Canagliflozin protects against hyperglycemia-induced cerebrovascular injury by preventing blood-brain barrier (BBB) disruption via AMPK/Sp1/adenosine A2A receptor

Copyright © 2024 Elsevier B.V. All rights reserved..

Diabetes mellitus causes brain microvascular endothelial cell (MEC) damage, inducing dysfunctional angiogenic response and disruption of the blood-brain barrier (BBB). Canagliflozin is a revolutionary hypoglycemic drug that exerts neurologic and/or vascular-protective effects beyond glycemic control; however, its underlying mechanism remains unclear. In the present study, we hypothesize that canagliflozin ameliorates BBB permeability by preventing diabetes-induced brain MEC damage. Mice with high-fat diet/streptozotocin-induced diabetes received canagliflozin for 8 weeks. We assessed vascular integrity by measuring cerebrovascular neovascularization indices. The expression of specificity protein 1 (Sp1), as well as tight junction proteins (TJs), phosphorylated AMP-activated protein kinase (p-AMPK), and adenosine A2A receptors was examined. Mouse brain MECs were grown in high glucose (30 mM) to mimic diabetic conditions. They were treated with/without canagliflozin and assessed for migration and angiogenic ability. We also performed validation studies using AMPK activator (AICAR), inhibitor (Compound C), Sp1 small interfering RNA (siRNA), and adenosine A2A receptor siRNA. We observed that cerebral pathological neovascularization indices were significantly normalized in mice treated with canagliflozin. Increased Sp1 and adenosine A2A receptor expression and decreased p-AMPK and TJ expression were observed under diabetic conditions. Canagliflozin or AICAR treatment alleviated these changes. However, this alleviation effect of canagliflozin was diminished again after Compound C treatment. Either Sp1 siRNA or adenosine A2A receptor siRNA could increase the expression of TJs. Luciferase reporter assay confirmed that Sp1 could bind to the adenosine A2A receptor gene promoter. Our study identifies the AMPK/Sp1/adenosine A2A receptor pathway as a treatment target for diabetes-induced cerebrovascular injury.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:968

Enthalten in:

European journal of pharmacology - 968(2024) vom: 05. März, Seite 176381

Sprache:

Englisch

Beteiligte Personen:

Liu, Zhiyi [VerfasserIn]
Hua, Wei [VerfasserIn]
Jin, Sinan [VerfasserIn]
Wang, Yueying [VerfasserIn]
Pang, Yuxin [VerfasserIn]
Wang, Benshuai [VerfasserIn]
Zhao, Nan [VerfasserIn]
Song, Yuejia [VerfasserIn]
Qi, Jiping [VerfasserIn]

Links:

Volltext

Themen:

0SAC974Z85
AMP-Activated Protein Kinases
AMP-Activated protein kinase
Angiogenesis
Blood-brain barrier
Canagliflozin
Diabetes
EC 2.7.11.31
Journal Article
RNA, Small Interfering
Receptor, Adenosine A2A
Sp1

Anmerkungen:

Date Completed 11.03.2024

Date Revised 11.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejphar.2024.176381

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368305937