Frontiers in Pharmacology,
Год журнала:
2023,
Номер
14
Опубликована: Март 17, 2023
Objective:
Based
on
the
4D
label-free
phosphoproteomic
technique,
we
examined
differences
in
cognitive
function
and
hippocampal
phosphorylated
protein
expression
high-fat
diet-induced
obese
mice
after
intervention
of
semaglutide
empagliflozin,
as
well
effects
both
activity
mice's
tissues
signaling
pathways
involved.
Methods:
Thirty-two
C57BL/6JC
male
were
assigned
to
two
groups
randomly:
A
control
group
(group
C,
10%
energy
is
from
fat,
n
=
8)
a
diet
H,
60%
24).
The
screened
12
weeks
feeding
based
criterion
that
bodyweight
fat
rich
was
greater
than
or
equal
20%
average
body
weight
blank
group.
Group
H
separate
into
(n
8),
Semaglutide
S,
empagliflozin
E,
8).
For
total
weeks,
S
received
30
nmol/kg/d
intraperitoneally,
E
10
mg/kg/d
via
gavage,
C
amounts
saline
by
intraperitoneal
injection
gavage.
At
end
treatment,
appraised
for
employing
Morris
water
maze
(MWM),
serum
fasting
glucose,
lipids,
inflammatory
parameters
measured.
phosphoproteomics
method
employed
screen
differential
phosphoproteins
loci
different
treatment
groups,
bioinformatics
used
analyze
biological
processes,
pathways,
related
protein-protein
interaction
(PPI)
network
analysis
these
differentially
proteins.
Results:
In
comparison
normal
controls,
escape
latency
induced
prolonged,
percentage
swimming
time
target
quadrant
reduced,
number
times
crossing
platform
whereas
reduced
latency,
increase
swim
frequency
passing
through
area,
although
there
little
difference
effect
drugs.
results
showed
20,493
unique
peptides,
representing
21,239
phosphorylation
sites
4,290
Further
revealed
proteins
corresponding
are
jointly
distributed
such
dopaminergic
synapses
axon
guidance,
involved
processes
neuronal
projection
development,
synaptic
plasticity,
axonogenesis.
Notably,
key
factors
voltage-dependent
L-type
calcium
channel
subunit
alpha-1D
(CACNA1D),
P/Q-type
alpha-1A
(CACNA1A),
N-type
alpha-1B
(CACNA1B)
all
found
be
synapse
pathway,
their
upregulated
empagliflozin.
Conclusion:
We
first
decreased
CACNA1D,
CACNA1A,
CACNA1B
serine
phosphorylation,
which
may
affect
mice.
increased
Hypertension,
Год журнала:
2022,
Номер
79(8), С. 1633 - 1643
Опубликована: Июль 13, 2022
Frailty
is
a
multidimensional
condition
often
diagnosed
in
older
adults
with
hypertension
and
diabetes,
both
these
conditions
are
associated
endothelial
dysfunction
oxidative
stress.
We
investigated
the
functional
role
of
SGLT2
(sodium
glucose
cotransporter
2)
inhibitor
empagliflozin
frail
diabetic
hypertensive
adults.
Hypertension,
Год журнала:
2022,
Номер
79(10), С. 2355 - 2363
Опубликована: Сен. 7, 2022
Emerging
evidence
suggests
that
elevated
circulating
levels
of
HDL-C
(high-density
lipoprotein
cholesterol)
could
be
linked
to
an
increased
mortality
risk.
However,
the
best
our
knowledge,
relationship
between
and
specific
cardiovascular
events
has
never
been
investigated
in
patients
with
hypertension.To
fill
this
knowledge
gap,
we
analyzed
hypertensive
within
Campania
Salute
Network
Southern
Italy.We
studied
11
987
hypertension,
who
were
followed
for
25
534
person-years.
Our
population
was
divided
3
groups
according
plasma
levels:
HDL-C<40
mg/dL
(low
HDL-C);
40
80
(medium
HDL-C>80
(high
HDL-C).
At
follow-up
analysis,
adjusting
potential
confounders,
observed
a
total
245
significantly
risk
low
group
high
arm
compared
medium
group.
The
spline
analysis
revealed
nonlinear
U-shaped
association
outcomes.
Interestingly,
associated
not
confirmed
female
patients.Our
data
demonstrate
there
is
male
hypertension.
Diabetes Care,
Год журнала:
2022,
Номер
46(2), С. 297 - 304
Опубликована: Дек. 12, 2022
OBJECTIVE
Type
2
diabetes
(T2D)
increases
dementia
risk,
but
clear
evidence
to
recommend
interventions
that
can
mitigate
risk
remains
lacking.
This
population-based
retrospective
cohort
study
aimed
determine
whether
new
use
of
sodium–glucose
cotransporter
(SGLT2)
inhibitors
compared
with
dipeptidyl
peptidase
4
(DPP-4)
was
associated
lower
risk.
RESEARCH
DESIGN
AND
METHODS
Ontario
residents
aged
≥66
years
who
were
users
an
SGLT2
inhibitor
or
a
DPP-4
from
1
July
2016
31
March
2021
entered
the
cohort.
Incident
identified
using
validated
algorithm
for
Alzheimer’s
disease
and
related
dementias.
Propensity
score–weighted
Cox
proportional
hazards
models
used
obtain
adjusted
hazard
ratios
(aHR)
CIs
time
incident
dementia.
To
address
reverse
causality
latency,
observation
window
started
at
1-year
lag
entry.
The
primary
analysis
followed
intention-to-treat
exposure
definition,
secondary
as-treated
performed.
RESULTS
Among
106,903
individuals,
(14.2/1,000
person-years;
aHR
0.80
[95%
CI
0.71–0.89])
over
mean
follow-up
2.80
When
stratified
by
different
inhibitors,
dapagliflozin
exhibited
lowest
(aHR
0.67
0.53–0.84]),
empagliflozin
0.78
0.69–0.89]),
whereas
canagliflozin
showed
no
association
0.96
0.80–1.16]).
observed
larger
0.66
0.57–0.76])
than
analysis.
CONCLUSIONS
in
older
people
T2D.
Randomized
controlled
trials
are
warranted.
Stroke,
Год журнала:
2023,
Номер
54(8), С. 2181 - 2191
Опубликована: Июнь 5, 2023
Cognitive
impairment
is
common
in
patients
with
cardiovascular
disease.
One
3
presenting
at
cardiology
clinics
have
some
degree
of
cognitive
impairment,
depending
on
the
cardiac
condition,
comorbidities,
and
age.
In
up
to
half
these
cases
may
go
unrecognized;
however,
it
affect
self-management
treatment
adherence.
The
high
prevalence
disease
likely
due
shared
risk
factors,
as
well
direct
consequences
dysfunction
brain.
Moreover,
interventions
beneficial
adverse
effects
functioning.
this
review,
we
describe
factors
for
several
conditions:
heart
failure,
coronary
artery
disease,
aortic
valve
stenosis.
We
discuss
potential
guideline-based
treatments
cognition
identify
open
questions
unmet
needs.
Given
unrecognized
patients,
recommend
a
stepwise
approach
improve
detection
management
impairment.
Frontiers in Neuroendocrinology,
Год журнала:
2024,
Номер
73, С. 101131 - 101131
Опубликована: Фев. 16, 2024
This
systematic
review
and
meta-analysis
aimed
to
determine
the
association
between
use
of
sodium-glucose
cotransporter
2
(SGLT-2)
inhibitors
dementia
onset
as
well
cognitive
function
in
patients
with
diabetes
mellitus.
We
comprehensively
searched
MEDLINE,
Embase,
CENTRAL
databases
select
relevant
studies
published
up
August
2023.
The
SGLT-2
significantly
lowers
risk
compared
SGLT-2i
non-users
(Hazard
ratio:
0.68,
95
%
CI:
0.50-0.92).
Furthermore,
our
findings
indicated
a
positive
effect
inhibitor
on
score
improvement,
demonstrated
by
standardized
mean
difference
0.88
(95
0.32-1.44),
particularly
among
populations
mild
impairment
or
dementia.
indicate
potential
role
reducing
These
underscore
need
for
well-controlled
large
clinical
trials
future
research
this
field.
Biomedicines,
Год журнала:
2024,
Номер
12(8), С. 1750 - 1750
Опубликована: Авг. 3, 2024
Dementia
is
an
age-related
syndrome
characterized
by
the
progressive
deterioration
of
cognition
and
capacity
for
independent
living.
Diabetes
often
associated
with
cognitive
decline
shares
similar
pathophysiological
mechanisms
dementia,
such
as
systemic
inflammation,
oxidative
stress,
insulin
resistance,
advanced
glycation
end-products
formation.
Therefore,
adequate
diabetes
management
may
reduce
risk
decline,
especially
in
patients
other
comorbidities
factors.
The
sodium
glucose
cotransporter
inhibitors
(SGLT2i)
regulate
renal
reabsorption
blocking
SGLT2
cotransporters
located
proximal
tubules,
causing
glycosuria
intraglomerular
pressure
reduction.
Their
use
helps
to
lower
blood
modifying
water
homeostasis;
these
drugs
are
also
commonly
used
treatment
heart
failure
chronic
kidney
disease,
while
recently,
a
potential
neuroprotective
role
central
nervous
system
has
been
suggested.
aim
our
scoping
review
analyze
current
evidence
about
effects
SGLT2i
adult
patients.
We
performed
literature
evaluate
effect
on
mild
impairment
(MCI)
Alzheimer's
disease
incidence
progression.
screening
process
was
through
different
searches
PubMed
EMBASE,
evaluating
original
works
published
up
January
2024.
In
conclusion,
could
be
diabetes,
reducing
or
progression
MCI
dementia.
Further
prospective
studies
needed
validate
this
hypothesis
effectiveness
class
normal
glycemic
profile
Frontiers in Medicine,
Год журнала:
2025,
Номер
12
Опубликована: Фев. 4, 2025
Alzheimer’s
disease
(AD)
is
the
most
common
cause
of
dementia
and
represents
75%
all
types.
AD
neuropathology
due
to
progressive
deposition
extracellular
amyloid-beta
(A
β
)
peptide
intracellular
hyperphosphorylated
tau
protein.
The
accumulated
Aβ
forms
amyloid
plaques,
while
protein
neurofibrillary
tangles
(NFTs).
Both
plaques
NFTs
are
hallmarks
neuropathology.
fundamental
mechanism
involved
in
pathogenesis
still
elusive,
although
more
conceivable
theory.
Aβ-induced
neurodegeneration
associated
neuroinflammation,
oxidative
stress,
endoplasmic
reticulum
stress
(ER),
mitochondrial
dysfunction
contribute
development
cognitive
impairment
dementia.
Of
note,
not
only
originated
from
brain
but
also
produced
peripherally
and,
via
blood–brain
barrier
(BBB),
can
accumulate
result
AD.
It
has
been
shown
that
cardiometabolic
conditions
such
as
obesity,
type
2
diabetes
(T2D),
heart
failure
(HF)
regarded
possible
risk
factors
for
other
types
dementia,
vascular
HF-induced
chronic
cerebral
hypoperfusion,
inflammation
induce
progression
Interestingly,
a
systemic
causes
which
turn
affects
peripheral
organs,
including
heart.
through
deranged
BBB
be
transported
into
circulation
heart,
leading
HF.
These
findings
suggest
close
relationship
between
However,
exact
AD-induced
HF
fully
elucidated.
Therefore,
this
review
aims
discuss
link
regarding
potential
role