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March 26, 2026iScienceOpen Access

Modulation of the gut-heart axis by exercise in diabetic cardiomyopathy: Microbial mechanisms and clinical implications

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Why the study?

Whether exercise prevents and treats DCM through gut microbiota regulation and the underlying mechanisms of this interaction remain largely unclear.

Does exercise prevent and treat diabetic cardiomyopathy through gut microbiota regulation?

Design

Review

Key result

Exercise may exert cardioprotective effects in diabetic cardiomyopathy by reshaping gut microbiota composition, enhancing intestinal barrier function, and modulating microbial metabolites.

Authors

JCJun ChenZFZhiwei FanYLYuan Li

Discussion

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Overview

Hypothesis-generating for exercise via gut-heart axis in diabetic cardiomyopathy; prospective trials needed before clinical adoption.

Structured PICO

Does exercise prevent and treat diabetic cardiomyopathy through gut microbiota regulation?

P
Population
Individuals with diabetes and diabetic cardiomyopathy (DCM)
I
Intervention
Exercise
O
Outcome
Modulation of the gut-heart axis and prevention/management of diabetic cardiomyopathy

This review highlights the potential of exercise to modulate the gut-heart axis, offering a microbiota-based mechanism for its cardioprotective effects in diabetic cardiomyopathy.

Limitations

  • The underlying mechanisms of how exercise prevents and treats diabetic cardiomyopathy through gut microbiota regulation remain largely unclear.

Cite This Study

Chen et al. (2026) conducted a review in Diabetic cardiomyopathy. Exercise was evaluated. Exercise may exert cardioprotective effects in diabetic cardiomyopathy by reshaping gut microbiota composition, enhancing intestinal barrier function, and modulating microbial metabolites.

synapsesocial.com/papers/6a0ef290b9cfc04f9247b1d8https://doi.org/10.1016/j.isci.2026.115490
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