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钠-葡萄糖协同转运蛋白2抑制剂恩格列净可改善2型糖尿病患者的炎症状态并促进白细胞的抗氧化反应。

The SGLT2 Inhibitor Empagliflozin Ameliorates the Inflammatory Profile in Type 2 Diabetic Patients and Promotes an Antioxidant Response in Leukocytes.

作者信息

Iannantuoni Francesca, M de Marañon Aranzazu, Diaz-Morales Noelia, Falcon Rosa, Bañuls Celia, Abad-Jimenez Zaida, Victor Victor M, Hernandez-Mijares Antonio, Rovira-Llopis Susana

机构信息

Service of Endocrinology and Nutrition, University Hospital Doctor Peset, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46017 Valencia, Spain.

CIBERehd-Department of Pharmacology and Physiology, University of Valencia, 46010 Valencia, Spain.

出版信息

J Clin Med. 2019 Nov 1;8(11):1814. doi: 10.3390/jcm8111814.

Abstract

Sodium-glucose co-transporter 2 inhibitors (iSGLT2) have been linked to a considerable reduction in cardiovascular risk in patients with type 2 diabetes (T2D), but the precise molecular mechanisms are still elusive. We aimed to evaluate the effects of the iSGLT2 empagliflozin on systemic inflammation and its potential antioxidant properties. This is an observational, prospective follow-up study of a cohort of fifteen patients with T2D who received 10 mg/day of empagliflozin according to standard clinical care. Measures at baseline, 12 and 24 weeks were taken. Metabolic and anthropometric parameters were evaluated. Production of mitochondrial superoxide, glutathione content, and glutathione s-reductase and catalase mRNA levels were measured in leukocytes. Serum levels of myeloperoxidase, hs-CRP and IL-10 were determined. In addition to decreased body weight and reduced glucose and HbA1c levels, we observed a reduction in superoxide production in leukocytes of diabetic patients and increased glutathione content, prominently after 24 weeks of empagliflozin treatment. Leukocyte expression of glutathione s-reductase and catalase, and serum levels of IL-10 were enhanced at 24 weeks of empagliflozin treatment. Concomitantly, reduced hs-CRP and myeloperoxidase levels were seen. This study provides evidence of the antioxidant and anti-inflammatory properties of empagliflozin treatment in humans, which may contribute to its beneficial cardiovascular effects.

摘要

钠-葡萄糖协同转运蛋白2抑制剂(SGLT2i)已被证明可显著降低2型糖尿病(T2D)患者的心血管风险,但其确切的分子机制仍不清楚。我们旨在评估SGLT2抑制剂恩格列净对全身炎症及其潜在抗氧化特性的影响。这是一项对15名T2D患者进行的观察性前瞻性随访研究,这些患者按照标准临床护理方案每天服用10 mg恩格列净。在基线、12周和24周时进行测量。评估代谢和人体测量参数。测量白细胞中线粒体超氧化物的产生、谷胱甘肽含量以及谷胱甘肽S还原酶和过氧化氢酶的mRNA水平。测定血清髓过氧化物酶、hs-CRP和IL-10水平。除了体重减轻、血糖和糖化血红蛋白水平降低外,我们还观察到糖尿病患者白细胞中超氧化物产生减少,谷胱甘肽含量增加,尤其是在恩格列净治疗24周后。恩格列净治疗24周时,白细胞中谷胱甘肽S还原酶和过氧化氢酶的表达以及血清IL-10水平升高。同时,hs-CRP和髓过氧化物酶水平降低。本研究提供了恩格列净治疗对人体具有抗氧化和抗炎特性的证据,这可能有助于其有益的心血管效应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99af/6912454/2e923a10ccc2/jcm-08-01814-g001.jpg

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