PMID- 35806147 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220716 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 13 DP - 2022 Jun 27 TI - Blocking of SGLT2 to Eliminate NADPH-Induced Oxidative Stress in Lenses of Animals with Fructose-Induced Diabetes Mellitus. LID - 10.3390/ijms23137142 [doi] LID - 7142 AB - Chronic hyperglycemia triggers an abnormal rise in reactive oxygen species (ROS) that leads to blindness in patients with diabetes mellitus (DM) and cataracts. In this study, the effects of dapagliflozin, metformin and resveratrol on ROS production were investigated in lens epithelial cells (LECs) of animals with fructose-induced DM. LECs were isolated from patients without DM, or with DM devoid of diabetic retinopathy. Animals were treated with 10% fructose for 8 weeks to induce DM, which was verified by monitoring blood pressure and serum parameters. For drug treatments, 1.2 mg/day of dapagliflozin was given for 2 weeks, 500 mg/kg/day of metformin was given, and 10 mg/kg/day of resveratrol was given. Dihydroethidium was used to stain endogenous O(2) (-) production in vivo of the LECs. Superoxide production was expressed in the cataract of DM, or patients without DM. Sodium-glucose cotransporter 2 (SGLT2), glucose transporter 1 (GLUT1), GLUT5, the reduced form of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit p47/p67-phox, NOX4 and RAGE were significantly increased in LECs with DM. In addition, the dapagliflozin treatment reduced GLUT5, p47/p67-phox, NADPH oxidase 4 (NOX4) and receptor for advanced glycation end products (RAGE) expressions. On the contrary, metformin or resveratrol inhibited p47-phox, GLUT5, and SGLT2 expressions, but not nuclear factor erythroid 2-related factor 2 (NRF2). In summary, dapagliflozin, metformin or resveratrol down-regulated p47-phox expression through SGLT2 inactivation and ROS reduction. These important findings imply that SGLT2 can be blocked to ameliorate oxidative stress in the cataracts of DM patients. FAU - Chen, Ying-Ying AU - Chen YY AD - Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. AD - School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan. FAU - Wu, Tsung-Tien AU - Wu TT AD - Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. AD - School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan. FAU - Ho, Chiu-Yi AU - Ho CY AD - Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. AD - Department of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung 80424, Taiwan. FAU - Yeh, Tung-Chen AU - Yeh TC AD - Department of Internal Medicine, Division of Cardiology, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. FAU - Sun, Gwo-Ching AU - Sun GC AUID- ORCID: 0000-0001-7626-8896 AD - Department of Anesthesiology, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. FAU - Tseng, Ching-Jiunn AU - Tseng CJ AD - Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. AD - Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 40402, Taiwan. FAU - Cheng, Pei-Wen AU - Cheng PW AUID- ORCID: 0000-0002-5997-9247 AD - Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. AD - Department of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung 80424, Taiwan. LA - eng GR - KSVGH110-141/Kaohsiung Veterans General Hospital/ PT - Journal Article DEP - 20220627 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Reactive Oxygen Species) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Sodium-Glucose Transporter 2) RN - 30237-26-4 (Fructose) RN - 53-59-8 (NADP) RN - 9100L32L2N (Metformin) RN - EC 1.6.3.- (NADPH Oxidases) RN - Q369O8926L (Resveratrol) SB - IM MH - Animals MH - *Cataract MH - *Diabetes Mellitus MH - Fructose/adverse effects MH - *Metformin/pharmacology MH - NADP/metabolism MH - NADPH Oxidases/metabolism MH - Oxidative Stress MH - Reactive Oxygen Species/metabolism MH - Receptor for Advanced Glycation End Products/metabolism MH - Resveratrol/pharmacology MH - Sodium-Glucose Transporter 2/metabolism PMC - PMC9266761 OTO - NOTNLM OT - NADPH oxidase OT - cataract OT - glucose transporter OT - resveratrol OT - type 2 diabetes mellitus COIS- The authors of this study declare no competing interest. EDAT- 2022/07/10 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/06/27 CRDT- 2022/07/09 01:11 PHST- 2022/05/25 00:00 [received] PHST- 2022/06/20 00:00 [revised] PHST- 2022/06/24 00:00 [accepted] PHST- 2022/07/09 01:11 [entrez] PHST- 2022/07/10 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/06/27 00:00 [pmc-release] AID - ijms23137142 [pii] AID - ijms-23-07142 [pii] AID - 10.3390/ijms23137142 [doi] PST - epublish SO - Int J Mol Sci. 2022 Jun 27;23(13):7142. doi: 10.3390/ijms23137142.