已发表论文

肥胖相关心脏纤维化:机制和新兴治疗靶点

 

Authors Zhou D, Tan Y, Zhao J, Wang S, Wang Z , Bai M, Niu X, Zhang Z

Received 14 September 2025

Accepted for publication 22 January 2026

Published 7 February 2026 Volume 2026:22 567568

DOI https://doi.org/10.2147/VHRM.S567568

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Roland Asmar

Dan Zhou,1– 4,* Yingxin Tan,5,* Jing Zhao,2– 4 Shuping Wang,1– 4 Zheng Wang,6 Ming Bai,2– 4 Xiaowei Niu,2– 4 Zheng Zhang2– 4 

1The First Clinical Medical School, Lanzhou University, Lanzhou, People’s Republic of China; 2Heart Center, The First Hospital of Lanzhou University, Lanzhou, People’s Republic of China; 3Gansu Provincial Clinical Research Center for Cardiovascular Diseases, The First Hospital of Lanzhou University, Lanzhou, People’s Republic of China; 4Gansu Key Laboratory of Cardiovascular Diseases, The First Hospital of Lanzhou University, Lanzhou, People’s Republic of China; 5Department of Vascular Surgery, General Surgery, the First Hospital of Lanzhou University, Lanzhou, People’s Republic of China; 6Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Xiaowei Niu, Email niuxwccu@126.com Zheng Zhang, Email zhangzhengccu24@126.com

Abstract: Obesity and cardiovascular disease are major, globally prevalent, and closely interrelated health challenges. Cardiac fibrosis represents the common pathological endpoint of multiple cardiac diseases. This review systematically synthesizes the mechanisms underlying obesityrelated cardiac fibrosis. It elaborates on how inflammatory factors, cytokines, and miRNAs, acting on adipose tissue and cardiac cells, drive a series of biological processes—including oxidative stress, activation of the reninangiotensinaldosterone system, autophagy dysregulation, and metabolic dysfunction—ultimately leading to obesityassociated cardiomyopathy characterized by ventricular remodeling, heart failure, and atrial fibrillation. Potential therapeutic targets for this condition are also examined. Furthermore, this review discusses potential therapeutic targets for this condition, which will provide a critical theoretical foundation for the development of novel strategies aimed at preventing or even reversing obesityrelated fibrotic heart disease.

Keywords: obesity, cardiac fibrosis, cardiac dysfunction, inflammation, cytokine, RAAS, autophagy