Key result
In patients with type 2 diabetes, rosiglitazone exposure was associated with significantly increased left atrial diameter (32.97 vs 26.84 mm) and ventricular wall thickness compared to matched controls.
Why the study?
Rosiglitazone is linked to heart failure via potent PPARgamma activation, but PPARgamma partial agonists show superior pharmacological profiles.
Does the PPARγ partial agonist CMHX008 prevent cardiac dysfunction without inducing hypertrophic cardiomyopathy compared to rosiglitazone in models of diabetes?
Cohort (n=120)
No
Does the PPARγ partial agonist CMHX008 prevent cardiac dysfunction without inducing hypertrophic cardiomyopathy compared to rosiglitazone in models of diabetes?
Absolute Event Rate: 32.97% vs 26.84%
p-value: p=<0.0001
The PPARγ partial agonist CMHX008 protects against diabetic cardiac dysfunction without inducing the compensatory hypertrophic cardiomyopathy seen with the full agonist rosiglitazone.
The clinical controversy of rosiglitazone as a hypoglycemic agent is potentially associated with heart failure, mainly due to its potent activation of peroxisome proliferator-activated receptor γ (PPARγ). PPARγ partial agonists showed superior pharmacological profiles to rosiglitazone. This study compared differences in cardiac morphology and function of the PPARγ partial agonist CMHX008 with rosiglitazone. High-fat diet (HFD) induced obese mice, ob/ob mice and cardiomyocytes overexpressing PPARγ2 were treated with CMHX008 or rosiglitazone. Heart function, myocardial morphology, and hypertrophy-related gene expression were examined. Clinical information from patients with type 2 diabetes mellitus (T2DM) who had taken rosiglitazone and undergone Doppler echocardiography was collected. HFD and ob/ob mice significantly developed cardiac contractile dysfunction, with upregulated PPARγ2 protein levels in heart tissues. Cardiomyocytes of HFD and ob/ob mice were disorderly arranged, the cell areas expanded, and collagen accumulated. In vitro cardiomyocytes overexpressing PPARγ2 displayed obvious structural abnormalities and high mRNA levels of ANP and BNP, critical cardiac hypertrophy-related genes. HFD-fed mice treated with rosiglitazone or CMHX008 had significantly improved cardiac function, but rosiglitazone induced higher expression of ANP and βMHC and hypertrophic cardiomyopathy, while CMHX008 did not. Patients with T2DM taking rosiglitazone exhibited increased thickness of the posterior wall and the ventricular septum, suggesting cardiac hypertrophy. Our findings show that diabetic cardiomyopathy was associated with ectopic overexpression of PPARγ2. The full agonist rosiglitazone prevents cardiac dysfunction at the expense of compensatory hypertrophy, while the partial agonist CMHX008 shared a comparable protective effect without altering the structure of cardiomyocytes.
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Cao et al. (2021) conducted a cohort in Type 2 diabetes mellitus (n=120). Rosiglitazone vs. No rosiglitazone was evaluated on Left atrial diameter (LAD) (p=<0.0001). In patients with type 2 diabetes, rosiglitazone exposure was associated with significantly increased left atrial diameter (32.97 vs 26.84 mm) and ventricular wall thickness compared to matched controls.
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