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The Potential Cardio-Protective Effects of Canagliflozin alone and in combination with metformin on Fructose induced Insulin resistance in Rats.

• 2020
العودة
معلومات البحث
المؤلفون Hanan T. Emam*, and Ali B. El-Kawas.
الكلمات المفتاحية Diabetes, Canagliflozin, Metformin, Cardiomyopathy, NF-kB.
المجلة العلمية Not Available
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type International
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
Diabetic cardiovascular complications are a leading cause for increased morbidity and mortality. Diabetic cardiomyopathy is one of these complications which develop independently of coronary artery disease or hypertension. Previous studies stated the potential role of a state of inflammation via upregulation of NF-kB. The extra pancreatic, diuretic effect of canagliflozin, a SGLT2 inhibitor, appears promising in treatment of diabetic cardiomyopathy or reversing cardiovascular side effects of insulin sensitizers. This study was designed to investigate the potential cardio-protective effects of canagliflozin alone and in combination with metformin on fructose induced rat model of insulin resistance. Forty male albino rats were divided into 5 groups: normal control group, non-treated fructose induced diabetic group, canagliflozin treated group (28 mg/kg/day), metformin treated group (250 mg/ kg /day) and canagliflozin+ metformin treated group. All drugs were given p.o. for 4 weeks. Insulin resistance parameters, lipid profile, BP, LV wall thickness, Lead II ECG, histopathological study of the cardiac tissue and GSH and NF-kB concentrations in LV tissue homogenate were investigated. Canagliflozin+ metformin combination showed more significant improvement of electrophysiological and biochemical parameters which were confirmed with histopathological examination than other groups, suggesting a very promising role of this combination in treatment of insulin resistance.