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While glia heavily influence neuronal functions and the propagation of signals along neural tracts, they can also be considered an independent functional and regulatory matrix of the CNS, since they can function independently of neuronal nuclei und clusters, as well as receive input from all the major neurotransmitter systems

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Hyperglycemia is hypothesized to induce myocardial lipid peroxidation via mitochondrial iron overload and suppression of glutathione peroxidase 4 (GPX4) activity, leading to impaired myocardial contractile function ( Over recent decades, extensive research has elucidated DCM pathophysiology, with mounting evidence implicating impaired mitochondrial energy metabolism as a central pathogenic mechanism ( 4 Therapeutic interventions targeting cardiac energy metabolism In response to the pathological features of cardiac metabolic dysregulation, multifaceted intervention strategies have been developed in both clinical and research settings