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323921

EMPAGLIFLOZIN MITIGATES ISCHEMIA/REPERFUSION-INDUCED LIVER INJURY IN RATS: MODULATION OF NF-ΚB, SMAD-4, VEGF, AND FIBRINOGEN PROTEIN EXPRESSIONS

Article

Last updated: 04 Jan 2025

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Abstract

Liver ischemia/reperfusion (IR) injury is a critical cause of mortality in patients undergoing liver transplantation. Our objective was to assess the protective impact of empagliflozin (EGZ) on IR-induced liver damage in rats and to investigate its potential protective mechanism. A total of 24 male Wistar albino rats were randomly divided into four groups: sham; IR; EGZ (10 mg/kg/day; p.o) and IR + EGZ. Serum levels of aminotransferase ALT and AST, gamma glutamyl transferase GGT and total bilirubin TB were evaluated. Liver samples were used to evaluate oxidative stress indicators, reduced glutathione GSH, malondialdehyde MDA, total nitic oxide NOx and myeloperoxidase MPO, inflammatory mediators as tumor necrosis factor alpha TNF-α and interleukin -33 IL-33, and apoptosis markers, Bcl-2-associated X protein Bax, galactine-9 Gal9 and B-cell lymphoma 2 Bcl2. Hepatic vascular endothelial growth factor VEGF and fibrinogen expressions were determined by Western blot analysis. Immunohistochemical analysis for hepatic SMAD-4 and NF-κB was performed along with histopathological examination. Pretreatment with EGZ significantly ameliorated liver functions and oxidative stress compared to IR injury model. Similarly, the inflammatory cytokines were significantly decreased along with marked decline of the apoptosis biomarkers and a significant decrease of VEGF and fibrinogen expressions. Additionally, SMAD-4 and NF-κB protein expressions were significantly decreased compared to IR group. These results were further supported by improvement liver architecture. Our findings suggested that EGZ has the potentiality to be protective against hepatic IRI.

DOI

10.21608/bfsa.2023.240917.1944

Keywords

empagliflozin, Fibrinogen, Ischemia reperfusion, Liver, SMAD-4 and VEGF

Authors

First Name

DeiaaEldeen

Last Name

Abouzed

MiddleName

Elsayed

Affiliation

Department of Pharmacology, Faculty of pharmacy, Sohag University

Email

deiaaabozed@yahoo.com

City

-

Orcid

-

First Name

Heba

Last Name

Mahmoud

MiddleName

Mohsen

Affiliation

Department of Pharmacology, Faculty of Pharmacy, Beni Suef University

Email

hebamohsen133@gmail.com

City

SOhag

Orcid

-

First Name

Amira

Last Name

Murad

MiddleName

-

Affiliation

Department of Pharmacology, Faculty of Pharmacy, Beni Suef University

Email

amira.aboyoussef@gmail.com

City

Beni-Suef

Orcid

-

First Name

Ramadan

Last Name

Hemada

MiddleName

Hemada

Affiliation

Department of Pharmacology-Faculty of pharmacy-Deraya University

Email

ramadanhemada@yahoo.com

City

SOhag

Orcid

-

Volume

47

Article Issue

1

Related Issue

47734

Issue Date

2024-06-01

Receive Date

2023-10-05

Publish Date

2024-06-01

Page Start

597

Page End

612

Print ISSN

1110-0052

Online ISSN

3009-7703

Link

https://bpsa.journals.ekb.eg/article_323921.html

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https://bpsa.journals.ekb.eg/service?article_code=323921

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40

Type

Original Article

Type Code

1,096

Publication Type

Journal

Publication Title

Bulletin of Pharmaceutical Sciences Assiut University

Publication Link

https://bpsa.journals.ekb.eg/

MainTitle

EMPAGLIFLOZIN MITIGATES ISCHEMIA/REPERFUSION-INDUCED LIVER INJURY IN RATS: MODULATION OF NF-ΚB, SMAD-4, VEGF, AND FIBRINOGEN PROTEIN EXPRESSIONS

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Type

Article

Created At

25 Dec 2024