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Fundamental and Clinical Pharmacology WILEY
Fundamental and Clinical Pharmacology WILEY
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Abstract: |
The current study was conducted to investigate the nephroprotective effects
of vildagliptin–metformin combination in an experimental model of fructose/
salt-induced metabolic syndrome (MetS). A major aim was to evaluate
the potential capacity of vitamin D3 to potentiate the pleiotropic
nephroprotective effects of vildagliptin–metformin combination. MetS was
induced in adult male Wistar rats by adding fructose (10%) to everyday
drinking water and salt (3%) to the diet for 6 weeks. Along with the same
concentrations of fructose/salt feeding, MetS rats were then treated orally
with either vildagliptin (10 mg/kg/day)–metformin (200 mg/kg/day) combination, vitamin D3 (10 μg/kg/day), or the triple therapy for a further 6 weeks.
The incidence of MetS was confirmed 6 weeks after fructose/salt
consumption, when the rats exhibited significant weight gain, dyslipidemia,
hyperuricemia, insulin resistance, hyperinsulinemia, and impaired glucose
tolerance. At the end of the 12-week experimental period, MetS rats
displayed significantly deteriorated renal function, enhanced intrarenal
oxidative stress and inflammation together with exaggerated renal histopathological damages and interstitial fibrosis. The study has corroborated
antioxidant, anti-inflammatory, and antifibrotic effects of vildagliptin–
metformin combination, vitamin D3, and the triple collaborative therapy, conferring renoprotection in the setting of MetS. Due attention has been paid to
the crucial role of dipeptidyl peptidase-4 inhibition and sirtuin-1/50 adenosine
monophosphate-activated protein kinase activation as novel therapeutic
targets to optimize renoprotection. The apparent potentiating effect, evoked
upon coadministration of vitamin D3 with vildagliptin–metformin combination, may provide a cornerstone for further clinical investigations.
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