Key result
Dapagliflozin attenuates isoproterenol-induced endothelial-mesenchymal transition and improves cardiac function in non-diabetic heart failure mice through SIRT1-mediated deacetylation and degradation of NICD.
Why the study?
Dapagliflozin improves cardiac function in non-diabetic heart failure, but the precise mechanisms underlying its beneficial effects remain to be fully elucidated.
Does dapagliflozin prevent endothelial-mesenchymal transition and myocardial fibrosis in non-diabetic heart failure models?
Does dapagliflozin prevent endothelial-mesenchymal transition and myocardial fibrosis in non-diabetic heart failure models?
Answers are grounded in this paper and cite their sources.
Dapagliflozin ameliorates myocardial fibrosis and cardiac dysfunction in non-diabetic heart failure by inhibiting endothelial-mesenchymal transition via the SIRT1/Notch1 pathway.
BACKGROUND: Endothelial-mesenchymal transition (EndMT) plays a crucial role in promoting myocardial fibrosis and exacerbating cardiac dysfunction. Dapagliflozin (DAPA) is a sodium-glucose-linked transporter 2 (SGLT-2) inhibitor that has been shown to improve cardiac function in non-diabetic patients with heart failure (HF). However, the precise mechanisms by which DAPA exerts its beneficial effects are yet to be fully elucidated. METHODS: Isoproterenol (ISO) was used to generate a HF model in mice. For in vitro experiments, we used TGF-β1-stimulated human umbilical vein endothelial cells (HUVECs) and mouse aortic endothelial cells (MAECs). We found that the protective effect of DAPA was significantly impaired upon SIRT1 inhibition. Mechanistically, we observed that SIRT1 phosphorylation, a required modification for its ubiquitination and degradation, was reduced by DAPA treatment, which induces the nucleus translocation of SIRT1 and promotes its binding to the active intracellular domain of Notch1 (NICD). This interaction led to the deacetylation and degradation of NICD, and the subsequent inactivation of the Notch1 signaling pathway which contributes to ameliorating EndMT. CONCLUSIONS: Our study revealed that DAPA can attenuate EndMT induced by ISO in non-diabetic HF mice. This beneficial effect is achieved through SIRT1-mediated deacetylation and degradation of NICD. Our findings provide greater insight into the underlying mechanisms of the therapeutic effects of DAPA in non-diabetic HF.
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Wang et al. (2023) studied Heart failure (Isoproterenol-induced) (n=24). Dapagliflozin vs. Vehicle / Isoproterenol was evaluated on Endothelial-mesenchymal transition and cardiac function. Dapagliflozin attenuates isoproterenol-induced endothelial-mesenchymal transition and improves cardiac function in non-diabetic heart failure mice through SIRT1-mediated deacetylation and degradation of NICD.
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