Why the study?
SGLT2 inhibitors reduce AF risk, but their mechanism of action in metabolic syndrome-related AF remains unclear.
What are the potential molecular mechanisms by which SGLT2 inhibitors prevent atrial fibrillation in metabolic syndrome?
What are the potential molecular mechanisms by which SGLT2 inhibitors prevent atrial fibrillation in metabolic syndrome?
Bioinformatic analysis suggests SGLT2 inhibitors may mitigate metabolic syndrome-related atrial fibrillation by targeting the TNF-α and AGE-RAGE signaling pathways to reduce atrial remodeling and fibrosis.
Bioinformatic predictions of SGLT2 inhibitor targets in MetS-related AF remain hypothesis-generating; prospective studies needed before clinical relevance.
Background Sodium‐glucose co‐transporter 2 (SGLT2) inhibitors have shown promise in reducing atrial fibrillation (AF) risk, but their mechanism of action in metabolic syndrome (MetS)‐related AF remains unclear. This study aims to elucidate the potential mechanisms by which SGLT2 inhibitors interfere with AF initiation in MetS through comprehensive bioinformatic analysis. Methods A network pharmacology bioinformatic approach was employed to predict the molecular targets of SGLT2 inhibitors. Public databases, including SwissTarget, GeneCards, OMIM, and STRING, were utilized to identify and analyze targets associated with MetS‐related AF. Protein–protein interaction (PPI) networks were constructed, followed by gene ontology (GO) and KEGG pathway enrichment analyses to elucidate the biological processes and pathways involved. Results A total of 52 common targets were identified linking SGLT2 inhibitors with MetS‐related AF. The analysis highlighted the TNF‐α and AGE‐RAGE signaling pathways as key mechanisms through which SGLT2 inhibitors may mitigate AF. Our investigation identified p38 and JNK, components of the TNF‐α signaling pathway, as primary targets in reducing atrial remodeling and fibrosis. Conclusions This study provides insights into the potential mechanisms by which SGLT2 inhibitors influence AF pathogenesis in MetS. The findings suggest that targeting the TNF‐α signaling pathway may be a promising therapeutic strategy, with further experimental validation needed to confirm these results. Trial Registration: The authors have nothing to report.
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Rizal et al. (2025) studied this question.
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