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105371

Dapagliflozin Ameliorates Glycemic State, Lipid Profile and Renal Functions in Type 2 Diabetic Rats

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Last updated: 22 Jan 2023

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Abstract

Background: Diabetic kidney disease is the leading cause of chronic kidney disease worldwide. Sodium glucose cotransporter-2  inhibitors may provide a recent solution with better control. Aim:  to study the effect of dapagliflozin on glycemic state, lipid profile, renal functions, renal histopathology and some underlying possible mechanisms in type 2 diabetic rats. Methods: Fifty adult male albino rats were divided into five groups: Non-diabetic, diabetic non-treated, diabetic metformin-treated, diabetic dapagliflozin-treatedand diabetic combined metformin & dapagliflozin-treated. Type 2 diabetes was induced by high fat diet-low dose streptozotocin. Metformin or dapagliflozin were given. RBF and RVR were measured. Fasting serum glucose, HbA1c, serum insulin, lipid profile, renal function tests, TAC, MDA and TNF-α were measured then HOMA-IR, LDL-C & creatinine clearance were calculated. Histopathological examination of kidney sections was performed. Results:Hyperglycemia, hyperinsulinemia, insulin resistance, dyslipidemia, impairment of renal functions, altered oxidative and inflammatory modulators status, and changes in renal morphology were observed in diabetic rats.  Individual treatment with metformin or dapagliflozin significantly improved those parameters however, better improvement in renal functions was observed in dapagliflozin as compared to metformin-treated groups. Diabetic combined metformin & dapagliflozin-treated group revealed significant improvement in glycemic state, renal function, TNF-α and oxidative stress as compared to dapagliflozin-treated group. Conclusion: Although metformin is better than dapagliflozin in glycemic control, dapagliflozin is more renoprotective than metformin. Combined dapagliflozin and metformin treatment resulted in significant improvement in glycemic state and renal functions in diabetic rats which is better than individual treatment. dapagliflozin had a complementary effect to metformin treatment in T2DM.

DOI

10.21608/bmfj.2020.105371

Authors

First Name

Sohair

Last Name

Saleh

MiddleName

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Affiliation

Department of Physiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Email

sohair.saleh@med.menofia.edu.eg

City

-

Orcid

-

First Name

Magda

Last Name

Mansour

MiddleName

-

Affiliation

Department of Histology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Email

magda.mansour@med.menofia.edu.eg

City

-

Orcid

-

First Name

Suzan

Last Name

Hazzaa

MiddleName

-

Affiliation

Department of Physiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Email

s_hazzaa@yahoo.com

City

-

Orcid

-

First Name

Amal

Last Name

Younis

MiddleName

Gamal

Affiliation

Physiology Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Email

amalgamal079@gmail.com

City

-

Orcid

-

First Name

Dalia

Last Name

El Agamy

MiddleName

-

Affiliation

Department of Physiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Email

dalia.elagami@med.menofia.edu.eg

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-

Orcid

-

Volume

37

Article Issue

3

Related Issue

17391

Issue Date

2020-09-01

Receive Date

2020-07-27

Publish Date

2020-09-01

Page Start

636

Page End

652

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_105371.html

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https://bmfj.journals.ekb.eg/service?article_code=105371

Order

15

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

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Article

Created At

22 Jan 2023