Cardiovascular Research Group, Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, 27272, United Arab Emirates.
Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.
Cardiovasc Diabetol. 2024 Oct 29;23(1):388. doi: 10.1186/s12933-024-02481-y.
Dapagliflozin (DAPA), a sodium-glucose cotransporter 2 (SGLT2) inhibitor, is well-recognized for its therapeutic benefits in type 2 diabetes (T2D) and cardiovascular diseases. In this comprehensive in vitro study, we investigated DAPA's effects on cardiomyocytes, aortic endothelial cells (AECs), and stem cell-derived beta cells (SC-β), focusing on its impact on hypertrophy, inflammation, and cellular stress. Our results demonstrate that DAPA effectively attenuates isoproterenol (ISO)-induced hypertrophy in cardiomyocytes, reducing cell size and improving cellular structure. Mechanistically, DAPA mitigates reactive oxygen species (ROS) production and inflammation by activating the AKT pathway, which influences downstream markers of fibrosis, hypertrophy, and inflammation. Additionally, DAPA's modulation of SGLT2, the Na+/H + exchanger 1 (NHE1), and glucose transporter (GLUT 1) type 1 highlights its critical role in maintaining cellular ion balance and glucose metabolism, providing insights into its cardioprotective mechanisms. In aortic endothelial cells (AECs), DAPA exhibited notable anti-inflammatory properties by restoring AKT and phosphoinositide 3-kinase (PI3K) expression, enhancing mitogen-activated protein kinase (MAPK) activation, and downregulating inflammatory cytokines at both the gene and protein levels. Furthermore, DAPA alleviated tumor necrosis factor (TNFα)-induced inflammation and stress responses while enhancing endothelial nitric oxide synthase (eNOS) expression, suggesting its potential to preserve vascular function and improve endothelial health. Investigating SC-β cells, we found that DAPA enhances insulin functionality without altering cell identity, indicating potential benefits for diabetes management. DAPA also upregulated MAFA, PI3K, and NRF2 expression, positively influencing β-cell function and stress response. Additionally, it attenuated NLRP3 activation in inflammation and reduced NHE1 and glucose-regulated protein GRP78 expression, offering novel insights into its anti-inflammatory and stress-modulating effects. Overall, our findings elucidate the multifaceted therapeutic potential of DAPA across various cellular models, emphasizing its role in mitigating hypertrophy, inflammation, and cellular stress through the activation of the AKT pathway and other signaling cascades. These mechanisms may not only contribute to enhanced cardiac and endothelial function but also underscore DAPA's potential to address metabolic dysregulation in T2D.
达格列净(DAPA)是一种钠-葡萄糖协同转运蛋白 2(SGLT2)抑制剂,在 2 型糖尿病(T2D)和心血管疾病方面具有显著的治疗益处。在这项全面的体外研究中,我们研究了 DAPA 对心肌细胞、主动脉内皮细胞(AEC)和干细胞衍生的β细胞(SC-β)的影响,重点关注其对肥大、炎症和细胞应激的影响。我们的结果表明,DAPA 可有效减轻异丙肾上腺素(ISO)诱导的心肌细胞肥大,缩小细胞大小并改善细胞结构。在机制上,DAPA 通过激活 AKT 通路来减轻活性氧(ROS)的产生和炎症,从而影响纤维化、肥大和炎症的下游标志物。此外,DAPA 对 SGLT2、钠/氢交换体 1(NHE1)和葡萄糖转运体(GLUT1)1 型的调节强调了其在维持细胞离子平衡和葡萄糖代谢方面的关键作用,为其心脏保护机制提供了见解。在主动脉内皮细胞(AEC)中,DAPA 通过恢复 AKT 和磷酸肌醇 3-激酶(PI3K)的表达、增强丝裂原激活蛋白激酶(MAPK)的激活以及在基因和蛋白水平下调炎症细胞因子,表现出显著的抗炎特性。此外,DAPA 减轻了肿瘤坏死因子(TNFα)诱导的炎症和应激反应,同时增强了内皮型一氧化氮合酶(eNOS)的表达,表明其具有维持血管功能和改善内皮健康的潜力。在研究 SC-β 细胞时,我们发现 DAPA 增强了胰岛素的功能而不改变细胞特性,这表明它在糖尿病管理方面具有潜在的益处。DAPA 还上调了 MAFA、PI3K 和 NRF2 的表达,对β细胞功能和应激反应产生积极影响。此外,它减轻了炎症中的 NLRP3 激活并降低了 NHE1 和葡萄糖调节蛋白 GRP78 的表达,为其抗炎和应激调节作用提供了新的见解。总的来说,我们的研究结果阐明了 DAPA 在各种细胞模型中的多方面治疗潜力,强调了其通过激活 AKT 通路和其他信号级联来减轻肥大、炎症和细胞应激的作用。这些机制不仅有助于增强心脏和内皮功能,还强调了 DAPA 在解决 2 型糖尿病代谢失调方面的潜力。
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