Potential of dapagliflozin to prevent vascular remodeling in the rat carotid artery following balloon injury

Sodium-glucose co-transporter 2 (SGLT2) inhibitors have been shown to reduce the risk of cardiovascular events independently of glycemic control. However, the possibility that SGLT2 inhibitors improve vascular restenosis is unknown. The aim of this study was to examine whether dapagliflozin could pr...

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Veröffentlicht in:Atherosclerosis 2024-10, Vol.397, p.117595, Article 117595
Hauptverfasser: Matsushita, Kensuke, Sato, Chisato, Bruckert, Christophe, Gong, DalSeong, Amissi, Said, Hmadeh, Sandy, Fakih, Walaa, Remila, Lamia, Lessinger, Jean-Marc, Auger, Cyril, Jesel, Laurence, Ohlmann, Patrick, Kauffenstein, Gilles, Schini-Kerth, Valérie B., Morel, Olivier
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container_start_page 117595
container_title Atherosclerosis
container_volume 397
creator Matsushita, Kensuke
Sato, Chisato
Bruckert, Christophe
Gong, DalSeong
Amissi, Said
Hmadeh, Sandy
Fakih, Walaa
Remila, Lamia
Lessinger, Jean-Marc
Auger, Cyril
Jesel, Laurence
Ohlmann, Patrick
Kauffenstein, Gilles
Schini-Kerth, Valérie B.
Morel, Olivier
description Sodium-glucose co-transporter 2 (SGLT2) inhibitors have been shown to reduce the risk of cardiovascular events independently of glycemic control. However, the possibility that SGLT2 inhibitors improve vascular restenosis is unknown. The aim of this study was to examine whether dapagliflozin could prevent neointima thickening following balloon injury and, if so, to determine the underlying mechanisms. Saline, dapagliflozin (1.5 mg/kg/day), or losartan (30 mg/kg/day) was administered orally for five weeks to male Wistar rats. Balloon injury of the left carotid artery was performed a week after starting the treatment and rats were sacrificed 4 weeks later. The extent of neointima was assessed by histomorphometric and immunofluorescence staining analyses. Vascular reactivity was assessed on injured and non-injured carotid artery rings, changes of target factors by immunofluorescence, RT-qPCR, and histochemistry. Dapagliflozin and losartan treatments reduced neointima thickening by 32 % and 27 %, respectively. Blunted contractile responses to phenylephrine and relaxations to acetylcholine and down-regulation of eNOS were observed in the injured arteries. RT-qPCR investigations indicated an increased in gene expression of inflammatory (IL-1beta, VCAM-1), oxidative (p47phox, p22phox) and fibrotic (TGF-beta1) markers in the injured carotid. While these changes were not affected by dapagliflozin, increased levels of AT1R and NTPDase1 (CD39) and decreased levels of ENPP1 were observed in the restenotic carotid artery of the dapagliflozin group. Dapagliflozin effectively reduced neointimal thickening. The present data suggest that dapagliflozin prevents restenosis through interfering with angiotensin and/or extracellular nucleotides signaling. SGLT2 represents potential new target for limiting vascular restenosis. [Display omitted] •There are scarcely any pharmacological treatments demonstrating beneficial effects on in-stent restenosis.•In this study, dapagliflozin prevented rat restenosis through interfering with angiotensin/extracellular nucleotides.•Future clinical trials are warranted to confirm the anti-proliferative effects of SGLT2 inhibitors in patients.
doi_str_mv 10.1016/j.atherosclerosis.2024.117595
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However, the possibility that SGLT2 inhibitors improve vascular restenosis is unknown. The aim of this study was to examine whether dapagliflozin could prevent neointima thickening following balloon injury and, if so, to determine the underlying mechanisms. Saline, dapagliflozin (1.5 mg/kg/day), or losartan (30 mg/kg/day) was administered orally for five weeks to male Wistar rats. Balloon injury of the left carotid artery was performed a week after starting the treatment and rats were sacrificed 4 weeks later. The extent of neointima was assessed by histomorphometric and immunofluorescence staining analyses. Vascular reactivity was assessed on injured and non-injured carotid artery rings, changes of target factors by immunofluorescence, RT-qPCR, and histochemistry. Dapagliflozin and losartan treatments reduced neointima thickening by 32 % and 27 %, respectively. Blunted contractile responses to phenylephrine and relaxations to acetylcholine and down-regulation of eNOS were observed in the injured arteries. RT-qPCR investigations indicated an increased in gene expression of inflammatory (IL-1beta, VCAM-1), oxidative (p47phox, p22phox) and fibrotic (TGF-beta1) markers in the injured carotid. While these changes were not affected by dapagliflozin, increased levels of AT1R and NTPDase1 (CD39) and decreased levels of ENPP1 were observed in the restenotic carotid artery of the dapagliflozin group. Dapagliflozin effectively reduced neointimal thickening. The present data suggest that dapagliflozin prevents restenosis through interfering with angiotensin and/or extracellular nucleotides signaling. SGLT2 represents potential new target for limiting vascular restenosis. 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Blunted contractile responses to phenylephrine and relaxations to acetylcholine and down-regulation of eNOS were observed in the injured arteries. RT-qPCR investigations indicated an increased in gene expression of inflammatory (IL-1beta, VCAM-1), oxidative (p47phox, p22phox) and fibrotic (TGF-beta1) markers in the injured carotid. While these changes were not affected by dapagliflozin, increased levels of AT1R and NTPDase1 (CD39) and decreased levels of ENPP1 were observed in the restenotic carotid artery of the dapagliflozin group. Dapagliflozin effectively reduced neointimal thickening. The present data suggest that dapagliflozin prevents restenosis through interfering with angiotensin and/or extracellular nucleotides signaling. SGLT2 represents potential new target for limiting vascular restenosis. [Display omitted] •There are scarcely any pharmacological treatments demonstrating beneficial effects on in-stent restenosis.•In this study, dapagliflozin prevented rat restenosis through interfering with angiotensin/extracellular nucleotides.•Future clinical trials are warranted to confirm the anti-proliferative effects of SGLT2 inhibitors in patients.</description><subject>Angioplasty, Balloon - adverse effects</subject><subject>Angiotensin</subject><subject>Animals</subject><subject>Benzhydryl Compounds - pharmacology</subject><subject>Cardiology and cardiovascular system</subject><subject>Carotid Arteries - drug effects</subject><subject>Carotid Arteries - metabolism</subject><subject>Carotid Arteries - pathology</subject><subject>Carotid Artery Injuries - drug therapy</subject><subject>Carotid Artery Injuries - metabolism</subject><subject>Carotid Artery Injuries - pathology</subject><subject>Dapagliflozin</subject><subject>Disease Models, Animal</subject><subject>Endothelial dysfunction</subject><subject>Glucosides - pharmacology</subject><subject>Human health and pathology</subject><subject>Life Sciences</subject><subject>Losartan - pharmacology</subject><subject>Male</subject><subject>Neointima</subject><subject>Neointima formation</subject><subject>Nitric Oxide Synthase Type III - metabolism</subject><subject>Oxidative Stress - drug effects</subject><subject>Pharmaceutical sciences</subject><subject>Pharmacology</subject><subject>Purinergic signaling</subject><subject>Rats</subject><subject>Rats, Wistar</subject><subject>SGLT2</subject><subject>Sodium-Glucose Transporter 2 Inhibitors - pharmacology</subject><subject>Transforming Growth Factor beta1 - metabolism</subject><subject>Vascular Remodeling - drug effects</subject><issn>0021-9150</issn><issn>1879-1484</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQQC1ERbeFv4B8QYJDFn8ldg4cqoq2SCvRA5wtx5l0vfLGi-1stfz6OkrbAycu9mj8Zkaeh9AnStaU0Obrbm3yFmJI1s-nS2tGmFhTKuu2foNWVMm2okKJt2hFCKNVS2tyji5S2hFChKTqHTrnqlBcyRXy9yHDmJ3xOAy4Nwfz4N3gw1834hzwIcKxPOOjSXbyJuII-9CDd-MDnokt4GgytiaG7HpsYoZ4wkPwPjzOTGdKFMbC7qZ4eo_OBuMTfHi-L9Hvm--_ru-qzc_bH9dXm8oKqXLVNrZlAhQXTJie8Q5YPwjGGSG2_Igrbo3sQJQYOiMZ431Dm9Z0HbOKS8ov0Zel79Z4fYhub-JJB-P03dVGzzkiGkmahh5n9vPCHmL4M0HKeu-SBe_NCGFKmpNGyVrVhBX024LasvgUYXjtTYme5eid_keOnuXoRU6p__g8aur20L9Wv9gowO0CQFnO0UHUyToYLfQugs26D-4_Rz0Bf0CrMQ</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Matsushita, Kensuke</creator><creator>Sato, Chisato</creator><creator>Bruckert, Christophe</creator><creator>Gong, DalSeong</creator><creator>Amissi, Said</creator><creator>Hmadeh, Sandy</creator><creator>Fakih, Walaa</creator><creator>Remila, Lamia</creator><creator>Lessinger, Jean-Marc</creator><creator>Auger, Cyril</creator><creator>Jesel, Laurence</creator><creator>Ohlmann, Patrick</creator><creator>Kauffenstein, Gilles</creator><creator>Schini-Kerth, Valérie B.</creator><creator>Morel, Olivier</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-3722-2921</orcidid><orcidid>https://orcid.org/0000-0002-1998-499X</orcidid><orcidid>https://orcid.org/0000-0003-4742-3740</orcidid><orcidid>https://orcid.org/0000-0001-9997-9287</orcidid><orcidid>https://orcid.org/0000-0002-7295-3041</orcidid><orcidid>https://orcid.org/0000-0002-8021-2737</orcidid><orcidid>https://orcid.org/0000-0003-0695-3841</orcidid><orcidid>https://orcid.org/0000-0003-4994-8305</orcidid><orcidid>https://orcid.org/0000-0003-0423-259X</orcidid></search><sort><creationdate>20241001</creationdate><title>Potential of dapagliflozin to prevent vascular remodeling in the rat carotid artery following balloon injury</title><author>Matsushita, Kensuke ; 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However, the possibility that SGLT2 inhibitors improve vascular restenosis is unknown. The aim of this study was to examine whether dapagliflozin could prevent neointima thickening following balloon injury and, if so, to determine the underlying mechanisms. Saline, dapagliflozin (1.5 mg/kg/day), or losartan (30 mg/kg/day) was administered orally for five weeks to male Wistar rats. Balloon injury of the left carotid artery was performed a week after starting the treatment and rats were sacrificed 4 weeks later. The extent of neointima was assessed by histomorphometric and immunofluorescence staining analyses. Vascular reactivity was assessed on injured and non-injured carotid artery rings, changes of target factors by immunofluorescence, RT-qPCR, and histochemistry. Dapagliflozin and losartan treatments reduced neointima thickening by 32 % and 27 %, respectively. Blunted contractile responses to phenylephrine and relaxations to acetylcholine and down-regulation of eNOS were observed in the injured arteries. RT-qPCR investigations indicated an increased in gene expression of inflammatory (IL-1beta, VCAM-1), oxidative (p47phox, p22phox) and fibrotic (TGF-beta1) markers in the injured carotid. While these changes were not affected by dapagliflozin, increased levels of AT1R and NTPDase1 (CD39) and decreased levels of ENPP1 were observed in the restenotic carotid artery of the dapagliflozin group. Dapagliflozin effectively reduced neointimal thickening. The present data suggest that dapagliflozin prevents restenosis through interfering with angiotensin and/or extracellular nucleotides signaling. SGLT2 represents potential new target for limiting vascular restenosis. 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1879-1484
1879-1484
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Angioplasty, Balloon - adverse effects
Angiotensin
Animals
Benzhydryl Compounds - pharmacology
Cardiology and cardiovascular system
Carotid Arteries - drug effects
Carotid Arteries - metabolism
Carotid Arteries - pathology
Carotid Artery Injuries - drug therapy
Carotid Artery Injuries - metabolism
Carotid Artery Injuries - pathology
Dapagliflozin
Disease Models, Animal
Endothelial dysfunction
Glucosides - pharmacology
Human health and pathology
Life Sciences
Losartan - pharmacology
Male
Neointima
Neointima formation
Nitric Oxide Synthase Type III - metabolism
Oxidative Stress - drug effects
Pharmaceutical sciences
Pharmacology
Purinergic signaling
Rats
Rats, Wistar
SGLT2
Sodium-Glucose Transporter 2 Inhibitors - pharmacology
Transforming Growth Factor beta1 - metabolism
Vascular Remodeling - drug effects
title Potential of dapagliflozin to prevent vascular remodeling in the rat carotid artery following balloon injury
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