Contemporary prospects for the use of sodium-glucose cotransporter-2 inhibitors DOI Open Access

Anastasia R. Kondratieva,

E. A. Khazova,

Alina Vadimovna Lobanova

et al.

Perm Medical Journal, Journal Year: 2024, Volume and Issue: 41(6), P. 92 - 108

Published: Dec. 15, 2024

To determine contemporary prospects for the use of non-glycemic effects sodium-glucose cotransporter-2 inhibitors in comorbid patients, analysis existing studies was carried out. The mechanisms action discovered during EMPA-REG OUTCOME study which were previously unknown, encouraged further research on these drugs other pathological conditions. authors article have analyzed some clinical and preclinical this drug group such conditions as stroke, cancer, rheumatological diseases, rhythm disorders, well their impact development major adverse cardiovascular events. oxidative stress suppression myocardium nervous tissue with an increase number mitochondria reduces risk developing improves neoangiogenesis focus ischemic necrosis, has neuroprotective are described article. In oncological gliflozins prevent proliferation tumor cells oncogenesis through induction late apoptosis also cardioprotective patients undergoing chemotherapy. medicines incidence events, restenosis after intravascular interventions. positive effect course diseases improving laboratory parameters a reducing frequency exacerbations visits to doctor gout. With constant conditions, it is important carry out pleiotropic subsequent introduction new data into practice.

Language: Английский

SGLT-2 Inhibitors’ and GLP-1 Receptor Agonists’ Influence on Neuronal and Glial Damage in Experimental Stroke DOI Creative Commons
А. В. Симаненкова,

Oksana Fuks,

Н. В. Тимкина

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(12), P. 2797 - 2797

Published: Dec. 10, 2024

Background: SGLT-2 inhibitors (SGLT-2i) and GLP-1 receptor agonists (GLP-1RA) have demonstrated nephro- cardioprotective effects, but their neuroprotective properties, especially concerning stroke severity, mechanisms are not unambiguous. We aimed to study the influence of SGLT-2i with different selectivity GLP-1RA on brain damage volume neurological status in non-diabetic diabetic rats investigate underlying mechanisms. Methods: Non-diabetic Wistar were divided into five groups (n = 10 each) received empagliflozin, canagliflozin, or dulaglutide as drugs metformin comparison drug. Control animals administered 0.9% NaCl for 7 days before stroke. At 48 h after stroke, we assessed deficit, neuronal astroglial markers, volume. also modeled type 2 DM using high-fat diet+nicotinamide/streptozotocin method established similar treatment groups. After 8 weeks, subjected further neuroglial necrosis measurement. Results: In rats, all showed an infarct-limiting effect; more effective than metformin. DULA improved compared MET treatment. All decreased neurofilament light chains (NLCs) level none them glial marker S100BB. DM, similarly, had effects. Neurological deficit was most pronounced untreated reduced by drugs. NLC level; None affected neuron-specific enolase. Conclusions: experimental might be conditions it influences both status. decrease damage, while highly selective EMPA, low-selective CANA, impact neuroglia conditions.

Language: Английский

Citations

0

Dl-3-n-butylphthalide promotes neurogenesis in ischemic stroke mice through Wnt/β- catenin signaling activation and neurotrophic factors production DOI Creative Commons
Lan Zhang, Cong Zhang, Rong Chen

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 19, 2024

Abstract Synchronized neurogenesis and angiogenesis after stroke have been well documented, inducing neurovascular remodeling may provide a promising strategy to promote tissue repair functional recovery. Dl-3-n-butylphthalide (NBP) was reported exert potent angiogenic activity in rodent models of stroke. However, little is currently known regarding the effects mechanisms NBP on ischemic This study determine whether how promoted cerebral injury. Adult C57BL/6 mice, subjected occlusion distal branches middle artery (dMCAO), were treated with NBP. The efficacy assessed using neurologic deficits infarct volume. Immunofluorescent staining applied evaluate neurogenesis. regulation Wnt/β-catenin signaling pathway neurotrophic factors detected by western blotting qRT-PCR. Administration reduced volume ameliorated neurological proliferation NSCs SVZ, migration neuroblasts along corpus callosum, differentiation towards neurons peri-infarct zone, resulting restored neural function. Moreover, we revealed that NBP-induced associated activation pathway, which reversed DKK1. In addition, increased production VEGF BDNF. Our data unveiled potentials recovery stroke, dependent production. Thus, be candidate for delayed treatment

Language: Английский

Citations

0

Contemporary prospects for the use of sodium-glucose cotransporter-2 inhibitors DOI Open Access

Anastasia R. Kondratieva,

E. A. Khazova,

Alina Vadimovna Lobanova

et al.

Perm Medical Journal, Journal Year: 2024, Volume and Issue: 41(6), P. 92 - 108

Published: Dec. 15, 2024

To determine contemporary prospects for the use of non-glycemic effects sodium-glucose cotransporter-2 inhibitors in comorbid patients, analysis existing studies was carried out. The mechanisms action discovered during EMPA-REG OUTCOME study which were previously unknown, encouraged further research on these drugs other pathological conditions. authors article have analyzed some clinical and preclinical this drug group such conditions as stroke, cancer, rheumatological diseases, rhythm disorders, well their impact development major adverse cardiovascular events. oxidative stress suppression myocardium nervous tissue with an increase number mitochondria reduces risk developing improves neoangiogenesis focus ischemic necrosis, has neuroprotective are described article. In oncological gliflozins prevent proliferation tumor cells oncogenesis through induction late apoptosis also cardioprotective patients undergoing chemotherapy. medicines incidence events, restenosis after intravascular interventions. positive effect course diseases improving laboratory parameters a reducing frequency exacerbations visits to doctor gout. With constant conditions, it is important carry out pleiotropic subsequent introduction new data into practice.

Language: Английский

Citations

0