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December 16, 2025Free Radical Biology and MedicineOpen Access

Adipocyte extracellular vesicle mitochondrial cargo is linked to cardiomyocyte dysfunction in type 2 diabetes–related heart failure with preserved ejection fraction

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Key result

Adipocyte extracellular vesicles laden with oxidatively modified mitochondrial cargo induced cardiomyocyte dysfunction, which was blunted by EV inhibition or ROS scavenging.

Why the study?

Heart failure with preserved ejection fraction is increasingly prevalent in type 2 diabetes, yet disease-modifying therapies remain limited.

Does inhibition of EV biogenesis or mitochondrial ROS scavenging prevent cardiomyocyte dysfunction induced by adipocyte extracellular vesicles in T2D-HFpEF models?

Population

Patients with T2D-HFpEF and in vitro human cardiomyocytes

Design

Translational and in vitro mechanistic study

Authors

HJHaibin JiNanjing Medical UniversityTCTian CaoNanjing Children's HospitalZTZixuan TanNantong University

Discussion

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Implication

AdEVs may link adipose stress to cardiomyocyte injury in T2D-HFpEF; hypothesis-generating for targeted therapies.

Structured PICO

Does inhibition of EV biogenesis or mitochondrial ROS scavenging prevent cardiomyocyte dysfunction induced by adipocyte extracellular vesicles in T2D-HFpEF models?

P
Population
Human subcutaneous adipose tissue from patients with T2D-HFpEF, circulating AdEVs, and in vitro human cardiomyocytes (AC16 and human induced pluripotent stem cell-derived cardiomyocytes)
E
Exposure
Inhibition of EV biogenesis (GW4869) or scavenging of mitochondrial ROS (Mito-TEMPO)
C
Comparator
Untreated/control in vitro models
O
Outcome
Cardiomyocyte dysfunction (reactive oxygen species, mitochondrial membrane potential, mitochondrial network fragmentation, oxygen consumption, ATP production, apoptosis, and heart-failure marker expression)surrogate

Oxidatively modified mitochondrial cargo within adipocyte extracellular vesicles links adipose stress to cardiomyocyte dysfunction in T2D-HFpEF, highlighting novel therapeutic targets.

Cite This Study

Ji et al. (2025) studied Type 2 diabetes-related heart failure with preserved ejection fraction. Adipocyte extracellular vesicles (AdEVs) was evaluated on Cardiomyocyte dysfunction (ROS, mitochondrial membrane potential, oxygen consumption, ATP production, apoptosis). Adipocyte extracellular vesicles laden with oxidatively modified mitochondrial cargo induced cardiomyocyte dysfunction, which was blunted by EV inhibition or ROS scavenging.

synapsesocial.com/papers/6a97b408824c98cfb78be774https://doi.org/10.1016/j.freeradbiomed.2025.12.016

Topics

HFrEF treatmentHeart failureHFpEF management
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