InterventionsAnimalsPreprint

Semaglutide improved heart artery function in pigs

In pigs with metabolic syndrome and coronary artery disease, semaglutide improved blood vessel widening without weight loss.

Research Square

In pigs with metabolic syndrome, a cluster of metabolic risk factors, and disease of the heart’s arteries, researchers tested the drug semaglutide in an animal experiment. They also studied obese ZSF-1 rats modelling heart failure with preserved ejection fraction, in which the heart pumps out a normal share of blood with each beat.

In both models, semaglutide did not change body weight. It improved blood vessel widening that depends on the vessels’ inner lining, both in heart arteries and in the aorta, the body’s main artery. It reduced structural changes and scarring in heart arteries and increased the density of tiny blood vessels in heart muscle. It also changed the mix of fats in blood, including reductions in two types called ceramides and diacylglycerols.

Why it matters

For age-related heart failure, the study addresses whether blood vessel and metabolic effects may contribute to semaglutide’s cardiovascular benefits independently of weight loss.

Caveats

These were animal experiments, not a test of clinical benefits in people. The report is a preprint and has not been peer-reviewed.

The paper

Direct Coronary Vascular and Lipidomic Remodeling by Low-Dose GLP-1 Agonist Therapy in Cardiometabolic HFpEF

David Lefer, David Polhemus, Mahmoud Elbatreek,
Show 7 more authorsCraig Resch, Annie Butt, Faisal Rahman, Cinthia Drachenberg, David Burk, Timothy Allerton, Amir Ravandi,
Traci Goodchild

Research Square · 11 Aug 2026 · Preprint, not peer-reviewed

doi.org/10.21203/rs.3.rs-10630296/v1PubMed 42845643