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中国临床药理学与治疗学 ›› 2023, Vol. 28 ›› Issue (3): 257-265.doi: 10.12092/j.issn.1009-2501.2023.03.003

• 基础研究 • 上一篇    下一篇

达格列净对1型糖尿病小鼠心肌损伤的影响及机制研究

张雪娇1,刘洁婷1,李鲁新1,陈培剑1,丁明璐1,孙梦伟1,初彦辉1,张珍2   

  1. 1牡丹江医学院生命科学院,牡丹江 157011,黑龙江; 2牡丹江医学院第一临床医学院,牡丹江 157011,黑龙江 

  • 收稿日期:2023-01-03 修回日期:2023-02-11 出版日期:2023-03-26 发布日期:2023-04-19
  • 通讯作者: 张珍,女,在读博士,讲师,研究方向:糖尿病及其并发症发病机制与治疗。 E-mail:zhangzhen1408@163.com
  • 作者简介:张雪娇,女,硕士,研究方向:糖尿病及其并发症发病机制与治疗。 E-mail:zzxuejiao1997@163.com
  • 基金资助:
    黑龙江省省属本科高校中央支持地方高校改革发展高水平人才项目(2020GSP09);黑龙江省自然科学基金联合引导项目(LH2022H099);黑龙江省普通本科高等学校青年创新人才培养计划项目(UNPYSCT-2020064);黑龙江省教育厅省属高等学校基本科研业务费科研项目(2019-KYYWF-1005,2021-KYYWF-0519);牡丹江市科技局科技指导项目(HT2020NS101,HT2020JG070)

Effects and mechanism of dapagliflozin on myocardial injury in type 1 diabetes mice

ZHANG Xuejiao1, LIU Jieting1, LI Luxin1, CHEN Peijian1, DING Minglu1, SUN Mengwei1, CHU Yan-hui1, ZHANG Zhen2   

  1. 1College of Life Sciences, Mudanjiang Medical University, Mudanjiang 157011, Heilongjiang, China; 2The First Clinical Medical College, Mudanjiang Medical University, Mudanjiang 157011, Heilongjiang, China 
  • Received:2023-01-03 Revised:2023-02-11 Online:2023-03-26 Published:2023-04-19

摘要:

目的:探讨达格列净对 1型糖尿病小鼠心肌损伤的影响及机制研究。方法:正常 C57BL/6J雄性小鼠随机分为正常对照组(Control)、糖尿病心肌病组(DCM)和达格列净组(DAPA)。应用链脲佐菌素(STZ)诱导并给予维持饲料联合构建糖尿病模型。DAPA组给予 10 mg·kg-1 ·d-1的达格列净灌胃,Control组与 DCM组给予等体积 0.9%氯化钠溶液灌胃。干预 8周后,应用超声机来检测各组心功能;乳酸脱氢酶(LDH)检测心肌损伤; HE染色观察心脏形态;Masson、天狼星红染色观察心脏纤维化程度;TUNEL检测心肌凋亡;免疫组化检测 NLRP3、Caspase-1、GSDMD、Collagen I、 Collagen III、α-SMA、Fibronectin胶原表达情况; qPCR法检测 Caspase-1、GSDMD、α-SMA、Fibronec-tin的 mRNA基因表达含量;Western blot法检测心肌焦亡及纤维化相关蛋白 NLRP3、Caspase-1、 GSDMD、Collagen I、Collagen III、α-SMA、Fibronec-tin、IL-18蛋白表达水平。结果:与 Control组比 DCM组表现出异常超声心动图表征,血清乳酸脱氢酶升高,心脏组织结构异常,肌纤维排列紊乱,见明显的纤维增粗、断裂。心肌组织中凋亡染色强度增加,相关焦亡指标 NLRP3、Caspase-1、GSD-MD基因和蛋白表达升高,纤维化指标 Collagen I、 Collagen III、α-SMA、Fibronectin基因和蛋白表达升高。而 DAPA组减弱了先前提到的参数的改变。结论:达格列净可以改善心肌纤维化及心肌焦亡程度从而改善糖尿病导致的心肌损伤。

关键词: 达格列净, 糖尿病, 心肌损伤, 细胞焦亡, 纤维化

Abstract:

AIM: To investigate the effect of dapa-gliflozin on myocardial injury in type 1 diabetes mice and its mechanism. METHODS: Normal C57BL/6J male mice were randomly divided into normal control group (Control), diabetes cardiomy-opathy group (DCM) and dapagliflozin group (DA-PA). The model of diabetes was induced by strepto-zotocin (STZ) and given maintenance feed. DAPA group was given 10 mg ·kg-1·d-1 of dapagliflozin by gavage, while control group and DCM group were given 0.9% sodium chloride solution by gavage. Af-ter 8 weeks of intervention, the cardiac function of each group was measured by ultrasound; Lactate dehydrogenase (LDH) was used to detect myocardi-al injury; HE staining was used to observe the cardi-ac morphology; Masson and Sirius red staining were used to observe the degree of cardiac fibro-sis; TUNEL was used to detect myocardial apopto-sis. The expressions of NLRP3, Caspase-1, GSDMD, Collagen I, Collagen III, α-SMA, Fibronectin, Cas-pase-1 and GSDMD analyzed by immunohistochem-ical staining. The expression levels of NLRP3, Cas-pase-1, GSDMD, Collagen I, Collagen III, α-SMA, Fi-bronectin and IL-18 were detected by Western blot. RESULTS: Compared with the control group, DCM group showed abnormal echocardiographic features, increased serum lactate dehydrogenase, abnormal cardiac tissue structure, disordered ar-rangement of muscle fibers, and obvious fiber thickening and fracture. The staining intensity of apoptosis in myocardial tissue increased, the ex-pression of NLRP3, Caspase-1, GSDMD gene and protein increased, and the expression of Collagen I, Collagen III, α-SMA, fibronectin gene and protein increased. The DAPA group attenuated the previ-ously mentioned parameter changes. CONCLU-SION: Dapagliflozin can improve the degree of myo-cardial fibrosis and myocardial pyroptosis, thus im-proving the myocardial injury caused by diabetes. 

Key words: dapagliflozin, diabetes, myocardial injury, cell apoptosis, fibrosis 

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