SGLT2 inhibitor, canagliflozin, ameliorates cardiac inflammation in experimental autoimmune myocarditis

被引:33
作者
Long, Qi [1 ]
Li, Lixia [1 ]
Yang, Hongmin [1 ]
Lu, Yang [1 ]
Yang, Han [1 ]
Zhu, Yaoxi [1 ]
Tang, Yaohan [1 ]
Liu, Changhu [1 ]
Yuan, Jing [1 ]
机构
[1] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Cardiol, Jie Fang Ave 1277, Wuhan 430022, Peoples R China
关键词
Canagliflozin; SGLT2i; Myocarditis; NLRP3; inflammasome; Th17 cell differentiation; Apoptosis; ACTIVATION; CARDIOMYOPATHY; INTERLEUKIN-1; APOPTOSIS; PROTECTS; DEATH; CELLS;
D O I
10.1016/j.intimp.2022.109024
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Myocarditis is an inflammatory cardiovascular disease which contributes to dilated cardiomyopathy (DCM) and heart failure. Canagliflozin (CANA) exerts anti-inflammatory and cardioprotective effects in heart failure besides its hypoglycemic effect. However, the role of CANA in myocarditis has not been elucidated. In this work, CANA treatment markedly alleviated cardiac inflammation and improved cardiac function in experimental autoimmune myocarditis (EAM) mice induced by a-myosin-heavy chain peptides. The expressions of NLRP3 inflammasome complexes (NLRP3, ASC, and Caspase-1) and their downstream molecules (IL-113, IL-18) were significantly downregulated by CANA, accompanied with reduced Th17 cell infiltration in hearts. Furthermore, Bax/Bcl-2 ratio, Cleaved Caspase-3 protein level and the percentage of TUNEL-positive myocardial cells, which usually indicated apoptosis, were reduced by CANA treatment. These findings suggest CANA could be a valuable medication for myocarditis treatment.
引用
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页数:10
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