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Moreover, the expression of COX II was enhanced, but ratio of LC3II/LC3I was decreased in TAC + semaglutide + HCQ group by western-blot, compared to those in TAC + semaglutide group (Fig
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Principal investigator Dr Mikhail Kosiborod, of Saint Luke's Mid-America Heart Institute in Kansas City, said: "To our knowledge, this is the first trial of a pharmacologic agent to specifically target obesity as a treatment strategy for HFpEF, and the magnitude of the benefits we observed is the largest seen with any agent in HFpEF." He added: "This will likely have a significant impact on clinical practice, especially since there is a dearth of efficacious therapies in this vulnerable patient group." He also said that the findings should spark a change in the way obesity in people with heart failure is viewed, suggesting that, in HFpEF at least, "obesity is not simply a comorbidity in patients with HFpEF, but a root cause and a target for therapeutic intervention." The data provides another compelling endorsement for semaglutide, which is at the head of a series of new obesity therapies addressing GLP-1 and other targets, and keeps Novo Nordisk's drug ahead of challengers like Eli Lilly's combined GLP-1/GIP agonist Mounjaro (tirzepatide)
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