PMID- 25701721 OWN - NLM STAT- MEDLINE DCOM- 20160427 LR - 20220409 IS - 1879-0712 (Electronic) IS - 0014-2999 (Linking) VI - 754 DP - 2015 May 5 TI - Ipragliflozin, an SGLT2 inhibitor, exhibits a prophylactic effect on hepatic steatosis and fibrosis induced by choline-deficient l-amino acid-defined diet in rats. PG - 19-24 LID - S0014-2999(15)00104-1 [pii] LID - 10.1016/j.ejphar.2015.02.009 [doi] AB - Ipragliflozin is a selective sodium glucose cotransporter 2 (SGLT2) inhibitor that increases urinary glucose excretion by inhibiting renal glucose reabsorption and thereby causes a subsequent antihyperglycemic effect. As nonalcoholic fatty liver disease (NAFLD), including nonalcoholic steatohepatitis (NASH), is closely linked to metabolic diseases such as obesity and diabetes, we investigated the effect of ipragliflozin on NAFLD in rats fed a choline-deficient l-amino acid-defined (CDAA) diet. Five weeks after starting the CDAA diet, rats exhibited hepatic triglyceride (TG) accumulation, fibrosis, and mild inflammation. Repeated oral administration of ipragliflozin (3mg/g, once daily for 5 weeks) prevented both hepatic TG accumulation (188 vs.290 mg/g tissue vehicle-treated group; P<0.001) and large lipid droplet formation. Further, ipragliflozin exerted a prophylactic effect on liver fibrosis, as indicated by a marked decrease in hydroxyproline content and fibrosis score. Pioglitazone, which is known to be effective on hepatic fibrosis in CDAA diet-fed rats as well as NASH patients with type 2 diabetes mellitus (T2DM), also exerted a mild prophylactic effect on fibrosis, but not on hepatic TG accumulation or inflammation. In conclusion, ipragliflozin prevented hepatic TG accumulation and fibrosis in CDAA-diet rats. These findings suggest the therapeutic potential of ipragliflozin for patients with NAFLD. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Hayashizaki-Someya, Yuka AU - Hayashizaki-Someya Y AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. Electronic address: yuka.hayashizaki@astellas.com. FAU - Kurosaki, Eiji AU - Kurosaki E AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. FAU - Takasu, Toshiyuki AU - Takasu T AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. FAU - Mitori, Hikaru AU - Mitori H AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. FAU - Yamazaki, Shunji AU - Yamazaki S AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. FAU - Koide, Kumi AU - Koide K AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. FAU - Takakura, Shoji AU - Takakura S AD - Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Ibaraki 305-8585, Japan. LA - eng PT - Journal Article DEP - 20150219 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 0 (Amino Acids) RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Thiazolidinediones) RN - 0 (Thiophenes) RN - 0 (Triglycerides) RN - 3N2N8OOR7X (ipragliflozin) RN - RMB44WO89X (Hydroxyproline) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Amino Acids/pharmacology MH - Animals MH - Choline Deficiency/complications/*drug therapy/pathology MH - Food, Formulated/*adverse effects MH - Glucosides/*pharmacology/therapeutic use MH - Hydroxyproline/metabolism MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Inflammation/chemically induced/complications/prevention & control MH - Liver Cirrhosis/chemically induced/complications/pathology/*prevention & control MH - Male MH - Non-alcoholic Fatty Liver Disease/chemically induced/complications/metabolism/*prevention & control MH - Pioglitazone MH - Rats MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Thiazolidinediones/therapeutic use MH - Thiophenes/*pharmacology/therapeutic use MH - Triglycerides/metabolism OTO - NOTNLM OT - Choline-deficient and amino acid-defined diet OT - Ipragliflozin l-proline (PubChem CID: 57339444) OT - Nonalcoholic fatty liver disease OT - Nonalcoholic steatohepatitis OT - Pioglitazone (PubChem CID: 4829) OT - SGLT2 inhibitor EDAT- 2015/02/24 06:00 MHDA- 2016/04/28 06:00 CRDT- 2015/02/22 06:00 PHST- 2014/10/14 00:00 [received] PHST- 2015/02/03 00:00 [revised] PHST- 2015/02/10 00:00 [accepted] PHST- 2015/02/22 06:00 [entrez] PHST- 2015/02/24 06:00 [pubmed] PHST- 2016/04/28 06:00 [medline] AID - S0014-2999(15)00104-1 [pii] AID - 10.1016/j.ejphar.2015.02.009 [doi] PST - ppublish SO - Eur J Pharmacol. 2015 May 5;754:19-24. doi: 10.1016/j.ejphar.2015.02.009. Epub 2015 Feb 19.