The sodium-glucose co-transporter 2 inhibitor empagliflozin improves diabetes-induced vascular dysfunction in the streptozotocin diabetes rat model by interfering with oxidative stress and glucotoxicity

In diabetes, vascular dysfunction is characterized by impaired endothelial function due to increased oxidative stress. Empagliflozin, as a selective sodium-glucose co-transporter 2 inhibitor (SGLT2i), offers a novel approach for the treatment of type 2 diabetes by enhancing urinary glucose excretion...

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Veröffentlicht in:PloS one 2014-11, Vol.9 (11), p.e112394-e112394
Hauptverfasser: Oelze, Matthias, Kröller-Schön, Swenja, Welschof, Philipp, Jansen, Thomas, Hausding, Michael, Mikhed, Yuliya, Stamm, Paul, Mader, Michael, Zinßius, Elena, Agdauletova, Saule, Gottschlich, Anna, Steven, Sebastian, Schulz, Eberhard, Bottari, Serge P, Mayoux, Eric, Münzel, Thomas, Daiber, Andreas
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container_issue 11
container_start_page e112394
container_title PloS one
container_volume 9
creator Oelze, Matthias
Kröller-Schön, Swenja
Welschof, Philipp
Jansen, Thomas
Hausding, Michael
Mikhed, Yuliya
Stamm, Paul
Mader, Michael
Zinßius, Elena
Agdauletova, Saule
Gottschlich, Anna
Steven, Sebastian
Schulz, Eberhard
Bottari, Serge P
Mayoux, Eric
Münzel, Thomas
Daiber, Andreas
description In diabetes, vascular dysfunction is characterized by impaired endothelial function due to increased oxidative stress. Empagliflozin, as a selective sodium-glucose co-transporter 2 inhibitor (SGLT2i), offers a novel approach for the treatment of type 2 diabetes by enhancing urinary glucose excretion. The aim of the present study was to test whether treatment with empagliflozin improves endothelial dysfunction in type I diabetic rats via reduction of glucotoxicity and associated vascular oxidative stress. Type I diabetes in Wistar rats was induced by an intravenous injection of streptozotocin (60 mg/kg). One week after injection empagliflozin (10 and 30 mg/kg/d) was administered via drinking water for 7 weeks. Vascular function was assessed by isometric tension recording, oxidative stress parameters by chemiluminescence and fluorescence techniques, protein expression by Western blot, mRNA expression by RT-PCR, and islet function by insulin ELISA in serum and immunohistochemical staining of pancreatic tissue. Advanced glycation end products (AGE) signaling was assessed by dot blot analysis and mRNA expression of the AGE-receptor (RAGE). Treatment with empagliflozin reduced blood glucose levels, normalized endothelial function (aortic rings) and reduced oxidative stress in aortic vessels (dihydroethidium staining) and in blood (phorbol ester/zymosan A-stimulated chemiluminescence) of diabetic rats. Additionally, the pro-inflammatory phenotype and glucotoxicity (AGE/RAGE signaling) in diabetic animals was reversed by SGLT2i therapy. Empagliflozin improves hyperglycemia and prevents the development of endothelial dysfunction, reduces oxidative stress and improves the metabolic situation in type 1 diabetic rats. These preclinical observations illustrate the therapeutic potential of this new class of antidiabetic drugs.
doi_str_mv 10.1371/journal.pone.0112394
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Empagliflozin, as a selective sodium-glucose co-transporter 2 inhibitor (SGLT2i), offers a novel approach for the treatment of type 2 diabetes by enhancing urinary glucose excretion. The aim of the present study was to test whether treatment with empagliflozin improves endothelial dysfunction in type I diabetic rats via reduction of glucotoxicity and associated vascular oxidative stress. Type I diabetes in Wistar rats was induced by an intravenous injection of streptozotocin (60 mg/kg). One week after injection empagliflozin (10 and 30 mg/kg/d) was administered via drinking water for 7 weeks. Vascular function was assessed by isometric tension recording, oxidative stress parameters by chemiluminescence and fluorescence techniques, protein expression by Western blot, mRNA expression by RT-PCR, and islet function by insulin ELISA in serum and immunohistochemical staining of pancreatic tissue. Advanced glycation end products (AGE) signaling was assessed by dot blot analysis and mRNA expression of the AGE-receptor (RAGE). Treatment with empagliflozin reduced blood glucose levels, normalized endothelial function (aortic rings) and reduced oxidative stress in aortic vessels (dihydroethidium staining) and in blood (phorbol ester/zymosan A-stimulated chemiluminescence) of diabetic rats. Additionally, the pro-inflammatory phenotype and glucotoxicity (AGE/RAGE signaling) in diabetic animals was reversed by SGLT2i therapy. Empagliflozin improves hyperglycemia and prevents the development of endothelial dysfunction, reduces oxidative stress and improves the metabolic situation in type 1 diabetic rats. 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Empagliflozin, as a selective sodium-glucose co-transporter 2 inhibitor (SGLT2i), offers a novel approach for the treatment of type 2 diabetes by enhancing urinary glucose excretion. The aim of the present study was to test whether treatment with empagliflozin improves endothelial dysfunction in type I diabetic rats via reduction of glucotoxicity and associated vascular oxidative stress. Type I diabetes in Wistar rats was induced by an intravenous injection of streptozotocin (60 mg/kg). One week after injection empagliflozin (10 and 30 mg/kg/d) was administered via drinking water for 7 weeks. Vascular function was assessed by isometric tension recording, oxidative stress parameters by chemiluminescence and fluorescence techniques, protein expression by Western blot, mRNA expression by RT-PCR, and islet function by insulin ELISA in serum and immunohistochemical staining of pancreatic tissue. Advanced glycation end products (AGE) signaling was assessed by dot blot analysis and mRNA expression of the AGE-receptor (RAGE). Treatment with empagliflozin reduced blood glucose levels, normalized endothelial function (aortic rings) and reduced oxidative stress in aortic vessels (dihydroethidium staining) and in blood (phorbol ester/zymosan A-stimulated chemiluminescence) of diabetic rats. Additionally, the pro-inflammatory phenotype and glucotoxicity (AGE/RAGE signaling) in diabetic animals was reversed by SGLT2i therapy. Empagliflozin improves hyperglycemia and prevents the development of endothelial dysfunction, reduces oxidative stress and improves the metabolic situation in type 1 diabetic rats. 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Kröller-Schön, Swenja ; Welschof, Philipp ; Jansen, Thomas ; Hausding, Michael ; Mikhed, Yuliya ; Stamm, Paul ; Mader, Michael ; Zinßius, Elena ; Agdauletova, Saule ; Gottschlich, Anna ; Steven, Sebastian ; Schulz, Eberhard ; Bottari, Serge P ; Mayoux, Eric ; Münzel, Thomas ; Daiber, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c762t-1b0cfbc8c5f4ef94b6a36e5ddc46891958451c7bd83bc9ba355b32edcfed8d423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Advanced glycosylation end products</topic><topic>Age</topic><topic>Animals</topic><topic>Antidiabetics</topic><topic>Aorta</topic><topic>Benzhydryl Compounds - administration &amp; dosage</topic><topic>Benzhydryl Compounds - pharmacology</topic><topic>Blood</topic><topic>Blood glucose</topic><topic>Blood Glucose - drug effects</topic><topic>Blood vessels</topic><topic>Cardiology</topic><topic>Chemiluminescence</topic><topic>Cytokines - genetics</topic><topic>Cytokines - metabolism</topic><topic>Dehydrogenases</topic><topic>Diabetes</topic><topic>Diabetes Complications - drug therapy</topic><topic>Diabetes Complications - metabolism</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Experimental</topic><topic>Diabetes therapy</topic><topic>Diabetic Angiopathies - drug therapy</topic><topic>Diabetic Angiopathies - metabolism</topic><topic>Diabetic neuropathy</topic><topic>Drinking water</topic><topic>Drugs</topic><topic>Enzyme-linked immunosorbent assay</topic><topic>Excretion</topic><topic>Fluorescence</topic><topic>Gene Expression</topic><topic>Glucose</topic><topic>Glucose - metabolism</topic><topic>Glucose transporter</topic><topic>Glucosides - administration &amp; 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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oelze, Matthias</au><au>Kröller-Schön, Swenja</au><au>Welschof, Philipp</au><au>Jansen, Thomas</au><au>Hausding, Michael</au><au>Mikhed, Yuliya</au><au>Stamm, Paul</au><au>Mader, Michael</au><au>Zinßius, Elena</au><au>Agdauletova, Saule</au><au>Gottschlich, Anna</au><au>Steven, Sebastian</au><au>Schulz, Eberhard</au><au>Bottari, Serge P</au><au>Mayoux, Eric</au><au>Münzel, Thomas</au><au>Daiber, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The sodium-glucose co-transporter 2 inhibitor empagliflozin improves diabetes-induced vascular dysfunction in the streptozotocin diabetes rat model by interfering with oxidative stress and glucotoxicity</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-11-17</date><risdate>2014</risdate><volume>9</volume><issue>11</issue><spage>e112394</spage><epage>e112394</epage><pages>e112394-e112394</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>In diabetes, vascular dysfunction is characterized by impaired endothelial function due to increased oxidative stress. Empagliflozin, as a selective sodium-glucose co-transporter 2 inhibitor (SGLT2i), offers a novel approach for the treatment of type 2 diabetes by enhancing urinary glucose excretion. The aim of the present study was to test whether treatment with empagliflozin improves endothelial dysfunction in type I diabetic rats via reduction of glucotoxicity and associated vascular oxidative stress. Type I diabetes in Wistar rats was induced by an intravenous injection of streptozotocin (60 mg/kg). One week after injection empagliflozin (10 and 30 mg/kg/d) was administered via drinking water for 7 weeks. Vascular function was assessed by isometric tension recording, oxidative stress parameters by chemiluminescence and fluorescence techniques, protein expression by Western blot, mRNA expression by RT-PCR, and islet function by insulin ELISA in serum and immunohistochemical staining of pancreatic tissue. Advanced glycation end products (AGE) signaling was assessed by dot blot analysis and mRNA expression of the AGE-receptor (RAGE). Treatment with empagliflozin reduced blood glucose levels, normalized endothelial function (aortic rings) and reduced oxidative stress in aortic vessels (dihydroethidium staining) and in blood (phorbol ester/zymosan A-stimulated chemiluminescence) of diabetic rats. Additionally, the pro-inflammatory phenotype and glucotoxicity (AGE/RAGE signaling) in diabetic animals was reversed by SGLT2i therapy. Empagliflozin improves hyperglycemia and prevents the development of endothelial dysfunction, reduces oxidative stress and improves the metabolic situation in type 1 diabetic rats. These preclinical observations illustrate the therapeutic potential of this new class of antidiabetic drugs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25402275</pmid><doi>10.1371/journal.pone.0112394</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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1932-6203
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subjects Advanced glycosylation end products
Age
Animals
Antidiabetics
Aorta
Benzhydryl Compounds - administration & dosage
Benzhydryl Compounds - pharmacology
Blood
Blood glucose
Blood Glucose - drug effects
Blood vessels
Cardiology
Chemiluminescence
Cytokines - genetics
Cytokines - metabolism
Dehydrogenases
Diabetes
Diabetes Complications - drug therapy
Diabetes Complications - metabolism
Diabetes mellitus
Diabetes Mellitus, Experimental
Diabetes therapy
Diabetic Angiopathies - drug therapy
Diabetic Angiopathies - metabolism
Diabetic neuropathy
Drinking water
Drugs
Enzyme-linked immunosorbent assay
Excretion
Fluorescence
Gene Expression
Glucose
Glucose - metabolism
Glucose transporter
Glucosides - administration & dosage
Glucosides - pharmacology
Glycosylation
Health aspects
Hemodynamics - drug effects
Hyperglycemia
Hypoglycemic agents
Inflammation
Inflammation Mediators - metabolism
Inhibitors
Injection
Insulin
Insulin - blood
Insulin - metabolism
Intravenous administration
Isometric
Laboratory animals
Male
Medicine and Health Sciences
Oxidation
Oxidative stress
Oxidative Stress - drug effects
Pancreas
Polymerase chain reaction
Rats
Receptor for Advanced Glycation End Products
Receptors, Immunologic - metabolism
RNA
RNA, Messenger - genetics
Rodents
Signal Transduction
Signaling
Sodium
Sodium-Glucose Transporter 2 - antagonists & inhibitors
Staining
Streptozocin
Streptozocin - adverse effects
Studies
Type 1 diabetes
Type 2 diabetes
title The sodium-glucose co-transporter 2 inhibitor empagliflozin improves diabetes-induced vascular dysfunction in the streptozotocin diabetes rat model by interfering with oxidative stress and glucotoxicity
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