Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy

Word count of the full article: 4834Diabetic cardiomyopathy (DCM) is defined as myocardial dysfunction in diabetes mellitus (DM) patients independent of coronary artery disease (CAD) or hypertension (HTN). With high morbidity and mortality, DCM poses a significant threat to patient health. Its under...

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Main Authors: Na Su, Jingxuan Zhao, Weiyi Zhang, Xinhuan Zhang, Kunna Lu, Yan Ma, Yan Wang, Mingfeng Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1618230/full
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author Na Su
Na Su
Jingxuan Zhao
Jingxuan Zhao
Weiyi Zhang
Weiyi Zhang
Xinhuan Zhang
Kunna Lu
Yan Ma
Yan Wang
Mingfeng Cao
author_facet Na Su
Na Su
Jingxuan Zhao
Jingxuan Zhao
Weiyi Zhang
Weiyi Zhang
Xinhuan Zhang
Kunna Lu
Yan Ma
Yan Wang
Mingfeng Cao
author_sort Na Su
collection DOAJ
description Word count of the full article: 4834Diabetic cardiomyopathy (DCM) is defined as myocardial dysfunction in diabetes mellitus (DM) patients independent of coronary artery disease (CAD) or hypertension (HTN). With high morbidity and mortality, DCM poses a significant threat to patient health. Its underlying pathogenesis remains incompletely elucidated, and the prolonged subclinical phase renders early diagnosis and precise treatment clinically challenging. Thus, identifying viable biomarkers for early diagnosis and intervention has emerged as a research imperative, whereas a systematic DCM diagnostic and therapeutic strategy remains to be established. Our examination revealed that circulating soluble suppression of tumorigenicity 2 (sST2), Cardiotrophin-1 (CT-1), and galectin-3 levels correlate closely with DCM progression stages. Combining Lysyl Oxidase-Like 2 (LOXL2) and Electron Transfer Flavoprotein β Subunit (ETFβ) measurements with ultrasound E/E’ ratio and NT-proBNP enhances diagnostic accuracy. Novel noninvasive markers (e.g., skin autofluorescence) show promise. This article comprehensively evaluates the clinical applications of these molecular markers within DCM’s pathophysiological classification framework.
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publisher Frontiers Media S.A.
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spelling doaj-art-19eb61d7531e406b83076508cff15e7b2025-08-20T04:02:32ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-08-011610.3389/fendo.2025.16182301618230Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathyNa Su0Na Su1Jingxuan Zhao2Jingxuan Zhao3Weiyi Zhang4Weiyi Zhang5Xinhuan Zhang6Kunna Lu7Yan Ma8Yan Wang9Mingfeng Cao10Graduate School, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaGraduate School, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaGraduate School, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaDepartment of Endocrinology, Second Affiliated Hospital of Shandong First Medical University, Tai’an, ChinaWord count of the full article: 4834Diabetic cardiomyopathy (DCM) is defined as myocardial dysfunction in diabetes mellitus (DM) patients independent of coronary artery disease (CAD) or hypertension (HTN). With high morbidity and mortality, DCM poses a significant threat to patient health. Its underlying pathogenesis remains incompletely elucidated, and the prolonged subclinical phase renders early diagnosis and precise treatment clinically challenging. Thus, identifying viable biomarkers for early diagnosis and intervention has emerged as a research imperative, whereas a systematic DCM diagnostic and therapeutic strategy remains to be established. Our examination revealed that circulating soluble suppression of tumorigenicity 2 (sST2), Cardiotrophin-1 (CT-1), and galectin-3 levels correlate closely with DCM progression stages. Combining Lysyl Oxidase-Like 2 (LOXL2) and Electron Transfer Flavoprotein β Subunit (ETFβ) measurements with ultrasound E/E’ ratio and NT-proBNP enhances diagnostic accuracy. Novel noninvasive markers (e.g., skin autofluorescence) show promise. This article comprehensively evaluates the clinical applications of these molecular markers within DCM’s pathophysiological classification framework.https://www.frontiersin.org/articles/10.3389/fendo.2025.1618230/fulldiabetic cardiomyopathymolecular markersoxidative stressnon-coding RNAearly diagnosis
spellingShingle Na Su
Na Su
Jingxuan Zhao
Jingxuan Zhao
Weiyi Zhang
Weiyi Zhang
Xinhuan Zhang
Kunna Lu
Yan Ma
Yan Wang
Mingfeng Cao
Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy
Frontiers in Endocrinology
diabetic cardiomyopathy
molecular markers
oxidative stress
non-coding RNA
early diagnosis
title Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy
title_full Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy
title_fullStr Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy
title_full_unstemmed Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy
title_short Study of independent diagnostic efficacy and co-diagnostic strategies of molecular markers for diabetic cardiomyopathy
title_sort study of independent diagnostic efficacy and co diagnostic strategies of molecular markers for diabetic cardiomyopathy
topic diabetic cardiomyopathy
molecular markers
oxidative stress
non-coding RNA
early diagnosis
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1618230/full
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