Preserved Ejection FractionR01HL174996 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DAVID JOSEPH LEFER, Thomas M. Vondriska · 2025 to 2026
$1.4M
Role of Hydrogen Sulfide in Exercise Intolerance in HFpEFR01HL183876 · NHLBI · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Timothy Allerton · 2026 to 2026
$737k
NHLBI NIH HHS R01 HL159428NHLBI NIH HHS R01 HL174996NHLBI NIH HHS R01 HL181016NHLBI NIH HHS R01 HL183876NHLBI NIH HHS T32 HL007227
6 · The paper itself

Abstract

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) reduce major adverse cardiovascular events in patients with type 2 diabetes and obesity[1, 2], but the mechanisms underlying these benefits remain incompletely defined. Although GLP-1RAs improve vascular function[3] and alter circulating lipid species associated with cardiovascular risk [4-6], whether these effects extend to diseased coronary vessels and occur independently of weight loss is unknown. Here, we show that weight-neutral semaglutide administration in two complementary cardiometabolic HFpEF models - a porcine model of metabolic syndrome with coronary artery disease and the ZSF-1 obese HFpEF rat - improves coronary and aortic endothelium-dependent vasodilation, attenuates coronary vascular remodeling and fibrosis, increases myocardial microvascular density, and remodels the plasma lipidome through reductions in ceramides and diacylglycerols together with enrichment of long-chain polyunsaturated triacylglycerols. These findings identify direct vascular and metabolic actions of semaglutide that are independent of weight loss.

Identifiers

PMID42845643
PMCPMC13640906

What OpenQuestion holds

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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.