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Long-term treatment with the sodium glucose cotransporter 2 inhibitor, dapagliflozin, ameliorates glucose homeostasis and diabetic nephropathy in db/db mice.

作者信息

Terami Naoto, Ogawa Daisuke, Tachibana Hiromi, Hatanaka Takashi, Wada Jun, Nakatsuka Atsuko, Eguchi Jun, Horiguchi Chikage Sato, Nishii Naoko, Yamada Hiroshi, Takei Kohji, Makino Hirofumi

机构信息

Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Department of Medicine and Clinical Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan; Department of Diabetic Nephropathy, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

出版信息

PLoS One. 2014 Jun 24;9(6):e100777. doi: 10.1371/journal.pone.0100777. eCollection 2014.


DOI:10.1371/journal.pone.0100777
PMID:24960177
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4069074/
Abstract

Inhibition of sodium glucose cotransporter 2 (SGLT2) has been reported as a new therapeutic strategy for treating diabetes. However, the effect of SGLT2 inhibitors on the kidney is unknown. In addition, whether SGLT2 inhibitors have an anti-inflammatory or antioxidative stress effect is still unclear. In this study, to resolve these issues, we evaluated the effects of the SGLT2 inhibitor, dapagliflozin, using a mouse model of type 2 diabetes and cultured proximal tubular epithelial (mProx24) cells. Male db/db mice were administered 0.1 or 1.0 mg/kg of dapagliflozin for 12 weeks. Body weight, blood pressure, blood glucose, hemoglobin A1c, albuminuria and creatinine clearance were measured. Mesangial matrix accumulation and interstitial fibrosis in the kidney and pancreatic β-cell mass were evaluated by histological analysis. Furthermore, gene expression of inflammatory mediators, such as osteopontin, monocyte chemoattractant protein-1 and transforming growth factor-β, was evaluated by quantitative reverse transcriptase-PCR. In addition, oxidative stress was evaluated by dihydroethidium and NADPH oxidase 4 staining. Administration of 0.1 or 1.0 mg/kg of dapagliflozin ameliorated hyperglycemia, β-cell damage and albuminuria in db/db mice. Serum creatinine, creatinine clearance and blood pressure were not affected by administration of dapagliflozin, but glomerular mesangial expansion and interstitial fibrosis were suppressed in a dose-dependent manner. Dapagliflozin treatment markedly decreased macrophage infiltration and the gene expression of inflammation and oxidative stress in the kidney of db/db mice. Moreover, dapagliflozin suppressed the high-glucose-induced gene expression of inflammatory cytokines and oxidative stress in cultured mProx24 cells. These data suggest that dapagliflozin ameliorates diabetic nephropathy by improving hyperglycemia along with inhibiting inflammation and oxidative stress.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/f50724a79c97/pone.0100777.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/06028656255f/pone.0100777.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/56e6732a9108/pone.0100777.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/d385b56881d3/pone.0100777.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/2dfb2b3bb214/pone.0100777.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/bafbe70bfa8b/pone.0100777.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/d1c32ab499d9/pone.0100777.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/58da1ec6da25/pone.0100777.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/f50724a79c97/pone.0100777.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/06028656255f/pone.0100777.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/56e6732a9108/pone.0100777.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/d385b56881d3/pone.0100777.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/2dfb2b3bb214/pone.0100777.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/bafbe70bfa8b/pone.0100777.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/d1c32ab499d9/pone.0100777.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/58da1ec6da25/pone.0100777.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d59b/4069074/f50724a79c97/pone.0100777.g008.jpg

相似文献

[1]
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[8]
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本文引用的文献

[1]
Renal hemodynamic effect of sodium-glucose cotransporter 2 inhibition in patients with type 1 diabetes mellitus.

Circulation. 2013-12-13

[2]
SGLT2 inhibitors enter crowded diabetes space.

Nat Biotechnol. 2013-6

[3]
Tofogliflozin, a novel sodium-glucose co-transporter 2 inhibitor, improves renal and pancreatic function in db/db mice.

Br J Pharmacol. 2013-10

[4]
Characterization of renal glucose reabsorption in response to dapagliflozin in healthy subjects and subjects with type 2 diabetes.

Diabetes Care. 2013-6-4

[5]
Effects of SGLT2 selective inhibitor ipragliflozin on hyperglycemia, hyperlipidemia, hepatic steatosis, oxidative stress, inflammation, and obesity in type 2 diabetic mice.

Eur J Pharmacol. 2013-5-23

[6]
Effects of a new SGLT2 inhibitor, luseogliflozin, on diabetic nephropathy in T2DN rats.

J Pharmacol Exp Ther. 2013-3-14

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Inhibition of the sodium glucose co-transporter-2: its beneficial action and potential combination therapy for type 2 diabetes mellitus.

Diabetes Obes Metab. 2013-2-6

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Mechanisms of diabetic complications.

Physiol Rev. 2013-1

[9]
Dapagliflozin: a review of its use in type 2 diabetes mellitus.

Drugs. 2012-12-3

[10]
Knockout of Na-glucose transporter SGLT2 attenuates hyperglycemia and glomerular hyperfiltration but not kidney growth or injury in diabetes mellitus.

Am J Physiol Renal Physiol. 2012-11-14

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