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Proteomic and Pathway Insights into Heart Failure Progression and the Modulatory Role of Empagliflozin

Adriaan A. Voors

Vivli, 2026

64 participants

Abstract

Heart failure is a serious condition where the heart cannot pump blood around the body as well as it should. This can lead to tiredness, shortness of breath, and fluid buildup in the body. Heart failure affects over 64 million people worldwide and can greatly impact quality of life and life expectancy. Recent treatments have shown promise in slowing the progression of heart failure. One group of medications, called sodium-glucose co-transporter 2 inhibitors (SGLT2 inhibitors), was originally developed to treat type 2 diabetes. However, they have also been shown to help patients with heart failure live longer and feel better. The SGLT2 inhibitor empagliflozin has shown to improve outcomes in heart failure patients, which is now used to treat people with or without diabetes who have heart failure. Despite these positive effects, we still do not fully understand how empagliflozin works in the body to improve heart health. In our research, we will aim to uncover how empagliflozin slows the progression of heart failure. We will do this by studying proteins—the building blocks and messengers of the body—and the biological pathways that are driving heart failure and how empagliflozin changes these proteins and pathways. Biological pathways are like networks of interacting molecules that control how cells behave. Some of these pathways may become unbalanced in heart failure, and we want to know if empagliflozin helps restore this balance. We will examine blood plasma samples to look…

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