SGLT2 inhibitors attenuate endothelial to mesenchymal transition and cardiac fibroblast activation.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 Jul 2024
Historique:
received: 09 02 2024
accepted: 19 06 2024
medline: 17 7 2024
pubmed: 17 7 2024
entrez: 16 7 2024
Statut: epublish

Résumé

Beneficial effects of sodium glucose co-transporter 2 inhibitors (SGLT2is) in cardiovascular diseases have been extensively reported leading to the inclusion of these drugs in the treatment guidelines for heart failure. However, molecular actions especially on non-myocyte cells remain uncertain. We observed dose-dependent inhibitory effects of two SGLT2is, dapagliflozin (DAPA) and empagliflozin (EMPA), on inflammatory signaling in human umbilical vein endothelial cells. Proteomic analyses and subsequent enrichment analyses discovered profound effects of these SGLT2is on proteins involved in mitochondrial respiration and actin cytoskeleton. Validation in functional oxygen consumption measurements as well as tube formation and migration assays revealed strong impacts of DAPA. Considering that most influenced parameters played central roles in endothelial to mesenchymal transition (EndMT), we performed in vitro EndMT assays and identified substantial reduction of mesenchymal and fibrosis marker expression as well as changes in cellular morphology upon treatment with SGLT2is. In line, human cardiac fibroblasts exposed to DAPA showed less proliferation, reduced ATP production, and decelerated migration capacity while less extensive impacts were observed upon EMPA. Mechanistically, sodium proton exchanger 1 (NHE1) as well as sodium-myoinositol cotransporter (SMIT) and sodium-multivitamin cotransporter (SMVT) could be identified as relevant targets of SGLT2is in non-myocyte cardiovascular cells as validated by individual siRNA-knockdown experiments. In summary, we found comprehensive beneficial effects of SGLT2is on human endothelial cells and cardiac fibroblasts. The results of this study therefore support a distinct effect of selected SGLT2i on non-myocyte cardiovascular cells and grant further insights into potential molecular mode of action of these drugs.

Identifiants

pubmed: 39013942
doi: 10.1038/s41598-024-65410-9
pii: 10.1038/s41598-024-65410-9
doi:

Substances chimiques

Sodium-Glucose Transporter 2 Inhibitors 0
Benzhydryl Compounds 0
Glucosides 0
empagliflozin HDC1R2M35U
dapagliflozin 1ULL0QJ8UC
Sodium-Hydrogen Exchanger 1 0
SLC9A1 protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

16459

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : 437531118

Informations de copyright

© 2024. The Author(s).

Références

Ehrenkranz, J. R. L., Lewis, N. G., Ronaldkahn, C. & Roth, J. Phlorizin: a review. Diabetes Metab. Res. Rev. 21, 31–38 (2005).
pubmed: 15624123 doi: 10.1002/dmrr.532
Uthman, L. et al. Direct cardiac actions of sodium glucose cotransporter 2 inhibitors target pathogenic mechanisms underlying heart failure in diabetic patients. Front. Physiol. 9, 1575 (2018).
pubmed: 30519189 pmcid: 6259641 doi: 10.3389/fphys.2018.01575
Heerspink, H. J. L. et al. Dapagliflozin in patients with chronic kidney disease. N. Engl. J. Med. 383, 1436–1446 (2020).
pubmed: 32970396 doi: 10.1056/NEJMoa2024816
Zinman, B. et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N. Engl. J. Med. 373, 2117–2128 (2015).
pubmed: 26378978 doi: 10.1056/NEJMoa1504720
Perkovic, V. et al. Canagliflozin and renal outcomes in type 2 diabetes and nephropathy. N. Engl. J. Med. 380, 2295–2306 (2019).
pubmed: 30990260 doi: 10.1056/NEJMoa1811744
Neal, B. et al. Canagliflozin and cardiovascular and renal events in type 2 diabetes. N. Engl. J. Med. 377, 644–657 (2017).
pubmed: 28605608 doi: 10.1056/NEJMoa1611925
Dhillon, S. Dapagliflozin: A review in type 2 diabetes. Drugs 79, 1135–1146 (2019).
pubmed: 31236801 pmcid: 6879440 doi: 10.1007/s40265-019-01148-3
McMurray, J. J. V. et al. Dapagliflozin in patients with heart failure and reduced ejection fraction. N. Engl. J. Med. 381, 1995–2008 (2019).
pubmed: 31535829 doi: 10.1056/NEJMoa1911303
Packer, M. et al. Cardiovascular and renal outcomes with empagliflozin in heart failure. N. Engl. J. Med. 383, 1413–1424 (2020).
pubmed: 32865377 doi: 10.1056/NEJMoa2022190
Anker, S. D. et al. Empagliflozin in heart failure with a preserved ejection fraction. N. Engl. J. Med. https://doi.org/10.1056/NEJMoa2107038 (2021).
doi: 10.1056/NEJMoa2107038 pubmed: 34449189
Solomon, S. D. et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N. Engl. J. Med. 387, 1089–1098 (2022).
pubmed: 36027570 doi: 10.1056/NEJMoa2206286
Ferrannini, E., Mark, M. & Mayoux, E. CV protection in the EMPA-REG OUTCOME trial: A “thrifty substrate” hypothesis. Diabetes Care 39, 1108–1114 (2016).
pubmed: 27289126 doi: 10.2337/dc16-0330
Mudaliar, S., Alloju, S. & Henry, R. R. Can a shift in fuel energetics explain the beneficial cardiorenal outcomes in the EMPA-REG OUTCOME study? A unifying hypothesis. Diabetes Care 39, 1115–1122 (2016).
pubmed: 27289124 doi: 10.2337/dc16-0542
Packer, M. SGLT2 inhibitors produce cardiorenal benefits by promoting adaptive cellular reprogramming to induce a state of fasting mimicry: A paradigm shift in understanding their mechanism of action. Diabetes Care 43, 508–511 (2020).
pubmed: 32079684 doi: 10.2337/dci19-0074
Avogaro, A., Fadini, G. P. & Del Prato, S. Reinterpreting cardiorenal protection of renal sodium-glucose cotransporter 2 inhibitors via cellular life history programming. Diabetes Care 43, 501–507 (2020).
pubmed: 31843950 doi: 10.2337/dc19-1410
Dyck, J. R. B. et al. Cardiac mechanisms of the beneficial effects of SGLT2 inhibitors in heart failure: Evidence for potential off-target effects. J. Mol. Cell. Cardiol. 167, 17–31 (2022).
pubmed: 35331696 doi: 10.1016/j.yjmcc.2022.03.005
Uthman, L. et al. Class effects of SGLT2 inhibitors in mouse cardiomyocytes and hearts: Inhibition of Na
pubmed: 29197997 doi: 10.1007/s00125-017-4509-7
Trum, M. et al. Empagliflozin inhibits Na
doi: 10.1002/ehf2.13024
Trum, M., Riechel, J. & Wagner, S. Cardioprotection by SGLT2 inhibitors—Does it all come down to Na+?. Int. J. Mol. Sci. 22, 7976 (2021).
pubmed: 34360742 pmcid: 8347698 doi: 10.3390/ijms22157976
Uthman, L. et al. Empagliflozin reduces oxidative stress through inhibition of the novel inflammation/NHE/[Na+]c/ROS-pathway in human endothelial cells. Biomed. Pharmacother. 146, 112515 (2022).
pubmed: 34896968 doi: 10.1016/j.biopha.2021.112515
Li, X. et al. Sodium glucose co-transporter 2 inhibitors ameliorate endothelium barrier dysfunction induced by cyclic stretch through inhibition of reactive oxygen species. Int. J. Mol. Sci. 22, 6044 (2021).
pubmed: 34205045 pmcid: 8199893 doi: 10.3390/ijms22116044
Park, S.-H. et al. Angiotensin II-induced upregulation of SGLT1 and 2 contributes to human microparticle-stimulated endothelial senescence and dysfunction: protective effect of gliflozins. Cardiovasc. Diabetol. 20, 65 (2021).
pubmed: 33726768 pmcid: 7967961 doi: 10.1186/s12933-021-01252-3
Cappetta, D. et al. Amelioration of diastolic dysfunction by dapagliflozin in a non-diabetic model involves coronary endothelium. Pharmacol. Res. 157, 104781 (2020).
pubmed: 32360273 doi: 10.1016/j.phrs.2020.104781
Ye, Y., Bajaj, M., Yang, H.-C., Perez-Polo, J. R. & Birnbaum, Y. SGLT-2 inhibition with dapagliflozin reduces the activation of the Nlrp3/ASC inflammasome and attenuates the development of diabetic cardiomyopathy in mice with type 2 diabetes. Further augmentation of the effects with saxagliptin, a DPP4 inhibitor. Cardiovasc. Drugs Ther. 31, 119–132 (2017).
pubmed: 28447181 doi: 10.1007/s10557-017-6725-2
Kang, S. et al. Direct effects of empagliflozin on extracellular matrix remodelling in human cardiac myofibroblasts: Novel translational clues to explain EMPA-REG OUTCOME results. Can. J. Cardiol. 36, 543–553 (2020).
pubmed: 31837891 doi: 10.1016/j.cjca.2019.08.033
Carpentier, G. et al. Angiogenesis analyzer for ImageJ—A comparative morphometric analysis of “endothelial tube formation assay” and “fibrin bead assay”. Sci. Rep. 10, 11568 (2020).
pubmed: 32665552 pmcid: 7360583 doi: 10.1038/s41598-020-67289-8
Garvey, W. T. et al. Effects of canagliflozin versus glimepiride on adipokines and inflammatory biomarkers in type 2 diabetes. Metabolism 85, 32–37 (2018).
pubmed: 29452178 doi: 10.1016/j.metabol.2018.02.002
La Grotta, R. et al. Anti-inflammatory effect of SGLT-2 inhibitors via uric acid and insulin. Cell. Mol. Life Sci. 79, 273 (2022).
pubmed: 35503137 pmcid: 9064844 doi: 10.1007/s00018-022-04289-z
Heerspink, H. J. L. et al. Canagliflozin reduces inflammation and fibrosis biomarkers: A potential mechanism of action for beneficial effects of SGLT2 inhibitors in diabetic kidney disease. Diabetologia 62, 1154–1166 (2019).
pubmed: 31001673 pmcid: 6560022 doi: 10.1007/s00125-019-4859-4
Kim, S. R. et al. SGLT2 inhibition modulates NLRP3 inflammasome activity via ketones and insulin in diabetes with cardiovascular disease. Nat. Commun. 11, 2127 (2020).
pubmed: 32358544 pmcid: 7195385 doi: 10.1038/s41467-020-15983-6
Fiordelisi, A., Iaccarino, G., Morisco, C., Coscioni, E. & Sorriento, D. NFkappaB is a key player in the crosstalk between inflammation and cardiovascular diseases. Int. J. Mol. Sci. 20, 1599 (2019).
pubmed: 30935055 pmcid: 6480579 doi: 10.3390/ijms20071599
Gordon, J. W., Shaw, J. A. & Kirshenbaum, L. A. Multiple facets of NF-κB in the heart. Circ. Res. 108, 1122–1132 (2011).
pubmed: 21527742 doi: 10.1161/CIRCRESAHA.110.226928
Pober, J. S. & Sessa, W. C. Evolving functions of endothelial cells in inflammation. Nat. Rev. Immunol. 7, 803–815 (2007).
pubmed: 17893694 doi: 10.1038/nri2171
Bazzoni, G. & Dejana, E. Endothelial cell-to-cell junctions: Molecular organization and role in vascular homeostasis. Physiol. Rev. 84, 869–901 (2004).
pubmed: 15269339 doi: 10.1152/physrev.00035.2003
Vanslembrouck, B., Chen, J., Larabell, C. & van Hengel, J. Microscopic visualization of cell–cell adhesion complexes at micro and nanoscale. Front. Cell Dev. Biol. 10, 819534 (2022).
pubmed: 35517500 pmcid: 9065677 doi: 10.3389/fcell.2022.819534
Couto, N., Wood, J. & Barber, J. The role of glutathione reductase and related enzymes on cellular redox homoeostasis network. Free Radic. Biol. Med. 95, 27–42 (2016).
pubmed: 26923386 doi: 10.1016/j.freeradbiomed.2016.02.028
Welch-Reardon, K. M., Wu, N. & Hughes, C. C. W. A role for partial endothelial-mesenchymal transitions in angiogenesis?. Arterioscler. Thromb. Vasc. Biol. 35, 303–308 (2015).
pubmed: 25425619 doi: 10.1161/ATVBAHA.114.303220
Dejana, E., Hirschi, K. K. & Simons, M. The molecular basis of endothelial cell plasticity. Nat. Commun. 8, 14361 (2017).
pubmed: 28181491 pmcid: 5309780 doi: 10.1038/ncomms14361
Tombor, L. S. et al. Single cell sequencing reveals endothelial plasticity with transient mesenchymal activation after myocardial infarction. Nat. Commun. 12, 681 (2021).
pubmed: 33514719 pmcid: 7846794 doi: 10.1038/s41467-021-20905-1
Virag, J. I. & Murry, C. E. Myofibroblast and endothelial cell proliferation during murine myocardial infarct repair. Am. J. Pathol. 163, 2433–2440 (2003).
pubmed: 14633615 pmcid: 1892355 doi: 10.1016/S0002-9440(10)63598-5
Zeisberg, E. M. et al. Endothelial-to-mesenchymal transition contributes to cardiac fibrosis. Nat. Med. 13, 952–961 (2007).
pubmed: 17660828 doi: 10.1038/nm1613
Piera-Velazquez, S. & Jimenez, S. A. Endothelial to mesenchymal transition: role in physiology and in the pathogenesis of human diseases. Physiol. Rev. 99, 1281–1324 (2019).
pubmed: 30864875 pmcid: 6734087 doi: 10.1152/physrev.00021.2018
Chen, S., Coronel, R., Hollmann, M. W., Weber, N. C. & Zuurbier, C. J. Direct cardiac effects of SGLT2 inhibitors. Cardiovasc. Diabetol. 21, 45 (2022).
pubmed: 35303888 pmcid: 8933888 doi: 10.1186/s12933-022-01480-1
Byrne, N. J. et al. Empagliflozin blunts worsening cardiac dysfunction associated with reduced NLRP3 (nucleotide-binding domain-like receptor protein 3) inflammasome activation in heart failure. Circ. Hear. Fail. 13, e006277 (2020).
doi: 10.1161/CIRCHEARTFAILURE.119.006277
Koyani, C. N. et al. Empagliflozin protects heart from inflammation and energy depletion via AMPK activation. Pharmacol. Res. 158, 104870 (2020).
pubmed: 32434052 doi: 10.1016/j.phrs.2020.104870
Gaspari, T. et al. Dapagliflozin attenuates human vascular endothelial cell activation and induces vasorelaxation: A potential mechanism for inhibition of atherogenesis. Diabetes Vasc. Dis. Res. 15, 64–73 (2017).
doi: 10.1177/1479164117733626
Liu, T., Zhang, L., Joo, D. & Sun, S.-C. NF-κB signaling in inflammation. Signal Transduct. Target. Ther. 2, 17023 (2017).
pubmed: 29158945 pmcid: 5661633 doi: 10.1038/sigtrans.2017.23
Foppoli, C., Coccia, R. & Perluigi, M. Role of oxidative stress in human papillomavirus-driven cervical carcinogenesis. In Cancer (ed. Preedy, V. B. T. C.) 51–56 (Academic Press, London, 2014). https://doi.org/10.1016/B978-0-12-405205-5.00006-4 .
doi: 10.1016/B978-0-12-405205-5.00006-4
Chacko, B. K. et al. The bioenergetic health index: A new concept in mitochondrial translational research. Clin. Sci. 127, 367–373 (2014).
doi: 10.1042/CS20140101
Secker, P. F. et al. Canagliflozin mediated dual inhibition of mitochondrial glutamate dehydrogenase and complex I: An off-target adverse effect. Cell Death Dis. 9, 226 (2018).
pubmed: 29445145 pmcid: 5833677 doi: 10.1038/s41419-018-0273-y
Nikolaou, P. E. et al. Cardioprotection by selective SGLT-2 inhibitors in a non-diabetic mouse model of myocardial ischemia/reperfusion injury: A class or a drug effect?. Basic Res. Cardiol. 117, 27 (2022).
pubmed: 35581445 doi: 10.1007/s00395-022-00934-7
Mookerjee, S. A., Goncalves, R. L. S., Gerencser, A. A., Nicholls, D. G. & Brand, M. D. The contributions of respiration and glycolysis to extracellular acid production. Biochim. Biophys. Acta Bioenerg. 1847, 171–181 (2015).
doi: 10.1016/j.bbabio.2014.10.005
Tian, J. et al. Dapagliflozin alleviates cardiac fibrosis through suppressing EndMT and fibroblast activation via AMPKα/TGF-β/Smad signalling in type 2 diabetic rats. J. Cell. Mol. Med. 25, 7642–7659 (2021).
pubmed: 34169635 pmcid: 8358881 doi: 10.1111/jcmm.16601
Fu, X. et al. Specialized fibroblast differentiated states underlie scar formation in the infarcted mouse heart. J. Clin. Invest. 128, 2127–2143 (2018).
pubmed: 29664017 pmcid: 5957472 doi: 10.1172/JCI98215
Pollard, T. D. & Borisy, G. G. Cellular motility Driven by assembly and disassembly of actin filaments. Cell 112, 453–465 (2003).
pubmed: 12600310 doi: 10.1016/S0092-8674(03)00120-X
Stock, C. & Schwab, A. Role of the Na
doi: 10.1111/j.1748-1716.2006.01543.x
Zhang, Y. et al. Polarized NHE1 and SWELL1 regulate migration direction, efficiency and metastasis. Nat. Commun. 13, 6128 (2022).
pubmed: 36253369 pmcid: 9576788 doi: 10.1038/s41467-022-33683-1
Lin, Y. et al. NHE1 mediates migration and invasion of HeLa cells via regulating the expression and localization of MT1-MMP. Cell Biochem. Funct. 30, 41–46 (2012).
pubmed: 21997166 doi: 10.1002/cbf.1815
Maiti, S. & Paira, P. Biotin conjugated organic molecules and proteins for cancer therapy: A review. Eur. J. Med. Chem. 145, 206–223 (2018).
pubmed: 29324341 doi: 10.1016/j.ejmech.2018.01.001
Vadlapudi, A. D., Vadlapatla, R. K., Pal, D. & Mitra, A. K. Functional and molecular aspects of biotin uptake via SMVT in human corneal epithelial (HCEC) and retinal pigment epithelial (D407) cells. AAPS J. 14, 832–842 (2012).
pubmed: 22927035 pmcid: 3475851 doi: 10.1208/s12248-012-9399-5
Crisp, S. E. R. H. et al. Biotin supply affects rates of cellproliferation, biotinylation of carboxylases and histones, andexpression of the gene encoding the sodium-dependentmultivitamin transporter in JAr choriocarcinomacells. Eur. J. Nutr. 43, 23–31 (2004).
pubmed: 14991266 doi: 10.1007/s00394-004-0435-9
Wei, Y. et al. SLC5A3-dependent myo-inositol auxotrophy in acute myeloid leukemia. Cancer Discov. 12, 450–467 (2022).
pubmed: 34531253 doi: 10.1158/2159-8290.CD-20-1849
Cui, Z. et al. The sodium/myo-inositol co-transporter SLC5A3 promotes non-small cell lung cancer cell growth. Cell Death Dis. 13, 569 (2022).
pubmed: 35760803 pmcid: 9237060 doi: 10.1038/s41419-022-05017-y
Li, C. et al. SGLT2 inhibition with empagliflozin attenuates myocardial oxidative stress and fibrosis in diabetic mice heart. Cardiovasc. Diabetol. 18, 15 (2019).
pubmed: 30710997 pmcid: 6359811 doi: 10.1186/s12933-019-0816-2
Chen, X. et al. Dapagliflozin attenuates myocardial fibrosis by inhibiting the TGF-β1/Smad signaling pathway in a normoglycemic rabbit model of chronic heart failure. Front. Pharmacol. 13, 873108 (2022).
pubmed: 35645838 pmcid: 9136228 doi: 10.3389/fphar.2022.873108
Yang, Z. et al. SGLT2 inhibitor dapagliflozin attenuates cardiac fibrosis and inflammation by reverting the HIF-2α signaling pathway in arrhythmogenic cardiomyopathy. FASEB J. 36, e22410 (2022).
pubmed: 35713937 doi: 10.1096/fj.202200243R
Grempler, R. et al. Empagliflozin, a novel selective sodium glucose cotransporter-2 (SGLT-2) inhibitor: Characterisation and comparison with other SGLT-2 inhibitors. Diabetes Obes. Metab. 14, 83–90 (2012).
pubmed: 21985634 doi: 10.1111/j.1463-1326.2011.01517.x
Cannon, C. P. et al. Cardiovascular outcomes with ertugliflozin in type 2 diabetes. N. Engl. J. Med. 383, 1425–1435 (2020).
pubmed: 32966714 doi: 10.1056/NEJMoa2004967

Auteurs

Kevin Schmidt (K)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.
Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Hannover, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany.

Arne Schmidt (A)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.
Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Hannover, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany.

Sonja Groß (S)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.

Annette Just (A)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.

Angelika Pfanne (A)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.

Maximilian Fuchs (M)

Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Hannover, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany.

Maria Jordan (M)

Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Hannover, Germany.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany.

Elisa Mohr (E)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany.

Andreas Pich (A)

Institute of Toxicology and Core Unit Proteomics, Hannover Medical School, Hannover, Germany.

Jan Fiedler (J)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany. Jan.Fiedler@item.fraunhofer.de.
Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Hannover, Germany. Jan.Fiedler@item.fraunhofer.de.
Fraunhofer Cluster of Excellence Immune-Mediated Diseases (CIMD), Hannover, Germany. Jan.Fiedler@item.fraunhofer.de.

Thomas Thum (T)

Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany. Thum.Thomas@mh-hannover.de.

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