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白藜芦醇通过激活 PI3K/Akt 通路和抑制 FoxO1 通路减弱达格列净诱导的 2 型糖尿病肾脏糖异生。

Resveratrol attenuates dapagliflozin-induced renal gluconeogenesis activating the PI3K/Akt pathway and suppressing the FoxO1 pathway in type 2 diabetes.

机构信息

Endocrinology, Peking University First Hospital, Beijing 100034, China.

Animal Center, Peking University First Hospital, Beijing 100034, China.

出版信息

Food Funct. 2021 Feb 15;12(3):1207-1218. doi: 10.1039/d0fo02387f.

Abstract

Dapagliflozin alleviates hyperglycemia by increasing glycosuria, but it induces renal gluconeogenesis, thus neutralizing its efficacy. Resveratrol (Rsv), a natural polyphenolic chemical, improves insulin sensitivity in type 2 diabetes (T2D). Here, we investigated the regulatory effects and underlying mechanisms of Rsv on dapagliflozin-induced renal gluconeogenesis. Male ob/ob mice were given the vehicle (HF), dapagliflozin (1 mg kg-1), Rsv (10 mg kg-1), or dapagliflozin and Rsv combination for 10 weeks. Glucose metabolism was evaluated by glucose and pyruvate tolerance tests. HK-2 cells (human renal proximal tubule cells) were treated with dapagliflozin (1 μmol L-1) for 2 h and further incubated with Rsv (10 μmol L-1) for 12 h. The effects of Rsv on gluconeogenesis and insulin signaling were assessed. Dapagliflozin treatment increased glucose production in HK-2 cells and lowered blood glucose and induced gluconeogenesis in ob/ob mice. After Rsv treatment, the enhanced glucose production and gluconeogenesis were alleviated. The upregulated mRNA and protein expression of phosphoenolpyruvate carboxykinase (PEPCK) and glucose-6-phosphatase (G6Pase) and the activation of the forkhead transcription factor O1 (FoxO1) protein in the dapagliflozin group were attenuated by Rsv administration. Rsv also improved renal insulin signaling by increasing PI3K and Akt phosphorylation. The PI3K inhibitor LY294002 dramatically decreased the p-Akt expression and activated FoxO1 by dephosphorylation, thus diminishing the inhibitory effects of Rsv on dapagliflozin-induced PEPCK and G6Pase expression. The data showed the mechanisms of Rsv in attenuating dapagliflozin-induced renal gluconeogenesis via activating the PI3K/Akt pathway and further suppressing FoxO1 activation, suggesting a potential intervention to achieve better glucose-lowering effects for SGLT2 inhibitors in T2D therapy.

摘要

达格列净通过增加糖尿来缓解高血糖,但它会诱导肾脏糖异生,从而中和其疗效。白藜芦醇(Rsv)是一种天然多酚化学物质,可改善 2 型糖尿病(T2D)的胰岛素敏感性。在这里,我们研究了 Rsv 对达格列净诱导的肾脏糖异生的调节作用及其潜在机制。雄性 ob/ob 小鼠给予载体(HF)、达格列净(1mg/kg-1)、Rsv(10mg/kg-1)或达格列净和 Rsv 联合治疗 10 周。通过葡萄糖和丙酮酸耐量试验评估葡萄糖代谢。用达格列净(1μmol/L-1)处理 HK-2 细胞(人肾近端小管细胞)2 小时,然后用 Rsv(10μmol/L-1)孵育 12 小时。评估 Rsv 对糖异生和胰岛素信号的影响。达格列净处理增加了 HK-2 细胞中的葡萄糖生成,并降低了血糖,并在 ob/ob 小鼠中诱导了糖异生。用 Rsv 处理后,增强的葡萄糖生成和糖异生得到缓解。达格列净组磷酸烯醇丙酮酸羧激酶(PEPCK)和葡萄糖-6-磷酸酶(G6Pase)的 mRNA 和蛋白表达上调,以及叉头转录因子 O1(FoxO1)蛋白的激活被 Rsv 给药减弱。Rsv 通过增加 PI3K 和 Akt 磷酸化也改善了肾脏胰岛素信号。PI3K 抑制剂 LY294002 通过去磷酸化显著降低了 p-Akt 表达并激活了 FoxO1,从而减弱了 Rsv 对达格列净诱导的 PEPCK 和 G6Pase 表达的抑制作用。数据表明,Rsv 通过激活 PI3K/Akt 通路并进一步抑制 FoxO1 激活来减轻达格列净诱导的肾脏糖异生的机制,这表明在 T2D 治疗中,SGLT2 抑制剂实现更好的降糖效果的潜在干预措施。

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