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Effect of phlorizin on SGLT2 expression in the kidney of diabetic rats
Horacio Osorio1, Rocío Bautista, Amelia Rios
1Department of Molecular Biomedicine, Center for Advanced Research and Study of the National Polytechnical Institute (CINVESTAV) Mexico City, Mexico.
Background:
The purpose of our study was to determine whether increased SGLT2 expression in the kidney of diabetic rats was associated with the development of hypertension and to investigate the effect of phlorizin (P) on blood pressure and SGLT2 expression in diabetic rats.
Methods:
The animals were divided into two groups: Control (C) and streptozotocin-induced diabetic (D) rats were used to evaluate SGLT2 activity in brush border membrane vesicles (BBMV) using a rapid filtration technique. Others animals were divided into two groups: Normal (NSD) or high salt diet (4%)(HSD), and subdivided in four groups: C, C+P, D, D+P. Systolic blood pressure (SBP) was recorded for 30 days by the use of a telemetric system and at day 30 urine samples (24 h) were collected to evaluate renal function and SGLT2 expression in the renal cortex.
Results:
At day 30, diabetic animals with NSD or HSD exhibited hyperglycemia, lower body weight, glycosuria, diuresis, decrease natriuresis, increased SBP values and SGLT2 expression. In diabetic rats, phlorizin treatment decreased hyperglycemia and prevented development of hypertension, decreased SGLT2 activity in BBMV but did not modify SGLT2 expression.
Conclusions:
In conclusion, SGLT2 inhibition prevented the development of hypertension in diabetic rats as well as hyperglycemia, suggesting a hypertensive mechanism associated with SGLT2 activity and the likelihood that increased SGLT2 expression may be associated with progression of diabetic renal complications.
Insights
Increased kidney SGLT2 expression is linked to hypertension in diabetic rats. Phlorizin treatment, an SGLT2 inhibitor, reduced blood pressure and hyperglycemia, suggesting SGLT2 plays a role in diabetic hypertension.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetes mellitus is associated with renal complications and hypertension.
- Sodium-glucose cotransporter 2 (SGLT2) plays a role in glucose reabsorption in the kidneys.
- Elevated SGLT2 expression in diabetic kidneys may contribute to hypertension.
Purpose of the Study:
- To determine if increased kidney SGLT2 expression correlates with hypertension in diabetic rats.
- To investigate the impact of phlorizin (P), an SGLT2 inhibitor, on blood pressure and SGLT2 expression in diabetic rats.
Main Methods:
- Streptozotocin-induced diabetic rats were used, with groups receiving normal or high salt diets, and some treated with phlorizin.
- Systolic blood pressure was monitored telemetrically over 30 days.
- Renal function and SGLT2 expression in the renal cortex were assessed.
Main Results:
- Diabetic rats exhibited hyperglycemia, glycosuria, diuresis, and increased systolic blood pressure and SGLT2 expression.
- Phlorizin treatment in diabetic rats lowered blood glucose and prevented hypertension development.
- Phlorizin decreased SGLT2 activity but did not alter SGLT2 expression levels.
Conclusions:
- SGLT2 inhibition effectively prevented hypertension and hyperglycemia in diabetic rats.
- These findings suggest a hypertensive mechanism linked to SGLT2 activity.
- Increased SGLT2 expression may be associated with the progression of diabetic kidney disease.
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