Neuroprotective effects of Canagliflozin: Lessons from aged genetically diverse UM-HET3 mice

Hashan S M Jayarathne1, Lucas K Debarba1, Jacob J Jaboro1

  • 1Department of Biological Sciences, IBio (Integrative Biosciences Center), Wayne State University, Detroit, Michigan, USA.

Aging Cell
|June 16, 2022
PubMed

Insights

Canagliflozin (Cana) improved brain insulin sensitivity and reduced neuroinflammation in aged male mice, offering potential neuroprotective effects. This diabetes drug showed sex-specific benefits, impacting cognitive function and activity in males more than females.

Area of Science:

  • Neuroscience
  • Endocrinology
  • Gerontology

Background:

  • Aging brains exhibit increased neuroinflammation and insulin resistance, linked to cognitive decline and neurodegeneration.
  • The anti-diabetic drug Canagliflozin (Cana), a sodium-glucose transporter 2 inhibitor, previously showed lifespan extension in male mice.
  • Aged male mice exhibit more pronounced neuroimmune responses compared to aged females.

Purpose of the Study:

  • To investigate the sex-specific effects of Canagliflozin on neuroinflammation and insulin sensitivity in the aging brain.
  • To determine if Cana treatment can mitigate age-associated changes in the hypothalamus and hippocampus.
  • To explore the correlation between molecular changes in microglia and behavioral improvements.

Main Methods:

  • Treatment of 30-month-old male and female mice with Canagliflozin.
  • Assessment of central insulin sensitivity in the hypothalamus and hippocampus.
  • Analysis of hypothalamic and hippocampal gliosis (microgliosis and astrogliosis).
  • Measurement of inflammatory cytokine production by microglia.
  • Evaluation of S6 kinase phosphorylation in microglia.
  • Behavioral testing of exploratory and locomotor activity.

Main Results:

  • Canagliflozin treatment significantly improved central insulin sensitivity in the hypothalamus and hippocampus of aged male mice.
  • Both male and female mice showed reduced hypothalamic gliosis and inflammatory cytokine production after Cana treatment.
  • In the hippocampus, Cana reduced microgliosis and astrogliosis in males, but not in females.
  • Reduced microgliosis in males was partially correlated with decreased S6 kinase phosphorylation in microglia.
  • Canagliflozin improved exploratory and locomotor activity in aged male mice, but not in females.

Conclusions:

  • Canagliflozin demonstrates sex-specific neuroprotective effects in the aging brain, primarily in males.
  • The drug improves insulin responsiveness and reduces neuroinflammation, particularly in the male hypothalamus and hippocampus.
  • These findings suggest Canagliflozin as a potential therapeutic agent for age-related cognitive impairment and neurodegenerative diseases, with a notable sex-specific efficacy.

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