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Exploring the Effects of Empagliflozin Administration and Physical Training on Cognitive Functions in an Amyloid Beta-Induced Alzheimer's Rat Model.

PMID: 41918193 · DOI: 10.2174/0109298673434008260121111535 · Current medicinal chemistry, 2026 · Helia Behrouzfar, Pejman Mortazavi, Shokoufeh Hassani, Saeed Aghebat Bekheir
📄 Abstract

Alzheimer's disease (AD) is a widely prevalent and neurodegenerative disorder that leads to dementia and mortality worldwide. Previous investigations have reported the beneficial effects of physical exercise on brain function, linked to anti-inflammatory effects in the brain vasculature and elevated BDNF production. Empagliflozin, a conventional antidiabetic agent, has shown potential neuroprotective properties in the central nervous system, evidenced by its ability to elevate BDNF and mitigate oxidative stress and inflammation. In the present investigation, AD was induced in control, exercise, empagliflozin (10 mg/kg BW, PO), and combined intervention groups using intrahippocampal injections of an amyloid-beta (Aβ) prepared solution via stereotaxic surgery. The therapeutic effects of each treatment, exercise alone, empagliflozin alone, and exercise plus empagliflozin, were studied. After 28 days, spatial memory tests were used to assess memory and learning. Furthermore, histopathological (H&E and Congo red) and immunohistochemical (GFAP) analyses were performed, and the ADP/ATP ratio in isolated brain mitochondria was measured by HPLC. Our results showed that the combined program of physical training and empagliflozin treatment in the Aβ-induced AD model drastically improved cognitive functions and neurological parameters, including target-finding time, traveled distance, time spent in the target quadrant, and ADP/ATP ratios in brain mitochondria. Additionally, it diminished necrotic cell death and reduced Aβ plaques but did not notably affect astrocyte activity. Exercise and empagliflozin, by affecting mitochondrial energy balance and reducing amyloid deposition, play key roles in mitigating AD pathophysiology. The combined effects of the treatments used in this experimental method yielded significant improvements in cognitive functions. These findings provide a basis for further clinical studies for the exploration of the synergistic impact of the aforementioned therapeutic methods.

Confidence: 0.36 · 18 полей извлечено
Идентификация (6 полей)
Target
Empagliflozin
1.00
Alt. target
0.00
Protein family
Sodium-glucose cotransporter 2 (SGLT2) inhibitor
0.90
Functional class
Antidiabetic agent
0.90
Subcellular loc.
0.00
Isoforms (metab/obesity)
0.00
Механизм действия (21 полей)
Mechanism
0.00
Mutations (obesity/lean)
0.00
Activity (obesity)
0.00
Activity temporal
0.00
Energy balance
Affects mitochondrial energy balance (ADP/ATP ratio) in brain mitochondria
0.90
Appetite
0.00
Fat metabolism
0.00
Lipolysis
0.00
Thermogenesis
0.00
Muscle metabolism
0.00
Inflammation
Mitigates oxidative stress and inflammation; diminishes necrotic cell death but does not notably affect astrocyte activity
0.90
Glucose metabolism
0.00
AA metabolism
0.00
Hormonal pathways
Elevates BDNF production
0.90
Cell death
Diminished necrotic cell death
0.90
Adipocyte fibrosis
0.00
Upstream (biochem)
0.00
Upstream (physiol)
Physical training
0.90
Downstream (biochem)
BDNF, ADP/ATP ratio
0.90
Downstream (physiol)
Improved cognitive functions, reduced amyloid deposition, diminished necrotic cell death
0.90
PTMs
0.00
Экспрессия (8 полей)
Tissue expression
0.00
In vitro
0.00
In vivo
Amyloid beta-induced Alzheimer's rat model with intrahippocampal injections; treatments: exercise, empagliflozin (10 mg/kg BW, PO), and combined; outcomes: spatial memory tests, histopathology (H&E, Congo red), immunohistochemistry (GFAP), ADP/ATP ratio in brain mitochondria
0.95
In silico
0.00
Genetic association
0.00
Ex vivo
Isolated brain mitochondria used for ADP/ATP ratio measurement by HPLC
0.90
Animal model
Amyloid beta-induced Alzheimer's rat model
0.95
Diet/model
Amyloid beta-induced Alzheimer's disease model via intrahippocampal injections
0.95
Клиника (11 полей)
Drug
Empagliflozin
1.00
Indication
Alzheimer's disease
0.90
Patient subgroups
0.00
Safety concerns
0.00
Off-target
0.00
Trial stage
Preclinical
0.90
Pharma competitors
0.00
AE severity
0.00
MOA weight loss
0.00
Endpoints
0.00
Approved
True
0.80