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Empagliflozin and pirfenidone confer renoprotection through suppression of glycogen synthase kinase-3β and promotion of tubular regeneration in rats with induced metabolic syndrome
Faculty
Pharmacy
Year:
2024
Type of Publication:
ZU Hosted
Pages:
Authors:
Hoda Alsayed Mohammid
Staff Zu Site
Abstract In Staff Site
Journal:
Toxicology and Applied Pharmacology ُُElsevier
Volume:
Keywords :
Empagliflozin , pirfenidone confer renoprotection through suppression
Abstract:
Metabolic syndrome (MetS) is largely coupled with chronic kidney disease (CKD). Glycogen synthase kinase-3β (GSK-3β) pathway drives tubular injury in animal models of acute kidney injury; but its contribution in CKD is still elusive. This study investigated the effect empagliflozin and/or pirfenidone against MetS-induced kidney dysfunction, and to clarify additional underpinning mechanisms particularly the GSK-3β signaling pathway. Adult male rats received 10%w/v fructose in drinking water for 20 weeks to develop MetS, then treated with either drug vehicle, empagliflozin (30 mg/kg/day) and/or pirfenidone (100 mg/kg/day) via oral gavage for subsequent 4 weeks, concurrently with the high dietary fructose. Age-matched rats receiving normal drinking water were used as controls. After 24 weeks, blood and kidneys were harvested for subsequent analyses. Rats with MetS showed signs of kidney dysfunction, structural changes and interstitial fibrosis. Activation of GSK-3β, decreased cyclinD1 expression and enhanced apoptotic signaling were found in kidneys of MetS rats. There was abundant alpha-smooth muscle actin (α-SMA) expression along with up-regulation of TGF-β1/Smad3 in kidneys of MetS rats. These derangements were almost alleviated by empagliflozin or pirfenidone, with evidence that the combined therapy was more effective than either individual drug. This study emphasizes a novel mechanism underpinning the beneficial effects of empagliflozin and pirfenidone on kidney dysfunction associated with MetS through targeting GSK-3β signaling which can mediate the regenerative capacity, anti-apoptotic effects and anti-fibrotic properties of such drugs. These findings recommend the possibility of using empagliflozin and pirfenidone as promising therapies for management of CKD in patients with MetS.
Author Related Publications
Hoda Alsayed Mohammid, "Effect of vitamin a enriched diet on lipid metabolism in Rats.", لايوجد, 1900
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Hoda Alsayed Mohammid, "Comparative study of hepato-renal toxicity of some cephalosporin in rats", لايوجد, 1900
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Hoda Alsayed Mohammid, "Biochemical efficacy of some natural products ", لايوجد, 1900
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Hoda Alsayed Mohammid, "Effect of korena ginseng extract on some biochemical blood constituents in experimental diabetes", لايوجد, 1900
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Hoda Alsayed Mohammid, "Effect of vitamin a on cyclosporine nephro-toxicity in uninephrectomized rats", لايوجد, 1900
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