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. Author manuscript; available in PMC: 2016 Jan 31.
Published in final edited form as: Biochim Biophys Acta. 2014 Jul 2;1852(2):232–242. doi: 10.1016/j.bbadis.2014.06.030

Table 2.

Main therapeutic approaches and targets in diabetic cardiomyopathy

Therapeutic target Approach Reference Potential effect on autophagy
Oxidative, nitrosative, nitrative stress
NADPH oxidases Enzyme inhibition
apocynin, (VAS2870 or GKT137831) [39, 154] Potential inhibitors of autophagy [55, 155]
AT-1 receptor antagonist [61] Potential inhibitors of autophagy [156]
Xanthine oxidase Enzyme inhibition:
allopurinol [40, 41, 63, 64] No information
eNOS Uncoupling inhibitors
L-Arginine [157] Potentially inhibits autophagy by NO [75, 158]
tetrahydrobiopterin [68] Potentially inhibits autophagy by NO [159]
IGF-1 [160] Potential inhibitor of autophagy [161]
iNOS Enzyme inhibition:
L-NIL [162, 163] No information in the literature.
Peroxynitrite Decomposition catalysts:
MnTMPyP [28] Potential inhibitors of autophagy [77]
FP15 [164]
Mitochondria oxidative stress MitoTEMPO [45] No information in the literature.
NRF2 Activators:
Sulforafan [165] Potential autophagy inducer [166]
DH404 [167]
ROCK Enzyme inhibition:
Fasudil [168] Potential autophagy inducer [169]
Cell death pathways – Autophagy/Mitophagy, Apoptosis, PARP-dependent cell death
p38 MAPK Enzyme inhibition:
SB 239063 170] Potential inhibitors of autophagy [76]
PARP Enzyme inhibition:
PJ34 [118]
3-aminobenzamide [171] Potential inhibitors of autophagy [172]
AMPK activation Metformin [104] Potential autophagy inducer [99]
GLP-1 GLP-1 agonists , DPP-4 inhibitors [173-177] Potential autophagy inducers [178]
Inflammation
Cytokine expression (TNFα, IL1β, TGFβ) p38 MAPK inhibition [122] Potential inhibitors of autophagy [76]
AT-1 receptor antagonist [57] Potential inhibitors of autophagy [156]
Endocannabinoid system CB1 antagonist [38] Potential inhibitors of autophagy [139]