PMID- 38382536 OWN - NLM STAT- MEDLINE DCOM- 20240223 LR - 20240409 IS - 1440-1681 (Electronic) IS - 0305-1870 (Linking) VI - 51 IP - 4 DP - 2024 Apr TI - Dapagliflozin alleviates high glucose-induced injury of endothelial cells via inducing autophagy. PG - e13846 LID - 10.1111/1440-1681.13846 [doi] AB - Hyperglycaemia is a key factor in the progression of diabetes complications. Dapagliflozin (DAPA), a new type of hypoglycaemic agent, has been shown to play an important role in anti-apoptotic, anti-inflammatory and antioxidant activities. Previous studies have demonstrated an endothelial protective effect of DAPA, but the underlying mechanism was still unclear. Autophagy is a homeostatic cellular mechanism that circulates unfolded proteins and damaged organelles through lysosomal dependent degradation. In this study, we aimed to investigate whether DAPA plays a protective role against high glucose (HG)-induced endothelial injury through regulating autophagy. The results showed that DAPA treatment resulted in increased cell viability. Additionally, DAPA treatment decreased interleukin (IL)-1beta, IL-6, and tumour necrosis factor-alpha levels in endothelial cells subjected to HG conditions. We observed that HG inhibited autophagy, and DAPA increased the autophagy level by inhibiting the protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signalling pathway. Chloroquine reversed all of these beneficial effects as an autophagy inhibitor. In summary, the endothelial protective effect of DAPA in HG can be attributed in part to its role in activating of autophagy via the AKT/mTOR signalling pathway. Therefore, suggesting that the activation of autophagy by DAPA may be a novel target for the treatment of HG-induced endothelial cell injury. CI - (c) 2024 John Wiley & Sons Australia, Ltd. FAU - Li, Gen AU - Li G AD - Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. FAU - Hou, Ningxin AU - Hou N AD - Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. FAU - Liu, Huagang AU - Liu H AD - Department of Vascular Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China. FAU - Li, Jun AU - Li J AD - Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. FAU - Deng, Hongping AU - Deng H AD - Department of Vascular Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China. FAU - Lan, Hongwen AU - Lan H AD - Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. FAU - Xiong, Sizheng AU - Xiong S AD - Department of Vascular Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China. LA - eng GR - WCYY2022Y03/Scientific Research Innovation Fund Project of Wuhan Wuchang Hospital/ GR - 2021KFY053/Hubei Province Key Laboratory Open Project/ GR - 413000723/Fundamental Research Funds for the Central Universities/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Clin Exp Pharmacol Physiol JT - Clinical and experimental pharmacology & physiology JID - 0425076 RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - 1ULL0QJ8UC (dapagliflozin) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - IY9XDZ35W2 (Glucose) RN - 0 (Benzhydryl Compounds) RN - 0 (Glucosides) SB - IM MH - Humans MH - *Proto-Oncogene Proteins c-akt/metabolism MH - Human Umbilical Vein Endothelial Cells MH - *Autophagy MH - TOR Serine-Threonine Kinases/metabolism MH - Glucose/metabolism MH - *Benzhydryl Compounds MH - *Glucosides OTO - NOTNLM OT - AKT/mTOR signalling pathway OT - autophagy OT - dapagliflozin OT - human umbilical vein endothelial cells EDAT- 2024/02/22 00:42 MHDA- 2024/02/23 06:43 CRDT- 2024/02/21 18:43 PHST- 2024/01/03 00:00 [revised] PHST- 2023/10/30 00:00 [received] PHST- 2024/01/29 00:00 [accepted] PHST- 2024/02/23 06:43 [medline] PHST- 2024/02/22 00:42 [pubmed] PHST- 2024/02/21 18:43 [entrez] AID - 10.1111/1440-1681.13846 [doi] PST - ppublish SO - Clin Exp Pharmacol Physiol. 2024 Apr;51(4):e13846. doi: 10.1111/1440-1681.13846.