PMID- 27833913 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 3 DP - 2016 TI - Glycemic Control with Ipragliflozin, a Novel Selective SGLT2 Inhibitor, Ameliorated Endothelial Dysfunction in Streptozotocin-Induced Diabetic Mouse. PG - 43 LID - 43 AB - BACKGROUND: Endothelial dysfunction caused by increased oxidative stress is a critical initiator of macro- and micro-vascular disease development in diabetic patients. Ipragliflozin, a selective sodium-glucose cotransporter 2 (SGLT2) inhibitor, offers a novel approach for the treatment of diabetes by enhancing urinary glucose excretion. The aim of this study was to examine whether ipragliflozin attenuates endothelial dysfunction in diabetic mice. METHODS: Eight-week-old male C57BL/6 mice were treated with streptozotocin (150 mg/kg) by a single intraperitoneal injection to induce diabetes mellitus. At 3 days of injection, ipragliflozin (3 mg/kg/day) was administered via gavage for 3 weeks. Vascular function was assessed by isometric tension recording. Human umbilical vein endothelial cells (HUVEC) were used for in vitro experiments. RNA and protein expression were examined by quantitative RT-PCR (qPCR) and western blot, respectively. Oxidative stress was determined by measuring urine 8-hydroxy-2'-deoxyguanosine (8-OHdG) level. RESULTS: Ipragliflozin administration significantly reduced blood glucose level (P < 0.001) and attenuated the impairment of endothelial function in diabetic mice, as determined by acetylcholine-dependent vasodilation (P < 0.001). Ipragliflozin did not alter metabolic parameters, such as body weight and food intake. Ipragliflozin administration ameliorated impaired phosphorylation of Akt and eNOS(Ser1177) in the abdominal aorta and reduced reactive oxygen species generation as determined by urinary excretion of 8-OHdG in diabetic mice. Furthermore, qPCR analyses demonstrated that ipragliflozin decreased the expression of inflammatory molecules [e.g., monocyte chemoattractant protein-1 (MCP-1) vascular cell adhesion molecule-1 (VCAM-1), and intercellular adhesion molecule (ICAM)-1] in the abdominal aorta (P < 0.05). In in vitro studies, incubation with methylglyoxal, one of the advanced glycation end products, significantly impaired phosphorylation of Akt and eNOS(Ser1177) (P < 0.01) and increased the expression of MCP-1, VCAM-1, and ICAM-1 in HUVEC. CONCLUSION: Ipragliflozin improved hyperglycemia and prevented the development of endothelial dysfunction under a hyperglycemic state, at least partially by attenuation of oxidative stress. FAU - Salim, Hotimah Masdan AU - Salim HM AD - Department of Cardiovascular Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School , Tokushima , Japan. FAU - Fukuda, Daiju AU - Fukuda D AD - Department of Cardiovascular Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School , Tokushima , Japan. FAU - Yagi, Shusuke AU - Yagi S AD - Department of Cardiovascular Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School , Tokushima , Japan. FAU - Soeki, Takeshi AU - Soeki T AD - Department of Cardiovascular Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School , Tokushima , Japan. FAU - Shimabukuro, Michio AU - Shimabukuro M AD - Department of Cardio-Diabetes Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School , Tokushima , Japan. FAU - Sata, Masataka AU - Sata M AD - Department of Cardiovascular Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School , Tokushima , Japan. LA - eng PT - Journal Article DEP - 20161026 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC5080286 OTO - NOTNLM OT - SGLT2 inhibitor OT - endothelial function OT - hyperglycemia OT - inflammation OT - oxidative stress EDAT- 2016/11/12 06:00 MHDA- 2016/11/12 06:01 PMCR- 2016/01/01 CRDT- 2016/11/12 06:00 PHST- 2016/07/22 00:00 [received] PHST- 2016/10/10 00:00 [accepted] PHST- 2016/11/12 06:00 [entrez] PHST- 2016/11/12 06:00 [pubmed] PHST- 2016/11/12 06:01 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2016.00043 [doi] PST - epublish SO - Front Cardiovasc Med. 2016 Oct 26;3:43. doi: 10.3389/fcvm.2016.00043. eCollection 2016.