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SGLT2 Inhibitor Might Prevent Atrial Fibrillation Related to Metabolic Syndrome via TNF-α Signaling Pathway: A
Ardian Rizal1,2, Mohammad Saifur Rohman1,2, Adhika Prastya2
1Doctoral Program in Medical Science, Faculty of Medicine Universitas Brawijaya Malang East, Java Indonesia.
Sodium-glucose co-transporter 2 (SGLT2) inhibitors may reduce atrial fibrillation (AF) risk in metabolic syndrome (MetS) by targeting the TNF-α signaling pathway. This bioinformatic study identifies key molecular targets involved in AF pathogenesis.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Bioinformatics
Background:
- Metabolic syndrome (MetS) increases atrial fibrillation (AF) risk.
- Sodium-glucose co-transporter 2 (SGLT2) inhibitors show potential in reducing AF risk.
- Mechanisms of SGLT2 inhibitors in MetS-related AF are not fully understood.
Purpose of the Study:
- To elucidate the mechanisms of SGLT2 inhibitors in preventing AF in MetS.
- To identify molecular targets and pathways affected by SGLT2 inhibitors in MetS-related AF.
Main Methods:
- Network pharmacology and bioinformatic analysis were used.
- Public databases (SwissTarget, GeneCards, OMIM, STRING) were utilized.
- Protein-protein interaction (PPI) networks, gene ontology (GO), and KEGG pathway analyses were performed.
Main Results:
- 52 common targets were identified between SGLT2 inhibitors and MetS-related AF.
- TNF-α and AGE-RAGE signaling pathways were highlighted as key mechanisms.
- p38 and JNK within the TNF-α pathway were identified as primary targets for reducing atrial remodeling and fibrosis.
Conclusions:
- SGLT2 inhibitors may mitigate AF in MetS through the TNF-α signaling pathway.
- Targeting TNF-α signaling presents a potential therapeutic strategy for MetS-related AF.
- Further experimental validation is required to confirm these findings.
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