Unlocking the therapeutic potential of canagliflozin in NAFLD: Insights into AMPK/SIRT1-mediated lipophagy

IF 4.2 2区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Biochimica et biophysica acta. Molecular basis of disease Pub Date : 2025-01-20 DOI:10.1016/j.bbadis.2025.167666
Nahla E. El-Ashmawy , Ghada M. Al-Ashmawy , Asmaa A. Kamel , Eman G. Khedr
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引用次数: 0

Abstract

Nonalcoholic fatty liver disease (NAFLD) is a rising global health problem. The antidiabetic canagliflozin (CANA) has been proposed to ameliorate the metabolic abnormalities in NAFLD.

Aim

This study aimed to explore the possible anti-NAFLD effects of CANA in rats and HepG2 cells, focusing on AMPK/SIRT1-mediated lipophagy.

Methods

Wistar rats were assigned to four groups: control group, NAFLD group, NAFLD+CANA group, and NAFLD+CANA+chloroquine (CQ) group, where CQ served as autophagy inhibitor. HepG2 cells were also divided into four groups: control group, NAFLD group, NAFLD+CANA group, and NAFLD+CANA+compound C (Comp C) group, where Comp C served as AMPK inhibitor.

Results

The histopathological examination showed that CANA alleviated hepatic and intracellular lipid deposition in rats and HepG2 cells. CANA induced lipophagy by increasing LC3-II levels and lowering both p62 and perilipin 2 levels in rats and HepG2 cells, in addition to decreasing mTOR protein expression in rats' livers. These outcomes were associated with upregulation of the lipophagy regulator Rab7 and downregulation of the ER stress-related protein CHOP. CANA enhanced autophagic engulfment of lipid droplets while decreased ER stress and mitochondrial damage in rats' livers, as demonstrated by TEM. In rats, CANA improved hyperglycemia, hyperinsulinemia, dyslipidemia, and obesity. In HepG2 cells, CANA's effects were linked to increased phosphorylated AMPK level and enhanced SIRT1 level and expression. However, blocking lipophagy in rats and AMPK in HepG2 cells markedly weakened CANA's protective effects against NAFLD.

Conclusion

CANA ameliorated NAFLD via enhancing AMPK/SIRT1-mediated lipophagy, suggesting its potential as a therapeutic intervention for this metabolic disorder.
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解锁卡格列净在NAFLD中的治疗潜力:对AMPK/ sirt1介导的脂肪吞噬的见解。
非酒精性脂肪性肝病(NAFLD)是一个日益严重的全球性健康问题。抗糖尿病药物加格列净(canagliflozin, CANA)已被提出用于改善NAFLD的代谢异常。目的:本研究旨在探讨CANA在大鼠和HepG2细胞中可能的抗nafld作用,重点关注AMPK/ sirt1介导的脂质吞噬。方法:Wistar大鼠分为4组:对照组、NAFLD组、NAFLD+CANA组、NAFLD+CANA+氯喹(CQ)组,CQ作为自噬抑制剂。HepG2细胞也分为4组:对照组、NAFLD组、NAFLD+CANA组、NAFLD+CANA+化合物C (Comp C)组,Comp C作为AMPK抑制剂。结果:组织病理学检查显示,CANA可减轻大鼠肝脏及HepG2细胞内脂质沉积。CANA通过增加大鼠和HepG2细胞的LC3-II水平,降低p62和perilipin 2水平,以及降低大鼠肝脏中mTOR蛋白的表达来诱导脂肪吞噬。这些结果与脂噬调节因子Rab7上调和内质网应激相关蛋白CHOP下调有关。透射电镜显示,CANA增强了脂滴的自噬吞噬,同时降低了大鼠肝脏内质网应激和线粒体损伤。在大鼠中,CANA改善了高血糖、高胰岛素血症、血脂异常和肥胖。在HepG2细胞中,CANA的作用与磷酸化AMPK水平的增加和SIRT1水平和表达的增强有关。然而,阻断大鼠的脂噬和HepG2细胞中的AMPK显著削弱了CANA对NAFLD的保护作用。结论:CANA通过增强AMPK/ sirt1介导的脂肪吞噬来改善NAFLD,表明其作为这种代谢紊乱的治疗干预手段的潜力。
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来源期刊
CiteScore
12.30
自引率
0.00%
发文量
218
审稿时长
32 days
期刊介绍: BBA Molecular Basis of Disease addresses the biochemistry and molecular genetics of disease processes and models of human disease. This journal covers aspects of aging, cancer, metabolic-, neurological-, and immunological-based disease. Manuscripts focused on using animal models to elucidate biochemical and mechanistic insight in each of these conditions, are particularly encouraged. Manuscripts should emphasize the underlying mechanisms of disease pathways and provide novel contributions to the understanding and/or treatment of these disorders. Highly descriptive and method development submissions may be declined without full review. The submission of uninvited reviews to BBA - Molecular Basis of Disease is strongly discouraged, and any such uninvited review should be accompanied by a coverletter outlining the compelling reasons why the review should be considered.
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