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221869

Dapagliflozin Versus Insulin: Which Is Better in Treatment of Diabetic Nephropathy in Albino Rats, Immunohistochemical Study

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Last updated: 03 Jan 2025

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Abstract

Background:Diabetic nephropathy is one of the most dangerous complications of diabetes. SGLT2 I (Dapagliflozin) are new medications for the treatment of hyperglycaemia in adults with T2DM. Their mechanism of action depends on decreasing glucose renal threshold, which leads to an increase of urinary excretion of glucose leading to a mild osmotic diuresis. Aim of work:Compare the effect of Dapagliflozin versus insulin on experimentally induced diabetic nephropathy in albino rats using biochemical, histopathological and immunohistochemical parameters. Materials and methods: We induced type 1 diabetes by single intraperitoneal injection of streptozotocin (50mg/kg). Thirty-two rats were utilized in this study and randomly divided into 4 groups (8 rats each); group I (control) group, group II (diabetic) group, group III (DM & insulin) and group IV (DM & SGLT2 I). Insulin and Dapagliflozin were given by orogastric tube in a dose of 1mg/kg/day for 8 weeks after the establishment of diabetic nephropathy. Blood samples were used for the detection of blood glucose, serum urea and creatinine. Kidney specimens were homogenized and used for the detection of oxidative stress markers [malondialdehyde (MDA) and reduced glutathione (GSH)]. Kidney specimens were subjected to paraffin sections and used for H&E, PAS and immunohistochemical staining for Alpha smooth muscle actin (α SMA). Results: Treatment with Dapagliflozin was associated with improvement in the blood glucose, serum urea, serum creatinine, serum MDA, urinary protein, urinary glucose level, serum insulin and serum GSH level. Dapagliflozin suppressed fibrosis in the interstitium of the kidney to a greater extent than insulin. Conclusion: The administration of Dapagliflozin significantly improves the diabetic nephropathy induced by STZ.

DOI

10.21608/eajbsd.2022.221869

Keywords

Dapagliflozin, streptozotocin, diabetic nephropathy

Authors

First Name

Magda

Last Name

Ahmed

MiddleName

E.

Affiliation

Department of Human Anatomy and Embryology, Faculty of Medicine, Mansoura University. Mansoura, Egypt.

Email

dr_magda_1986@yahoo.com

City

-

Orcid

-

First Name

Abd Elhakem

Last Name

Gabr

MiddleName

Z.

Affiliation

Department of Human Anatomy and Embryology, Faculty of Medicine, Mansoura University. Mansoura, Egypt.

Email

k0596267627@gmail.com

City

-

Orcid

-

First Name

Amany

Last Name

Shams

MiddleName

M.

Affiliation

Department of Human Anatomy and Embryology, Faculty of Medicine, Mansoura University. Mansoura, Egypt.

Email

dr_a.shams@yahoo.com

City

-

Orcid

-

First Name

Rania

Last Name

Sherif

MiddleName

N.

Affiliation

Department of Human Anatomy and Embryology, Faculty of Medicine, Mansoura University. Mansoura, Egypt.

Email

ranianks@yahoo.com

City

-

Orcid

-

First Name

Reham

Last Name

taha

MiddleName

I.

Affiliation

Department of Human Anatomy and Embryology, Faculty of Medicine, Mansoura University. Mansoura, Egypt.

Email

anamed1076@yahoo.com

City

-

Orcid

0000-0003-3212-6567

Volume

14

Article Issue

1

Related Issue

30210

Issue Date

2022-06-01

Receive Date

2022-01-28

Publish Date

2022-06-01

Page Start

95

Page End

111

Print ISSN

2090-0775

Online ISSN

2090-0848

Link

https://eajbsd.journals.ekb.eg/article_221869.html

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https://eajbsd.journals.ekb.eg/service?article_code=221869

Order

6

Type

Original Article

Type Code

685

Publication Type

Journal

Publication Title

Egyptian Academic Journal of Biological Sciences, D. Histology & Histochemistry

Publication Link

https://eajbsd.journals.ekb.eg/

MainTitle

Dapagliflozin Versus Insulin: Which Is Better in Treatment of Diabetic Nephropathy in Albino Rats, Immunohistochemical Study

Details

Type

Article

Created At

22 Jan 2023