Canagliflozin protects cardiovascular function in type 2 diabetic coronary artery disease by regulating natriuretic peptide B.

IF 3.2 3区 医学
Jiarui Zhang, Lichenlu Huang, Yongqin Zheng, Ji Yang, Xiaopei Wu, Jundong He
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Abstract

Background: Canagliflozin (Cana) has protected against diabetes-related cardiovascular disease. This study was intended to explore the effect and molecular mechanism of Cana on cardiovascular protection in type 2 diabetic coronary atherosclerotic heart disease (CAD).

Materials and methods: We constructed a rat model of type 2 diabetic CAD and examined its physiological and biochemical indices before and after Cana treatment. Next-generation transcriptome sequencing was performed on rat cardiac tissue. Various functional and molecular experiments involving Cana treatment and the natriuretic peptide B (NPPB) gene were performed on human cardiomyocytes (AC16 cells).

Results: The physiological, biochemical, and imaging parameters of the model rats were abnormal. Cana treatment reversed these injuries. In all, 369 differentially expressed genes were discovered by next-generation transcriptome sequencing; NPPB was identified as the target gene. Cana treatment significantly improved the function of AC16 cells treated with high glucose and significantly upregulated the expression level of the NPPB gene. The NPPB gene significantly increased the viability of AC16 cells and significantly decreased the apoptosis rate and reactive oxygen species (ROS) level. In addition, NPPB significantly upregulated the expression of B-cell lymphoma 2 (Bcl-2) and downregulated the expression of Bcl-2 associated X protein (Bax). Cana treatment further improved these cellular functions and protein expression levels. Furthermore, the NPPB gene significantly upregulated protein kinase 1-α (PKG1α) expression level and Cana treatment enhanced the regulatory effect of NPPB on PKG1α.

Conclusions: The cardiovascular protective effect of Cana in diabetes mellitus was mediated by upregulating the expression of NPPB and upregulating the level of PKG1α, which in turn regulated the viability, apoptosis rate, and ROS level of AC16 cells.

卡格列净通过调节利钠肽B保护2型糖尿病冠状动脉疾病的心血管功能。
背景:Canagliflozin (Cana)具有预防糖尿病相关心血管疾病的作用。本研究旨在探讨Cana对2型糖尿病冠状动脉粥样硬化性心脏病(CAD)的心血管保护作用及其分子机制。材料与方法:建立2型糖尿病性CAD大鼠模型,观察Cana治疗前后的生理生化指标。对大鼠心脏组织进行下一代转录组测序。在人心肌细胞(AC16细胞)上进行了涉及Cana处理和利钠肽B (NPPB)基因的各种功能和分子实验。结果:模型大鼠生理、生化及影像学指标均出现异常。Cana治疗逆转了这些损伤。新一代转录组测序共发现差异表达基因369个;NPPB被确定为靶基因。Cana处理显著改善了高糖处理的AC16细胞的功能,显著上调了NPPB基因的表达水平。NPPB基因显著提高AC16细胞活力,显著降低细胞凋亡率和活性氧(ROS)水平。此外,NPPB显著上调b细胞淋巴瘤2 (Bcl-2)的表达,下调Bcl-2相关X蛋白(Bax)的表达。Cana处理进一步改善了这些细胞功能和蛋白表达水平。NPPB基因显著上调蛋白激酶1-α (PKG1α)表达水平,Cana处理增强了NPPB对PKG1α的调控作用。结论:Cana对糖尿病患者的心血管保护作用可能是通过上调NPPB的表达和上调PKG1α的表达,进而调控AC16细胞的活力、凋亡率和ROS水平。
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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation Medicine-Internal Medicine
自引率
9.40%
发文量
218
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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