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August 9, 2022Frontiers in Cardiovascular MedicineOpen Access

Empagliflozin prevents neointima formation by impairing smooth muscle cell proliferation and accelerating endothelial regeneration

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Why the study?

Empagliflozin improves heart failure outcomes, but its effect on vascular cell function and vascular remodeling processes remained largely elusive.

Does empagliflozin prevent neointima formation and improve endothelial regeneration in vascular injury models?

Population

Human SMCs and ECs, C57BL/6J mice, and streptozocin-induced diabetic apolipoprotein E -/- mice

Comparison

Empagliflozin treatment vs control

Design

Preclinical in vitro and in vivo animal study

Follow-up

3 days

Key result

Empagliflozin reduced smooth muscle cell proliferation in vitro and prevented neointima formation in vivo, while augmenting endothelial cell proliferation and re-endothelialization.

Authors

JDJochen DutzmannLBLena Marie BodeKKKatrin Kalies

Discussion

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Member takes

Overview

Hypothesis-generating for vascular benefits in injury models; leaves open translation to human restenosis prevention.

Structured PICO

Does empagliflozin prevent neointima formation and improve endothelial regeneration in vascular injury models?

P
Population
Human smooth muscle cells (SMC) and endothelial cells (EC) (diabetic and non-diabetic); C57BL/6J mice with femoral artery wire-injury; streptozocin-induced diabetic apolipoprotein E -/- mice; C57BL/6 mice with electric denudation of the carotid artery
I
Intervention
Empagliflozin (in vitro application and in vivo treatment)
C
Comparator
Untreated/control cells and mice
O
Outcome
Neointima formation, cell proliferation, and migrationsurrogate

Empagliflozin prevents neointima formation and promotes re-endothelialization after vascular injury in preclinical models, suggesting a direct beneficial vascular effect.

Cite This Study

Dutzmann et al. (2022) studied vascular remodeling. Empagliflozin was evaluated on neointima formation and endothelial regeneration. Empagliflozin reduced smooth muscle cell proliferation in vitro and prevented neointima formation in vivo, while augmenting endothelial cell proliferation and re-endothelialization.

synapsesocial.com/papers/6a6a86ed01245da06ecb34a3https://doi.org/10.3389/fcvm.2022.956041
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