PMID- 37895841 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231030 IS - 1424-8247 (Print) IS - 1424-8247 (Electronic) IS - 1424-8247 (Linking) VI - 16 IP - 10 DP - 2023 Sep 27 TI - Dapagliflozin/Hesperidin Combination Mitigates Lipopolysaccharide-Induced Alzheimer's Disease in Rats. LID - 10.3390/ph16101370 [doi] LID - 1370 AB - Alzheimer's disease (AD) is the most common form of neurodegenerative disorders worldwide. Its pathologic features include massive neuroinflammation with abnormal deposition of beta-amyloid peptide in the cerebral tissues leading to degeneration of the brain neurons. Adverse effects associated with the traditional drugs used for the treatment of this pathological condition have directed the research efforts towards searching for alternative effective agents with minimal adverse effects. The aim of this study was to elucidate the potential ameliorative effects of dapagliflozin and/or hesperidin on Alzheimer's disease (AD) induced by lipopolysaccharide (LPS) injection in rats. In a rodent model of AD, the effect of dapagliflozin with or without hesperidin on the biochemical parameters and the behavioral tests as well as the histopathological parameters was determined. Each of dapagliflozin and hesperidin restored the behavioral tests to the reference values, augmented the antioxidant defense mechanisms, ameliorated the neuronal inflammatory responses, combatted the changes in Toll-like receptor-4 (TLR-4)/High-mobility group box 1 (HMGB1) protein signaling and receptors of advanced glycation end products (RAGE) levels, and restored the balance between the apoptotic signals and autophagy in the hippocampal tissues. Additionally, both agents exhibited an outstanding ability to combat LPS-induced perturbations in the histopathological and electron microscopic image of the brain tissues. These favorable effects were significantly encountered in the group treated with dapagliflozin/hesperidin combination when compared versus animals treated with either dapagliflozin or hesperidin. In conclusion, inhibition of the hippocampal HMGB1/TLR4/RAGE signaling, the pro-inflammatory axis, and apoptosis alongside augmentation of the antioxidant defenses and autophagy can be regarded as beneficial effects by which dapagliflozin/hesperidin combination may combat LPS-triggered AD. FAU - Abd Elmaaboud, Maaly A AU - Abd Elmaaboud MA AD - Department of Pharmacology, Faculty of Medicine, Tanta University, Tanta 31527, Egypt. FAU - Estfanous, Remon S AU - Estfanous RS AD - Anatomy and Embryology Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt. FAU - Atef, Aliaa AU - Atef A AD - Department of Pathology, Faculty of Medicine, Tanta University, Tanta 31527, Egypt. FAU - Kabel, Ahmed M AU - Kabel AM AUID- ORCID: 0000-0002-5101-8011 AD - Department of Pharmacology, Faculty of Medicine, Tanta University, Tanta 31527, Egypt. FAU - Alnemari, Khalid A AU - Alnemari KA AD - Taif Medical Center, Taif 26526, Saudi Arabia. FAU - Naguib, Tamer M AU - Naguib TM AUID- ORCID: 0000-0001-6676-3180 AD - Anesthesia and ICU Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt. FAU - Alsufyani, Shuruq E AU - Alsufyani SE AUID- ORCID: 0000-0002-5567-6169 AD - Department of Pharmacology and Toxicology, College of Pharmacy, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia. FAU - Darwish, Hany W AU - Darwish HW AD - Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia. FAU - Arab, Hany H AU - Arab HH AUID- ORCID: 0000-0002-4195-6901 AD - Department of Pharmacology and Toxicology, College of Pharmacy, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia. AD - Department of Biochemistry, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt. LA - eng GR - RSPD2023R812/King Saud University, Riyadh, Saudi Arabia/ PT - Journal Article DEP - 20230927 PL - Switzerland TA - Pharmaceuticals (Basel) JT - Pharmaceuticals (Basel, Switzerland) JID - 101238453 PMC - PMC10609711 OTO - NOTNLM OT - Alzheimer's disease OT - apoptosis OT - autophagy OT - dapagliflozin OT - hesperidin OT - inflammatory cascade OT - lipopolysaccharide OT - oxidative stress OT - rats COIS- The authors declare no conflict of interest. EDAT- 2023/10/28 11:44 MHDA- 2023/10/28 11:45 PMCR- 2023/09/27 CRDT- 2023/10/28 01:24 PHST- 2023/07/29 00:00 [received] PHST- 2023/09/19 00:00 [revised] PHST- 2023/09/24 00:00 [accepted] PHST- 2023/10/28 11:45 [medline] PHST- 2023/10/28 11:44 [pubmed] PHST- 2023/10/28 01:24 [entrez] PHST- 2023/09/27 00:00 [pmc-release] AID - ph16101370 [pii] AID - pharmaceuticals-16-01370 [pii] AID - 10.3390/ph16101370 [doi] PST - epublish SO - Pharmaceuticals (Basel). 2023 Sep 27;16(10):1370. doi: 10.3390/ph16101370.