A novel therapeutic combination of dapagliflozin, Lactobacillus and crocin attenuates diabetic cardiomyopathy in rats : Role of oxidative stress, gut microbiota, and PPARγ activation

Copyright © 2022 Elsevier B.V. All rights reserved..

AIMS: Diabetic cardiomyopathy is diagnosed by the development of abnormality in the structure and performance of myocardium in diabetic mellitus (DM) patients. Recent studies reported the association between altered gut microbiota and metabolic disorders like diabetes and cardiovascular diseases. Here, we aimed to investigate the gut-heart axis in an experimental animal model where we developed a novel therapeutic combination of dapagliflozin, crocin prebiotic and Lactobacilli probiotic to correct induced diabetic cardiomyopathy.

MATERIALS AND METHODS: Diabetes mellitus was induced by Intraperitoneal (i.p) streptozotocin in male rats. The experimental design includes the administration of the tested drugs (Crocin, Dapagliflozin) solely and with Lactobacillus, or in combination therapy with and without Lactobacillus to the diabetic rats for six weeks. Clinical and microscopic evaluation scoring for cardiac tissues were determined. Biochemical markers including blood glucose level, adiponectin, resistin, cardiac injury markers, lipid profile, antioxidant enzymes, pro and anti-inflammatory markers were assessed. In addition, quantitative relative expression of PPARγ and TXINP genes and capsase-3 levels were measured. The change in the microbiota abundance was investigated using real-time PCR.

KEY FINDINGS: This study demonstrated the synergistic effect of the triple combination; dapagliflozin, crocin prebiotic, and Lactobacillus fermentum and Lactobacillus delbrueckii probiotic in treating diabetic cardiomyopathy in rats. The triple combination significantly reduced the oxidative, inflammatory, apoptotic activities induced by streptozotocin STZ and helped in restoring the symbiotic gut microbiota.

SIGNIFICANCE: It is worthy to perform this study in clinical trials as a primary step to include crocin and Lactobacilli in the therapeutic protocols of diabetic cardiomyopathy.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:931

Enthalten in:

European journal of pharmacology - 931(2022) vom: 15. Sept., Seite 175172

Sprache:

Englisch

Beteiligte Personen:

Khalaf, Eman M [VerfasserIn]
Hassan, Hanan M [VerfasserIn]
El-Baz, Ahmed M [VerfasserIn]
Shata, Ahmed [VerfasserIn]
Khodir, Ahmed E [VerfasserIn]
Yousef, Mahmoud E [VerfasserIn]
Elgharabawy, Rehab Mohamed [VerfasserIn]
Nouh, Nehal A [VerfasserIn]
Saleh, Safaa [VerfasserIn]
Bin-Meferij, Mashael M [VerfasserIn]
El-Kott, Attalla F [VerfasserIn]
El-Sokkary, Mohamed M A [VerfasserIn]
Eissa, Hanan [VerfasserIn]

Links:

Volltext

Themen:

1ULL0QJ8UC
36-88-4
5W494URQ81
877GWI46C2
Benzhydryl Compounds
Cardiomyopathy
Carotenoids
Crocin
Dapagliflozin
Diabetes
Glucosides
Gut microbiota
Journal Article
Lactobacillus
PPAR gamma
Streptozocin

Anmerkungen:

Date Completed 07.09.2022

Date Revised 08.09.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejphar.2022.175172

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344640043