Diabetic rat model study (HFD + STZ) with transcriptomic profiling demonstrating that both aerobic exercise and MOTS-c treatment reduce pathological cardiac remodeling and restore cardiac function in T2DM by activating the NRG1/ErbB signaling pathway—a cardioprotective pathway that promotes physiological myocardial adaptation and MOTS-c functions as an exercise mimetic by converging on the same signaling axis. Provides transcriptomic evidence for NRG1-ErbB as the shared molecular target. Establishes the transcriptomic basis for MOTS-c's exercise-mimetic cardiac protection in diabetes—demonstrating that both interventions normalize the same gene expression program, and identifying NRG1/ErbB as a druggable cardiac protective pathway activated by mitochondrial peptide signaling.
Li, Shunchang; Wang, Manda; Ma, Jiacheng; Pang, Xiaoli; Yuan, Jinghan; Pan, Yanrong; Fu, Yu; Laher, Ismail