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.

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.

Related Concept Videos

Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a...
216
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
241
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
306
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
372