Acarbose reduces Pseudomonas aeruginosa respiratory tract infection in type 2 diabetic mice

Lin Liu1,2,3, Haiyang Fan1,2,3, Liang Li4,5

  • 1Department of Otolaryngology, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, People's Republic of China.

Respiratory Research
|December 15, 2023
PubMed
Abstract

Insights

Acarbose effectively treats Pseudomonas aeruginosa respiratory infections in type 2 diabetes (T2DM) mice by inhibiting key inflammatory pathways. This study supports acarbose

Area of Science:

  • Microbiology
  • Immunology
  • Pharmacology

Background:

  • Type 2 diabetes mellitus (T2DM) increases mortality risk from respiratory tract infections (RTIs), particularly Pseudomonas aeruginosa.
  • Pseudomonas aeruginosa infections in T2DM patients have a high mortality rate and poor prognosis.
  • Acarbose, a T2DM drug, shows potential anti-inflammatory properties.

Purpose of the Study:

  • To investigate the therapeutic effect of acarbose on Pseudomonas aeruginosa RTIs in T2DM.
  • To elucidate the underlying molecular mechanisms of acarbose's action in T2DM and non-diabetic models.

Main Methods:

  • Established a T2DM RTI mouse model using high-fat diet and P. aeruginosa inhalation.
  • Administered acarbose via gavage and evaluated its effects using survival curves, pathological examination, and transcriptomics.
  • Compared outcomes in T2DM and non-diabetic mice.

Main Results:

  • P. aeruginosa RTI severity was greater in T2DM mice, linked to NF-κB and TREM-1 pathway activation.
  • Acarbose treatment inhibited HIF-1α and NF-κB signaling pathways, alleviating RTIs in T2DM mice.
  • In non-diabetic mice, acarbose attenuated RTIs by inhibiting calcium ion and NF-κB signaling.

Conclusions:

  • Acarbose demonstrates an attenuating effect on Pseudomonas aeruginosa RTIs in both T2DM and non-diabetic mice.
  • The study elucidates acarbose's mechanism involving inhibition of specific inflammatory signaling pathways.
  • Findings provide support for acarbose's potential clinical application in related infectious diseases.