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一种SGLT2抑制剂达格列净通过抑制高糖诱导的氧化应激来减轻糖尿病心肌病。

A SGLT2 Inhibitor Dapagliflozin Alleviates Diabetic Cardiomyopathy by Suppressing High Glucose-Induced Oxidative Stress and .

作者信息

Xing Yu-Jie, Liu Biao-Hu, Wan Shu-Jun, Cheng Yi, Zhou Si-Min, Sun Yue, Yao Xin-Ming, Hua Qiang, Meng Xiang-Jian, Cheng Jin-Han, Zhong Min, Zhang Yan, Lv Kun, Kong Xiang

机构信息

Key Laboratory of Non-coding RNA Transformation Research of Anhui Higher Education Institution, Wannan Medical College, Wuhu, China.

Department of Endocrinology, The First Aflliated Hospital of Wannan Medical College, Yijishan Hospital, Wuhu, China.

出版信息

Front Pharmacol. 2021 Jul 12;12:708177. doi: 10.3389/fphar.2021.708177. eCollection 2021.

Abstract

Diabetic cardiomyopathy (DCM) is a serious complication of diabetes mellitus (DM). One of the hallmarks of the DCM is enhanced oxidative stress in myocardium. The aim of this study was to research the underlying mechanisms involved in the effects of dapagliflozin (Dap) on myocardial oxidative stress both in streptozotocin-induced DCM rats and rat embryonic cardiac myoblasts H9C2 cells exposed to high glucose (33.0 mM). In studies, diabetic rats were given Dap (1 mg/ kg/ day) by gavage for eight weeks. Dap treatment obviously ameliorated cardiac dysfunction, and improved myocardial fibrosis, apoptosis and oxidase stress. In studies, Dap also attenuated the enhanced levels of reactive oxygen species and cell death in H9C2 cells incubated with high glucose. Mechanically, Dap administration remarkably reduced the expression of membrane-bound nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunits gp91phox and p22phox, suppressed the p67phox subunit translocation to membrane, and decreased the compensatory elevated copper, zinc superoxide dismutase (Cu/Zn-SOD) protein expression and total SOD activity both and . Collectively, our results indicated that Dap protects cardiac myocytes from damage caused by hyperglycemia through suppressing NADPH oxidase-mediated oxidative stress.

摘要

糖尿病性心肌病(DCM)是糖尿病(DM)的一种严重并发症。DCM的一个标志是心肌氧化应激增强。本研究的目的是探究达格列净(Dap)对链脲佐菌素诱导的DCM大鼠以及暴露于高糖(33.0 mM)环境下的大鼠胚胎心肌成肌细胞H9C2细胞心肌氧化应激影响的潜在机制。在研究中,给糖尿病大鼠每日经口灌胃给予Dap(1 mg/kg),持续八周。Dap治疗明显改善了心脏功能障碍,并改善了心肌纤维化、细胞凋亡和氧化应激。在研究中,Dap还减轻了高糖培养的H9C2细胞中活性氧水平的升高和细胞死亡。从机制上讲,给予Dap显著降低了膜结合烟酰胺腺嘌呤二核苷酸磷酸(NADPH)氧化酶亚基gp91phox和p22phox的表达,抑制了p67phox亚基向细胞膜的转位,并降低了代偿性升高的铜锌超氧化物歧化酶(Cu/Zn-SOD)蛋白表达和总SOD活性。总体而言,我们的结果表明,Dap通过抑制NADPH氧化酶介导的氧化应激来保护心肌细胞免受高血糖引起的损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f1/8311522/cf981605e8f4/fphar-12-708177-g001.jpg

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