Key result
Sitagliptin improved myocardial glucose uptake and attenuated diastolic dysfunction in a rat model of type-II diabetes by shifting fatty acid to glucose utilization.
Why the study?
Does sitagliptin improve myocardial glucose assimilation and diastolic function in a rat model of type-II diabetes?
Does sitagliptin improve myocardial glucose assimilation and diastolic function in a rat model of type-II diabetes?
Sitagliptin improves diastolic function in diabetic rats by shifting myocardial substrate utilization from fatty acids to glucose via GLP-1-mediated Glut4 translocation.
The distribution of glucose and fatty-acid transporters in the heart is crucial for energy consecution and myocardial function. In this sense, the glucagon-like peptide-1 (GLP-1) enhancer, sitagliptin, improves glucose homeostasis but it could also trigger direct cardioprotective actions, including regulation of energy substrate utilization. Type-II diabetic GK (Goto-Kakizaki), sitagliptin-treated GK (10 mg/kg/day) and wistar rats (n = 10, each) underwent echocardiographic evaluation, and positron emission tomography scanning for [18F]-2-fluoro-2-deoxy-d-glucose (18FDG). Hearts and plasma were isolated for biochemical approaches. Cultured cardiomyocytes were examined for receptor distribution after incretin stimulation in high fatty acid or high glucose media. Untreated GK rats exhibited hyperglycemia, hyperlipidemia, insulin resistance, and plasma GLP-1 reduction. Moreover, GK myocardium decreased 18FDG assimilation and diastolic dysfunction. However, sitagliptin improved hyperglycemia, insulin resistance, and GLP-1 levels, and additionally, enhanced 18FDG uptake and diastolic function. Sitagliptin also stimulated the sarcolemmal translocation of the glucose transporter-4 (Glut4), in detriment of the fatty acyl translocase (FAT)/CD36. In fact, Glut4 mRNA expression and sarcolemmal translocation were also increased after GLP-1 stimulation in high-fatty acid incubated cardiomyocytes. PI3K/Akt and AMPKα were involved in this response. Intriguingly, the GLP-1 degradation metabolite, GLP-1(9-36), showed similar effects. Besides of its anti-hyperglycemic effect, sitagliptin-enhanced GLP-1 may ameliorate diastolic dysfunction in type-II diabetes by shifting fatty acid to glucose utilization in the cardiomyocyte, and thus, improving cardiac efficiency and reducing lipolysis.
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Ramírez et al. (2018) studied Type-II diabetes mellitus (experimental model) (n=30). Sitagliptin vs. Vehicle (untreated Goto-Kakizaki rats) was evaluated on Myocardial 18FDG uptake (Standardized Uptake Value). Sitagliptin improved myocardial glucose uptake and attenuated diastolic dysfunction in a rat model of type-II diabetes by shifting fatty acid to glucose utilization.
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