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Published on: May 16, 2021
Effects of luseogliflozin treatment on hyperglycemia-induced muscle atrophy in rats
Keyu Xie1, Ken Sugimoto2, Minoru Tanaka1,3,4
1Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan.
Abstract:
Diabetes mellitus is recognized as a risk factor for sarcopenia. Luseogliflozin, a selective sodium-glucose cotransporter 2 (SGLT2) inhibitor, reduces inflammation and oxidative stress by improving hyperglycemia, subsequently improving hepatosteatosis or kidney dysfunction. However, the effects of SGLT2 inhibitor on the regulation of skeletal muscle mass or function in hyperglycemia are still unknown. In this study, we investigated the effects of luseogliflozin-mediated attenuation of hyperglycemia on the prevention of muscle atrophy. Twenty-four male Sprague-Dawley rats were randomly divided into four groups: control, control with SGLT2 inhibitor treatment, hyperglycemia, and hyperglycemia with SGLT2 inhibitor treatment. The hyperglycemic rodent model was established using a single injection of streptozotocin, a compound with preferential toxicity toward pancreatic beta cells. Muscle atrophy in streptozotocin-induced hyperglycemic model rats was inhibited by the suppression of hyperglycemia using luseogliflozin, which consequently suppressed hyperglycemia-mediated increase in the levels of advanced glycation end products (AGEs) and activated the protein degradation pathway in muscle cells. Treatment with luseogliflozin can restore the hyperglycemia-induced loss in the muscle mass to some degree partly through the inhibition of AGEs-induced or homeostatic disruption of mitochondria-induced activation of muscle degradation.
Insights
Luseogliflozin, an SGLT2 inhibitor, prevents muscle atrophy in diabetes by controlling hyperglycemia. This treatment reduces advanced glycation end products and inhibits muscle degradation pathways, preserving skeletal muscle mass.
Area of Science:
- Endocrinology
- Metabolism
- Muscle Physiology
Background:
- Diabetes mellitus is a known risk factor for sarcopenia.
- Selective sodium-glucose cotransporter 2 (SGLT2) inhibitors like luseogliflozin improve hyperglycemia, reducing inflammation and oxidative stress.
- The impact of SGLT2 inhibitors on skeletal muscle mass and function in hyperglycemia remains unclear.
Purpose of the Study:
- To investigate the effects of luseogliflozin on preventing muscle atrophy in a rodent model of hyperglycemia.
- To determine if luseogliflozin-mediated attenuation of hyperglycemia impacts skeletal muscle regulation.
Main Methods:
- A hyperglycemic rodent model was established using streptozotocin.
- Rats were divided into four groups: control, control with SGLT2 inhibitor, hyperglycemia, and hyperglycemia with SGLT2 inhibitor.
- Muscle atrophy was assessed in relation to hyperglycemia suppression by luseogliflozin.
Main Results:
- Luseogliflozin treatment inhibited muscle atrophy in streptozotocin-induced hyperglycemic rats.
- The drug suppressed hyperglycemia-mediated increases in advanced glycation end products (AGEs).
- Luseogliflozin treatment inhibited the activation of the protein degradation pathway in muscle cells.
Conclusions:
- Luseogliflozin can prevent muscle atrophy associated with hyperglycemia.
- The protective effect is partly mediated by inhibiting AGEs and mitigating mitochondrial dysfunction-induced muscle degradation.
- SGLT2 inhibition shows potential for preserving skeletal muscle mass in diabetic conditions.
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