Institute of Physiology, School of Basic Medical Sciences, Shanxi Medical University, Taiyuan, China.
Department of Cardiology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Biomed Pharmacother. 2023 Sep;165:115125. doi: 10.1016/j.biopha.2023.115125. Epub 2023 Jul 6.
As a sodium-glucose transporter 2 inhibitor (SGLT2i), the cardioprotective benefits of Dapagliflozin (DAPA) are now widely appreciated. However, the underlying mechanism of DAPA on angiotensin II (Ang II)-induced myocardial hypertrophy has never been evaluated. In this study, we not only investigated the effects of DAPA on Ang II-induced myocardial hypertrophy, but explored its underlying mechanisms. Mice were injected with Ang II (500 ng /kg/min) or saline solution as control, followed by intragastric administration DAPA (1.5 mg/kg/day) or saline for four weeks. DAPA treatment alleviated the condition of decrease in left ventricular ejection fraction (LVEF) and fractional shortening (LVFS) caused by Ang II. In addition, DAPA treatment significantly alleviated Ang II-induced elevation of the ratio of heart weight to tibia length, as well as cardiac injury and hypertrophy. In mice stimulated with Ang II, the degree of myocardial fibrosis and upregulation of the markers of cardiac hypertrophy (atrial natriuretic peptide, ANP and B-type natriuretic peptide, BNP) were attenuated by DAPA. What's more, DAPA partially reversed the Ang II-induced upregulation of HIF-1α and the decrease in levels of SIRT1. Taken together, activating the SIRT1/HIF-1α signaling pathway was found to confer a protective effect against experimental myocardial hypertrophy in mice induced by Ang II, demonstrating its potential as an effective therapeutic target for pathological cardiac hypertrophy.
达格列净作为一种钠-葡萄糖协同转运蛋白 2 抑制剂(SGLT2i),其心脏保护作用已得到广泛认可。然而,达格列净对血管紧张素 II(Ang II)诱导的心肌肥厚的潜在机制尚未得到评估。在这项研究中,我们不仅研究了达格列净对 Ang II 诱导的心肌肥厚的影响,还探讨了其潜在的机制。我们给小鼠注射 Ang II(500ng/kg/min)或生理盐水作为对照,随后给予达格列净(1.5mg/kg/天)或生理盐水灌胃 4 周。达格列净治疗减轻了 Ang II 引起的左心室射血分数(LVEF)和左心室短轴缩短率(LVFS)降低的情况。此外,达格列净治疗显著减轻了 Ang II 诱导的心脏重量与胫骨长度比值升高,以及心脏损伤和肥厚。在 Ang II 刺激的小鼠中,达格列净减轻了心肌纤维化程度和心脏肥厚标志物(心房利钠肽,ANP 和 B 型利钠肽,BNP)的上调。更重要的是,达格列净部分逆转了 Ang II 诱导的 HIF-1α 上调和 SIRT1 水平降低。综上所述,激活 SIRT1/HIF-1α 信号通路被发现对 Ang II 诱导的实验性心肌肥厚具有保护作用,表明其可能成为病理性心肌肥厚的有效治疗靶点。