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Official PDF TranslationActa Biochimica et Biophysica Sinica

SGLT2 inhibitor dapagliflozin treats heart failure with preserved ejection fraction via the SIRT1/PGC-1α pathway

Authors: ZHANG Shiwen; CUI Yansong; CHEN Jingwen; ZHOU Shuaishuai; ZHANG Yujiao; LI Kuan; HOU Yinglong

DOI: 10.3724/abbs.2026078Status: Verified Translated Edition
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Key Findings in This Report

• Dapagliflozin improves diastolic function and reduces cardiac hypertrophy, fibrosis, and apoptosis in a Dahl salt-sensitive rat model of HFpEF. • Dapagliflozin restores mitochondrial structure and function and enhances mitochondrial respiratory capacity in cardiomyocytes. • The SIRT1/PGC-1α/Mfn-2 signaling axis is identified as a critical pathway suppressed in HFpEF but reactivated by dapagliflozin. • Activation of the SIRT1/PGC-1α/Mfn-2 pathway promotes mitochondrial biogenesis and dynamics, offering a potential therapeutic strategy for HFpEF.