Cardioprotective mechanism of ω-3 fatty acid icosapent ethyl (IPE) in cardiomyocytes: role in high glucose and shear stress-induced mechano-transduction dysregulation

Cardiovasc DiabetolPublished Mechanistic study

Authors' conclusion

Our results demonstrate a cardioprotective role of IPE through modulation of hyperglycaemia-induced mechano-transduction dysregulation, inflammation, and oxidative stress. Additionally, our results on a shear stress model showing that IPE restores upstream regulators of YAP/TAZ and reduces disturbed flow-induced activation of pro-inflammatory pathways, suggest that IPE may exert a therapeutic effect on cardiovascular disorders associated with disturbed blood flow and hemodynamic stress.

Study context

Population
Cardiomyocyte AC16 cells; patients with CVD and cardiometabolic diseases (meta-analyses)
Comparison
IPE vs no IPE under normal glucose (NG) or high glucose (HG) and shear stress; omega-3 in patients (meta-analyses)
Outcome
Meta-analyses of omega-3 in patients with cardiovascular and cardiometabolic diseases: LVEF% and inflammatory markers; IPE effects on YAP/TAZ activation and HG-induced inflammation, oxidative stress, metabolism and apoptosis markers in AC16 cardiomyocytes
Methodological detailsin vitro AC16 cardiomyocytes, dynamic flow (shear stress) model, meta-analyses of in vivo studies
  • In vitro AC16 cardiomyocytes
  • Dynamic flow (shear stress) model
  • Meta-analyses of in vivo studies

Main finding

As reported in the abstract

Increase of LVEF% with omega-3

0.5

mean; 95% CI 0.1–0.9

Reduction of inflammatory markers with omega-3 (mean; 95% CI as printed: 2.05-0.44)

- 1.24

Original publication

Cardioprotective mechanism of ω-3 fatty acid icosapent ethyl (IPE) in cardiomyocytes: role in high glucose and shear stress-induced mechano-transduction dysregulation. Cardiovasc Diabetol. Published 13 December 2025. doi:10.1186/s12933-025-03033-8

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