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Извлечено: 997 / 997 (100.0%) Средняя confidence: 0.13
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Empagliflozin Improves Learning and Memory Deficits in Streptozotocin-Induced Hyperglycemic Male Wistar Rats.

PMID: 41710482 · DOI: 10.2147/JEP.S561692 · Journal of experimental pharmacology, 2026 · Israa H Isawi, Nour A Al-Sawalha, Fatema Mahmoud, Islam Al-Khawaldeh, Karem H Alzoubi
📄 Abstract

Sodium-glucose cotransporter 2 (SGLT2) inhibitors are a relatively new class of antidiabetic agents that lower blood glucose independently of insulin by inhibiting renal SGLT2 in the proximal tubule, thereby increasing urinary glucose and sodium excretion. Empagliflozin (Empa), an FDA-approved SGLT2 inhibitor, exhibits antioxidant, anti-inflammatory, and additional metabolic effects beyond glycemic control. Given the high expression of SGLT2 in the central nervous system and the established link between cognitive impairment, chronic hyperglycemia, oxidative stress, and inflammation, this study investigated Empa's neuroprotective potential on learning and memory deficits in streptozotocin-induced hyperglycemic male Wistar rats. Hyperglycemia was induced using streptozotocin (40 mg/kg/IP), followed by Empa treatment (10 mg/kg/day/PO). Cognitive performance was evaluated using the radial arm water maze, assessing learning and both short-term and long-term memory. Concurrently, hippocampal oxidative stress markers and key molecular mediators, including brain-derived neurotrophic factor (BDNF) and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), were measured to elucidate possible underlying neuroprotective mechanisms. Hyperglycemic rats exhibited significant impairments in learning, short-term memory, and long-term memory compared to normoglycemic controls. Empa treatment significantly improved short-term memory, restoring performance to near-control levels. However, its impact on long-term memory was minimal. Unexpectedly, Empa induced only modest, non-statistically significant changes in hippocampal oxidative stress markers and BDNF and NF-κB levels. The findings underscore the complexity of oxidative stress and inflammatory pathways involved in hyperglycemia-associated cognitive impairment. The beneficial effects of Empa on short-term memory may involve alternative mechanisms unrelated to oxidative stress modulation. Further studies involving extended durations, higher dosages, or larger sample sizes are warranted to better elucidate the neuroprotective mechanisms of Empa.

Confidence: 0.42 · 21 полей извлечено
Идентификация (6 полей)
Target
Sodium-glucose cotransporter 2
1.00
Alt. target
SGLT2
1.00
Protein family
Sodium-glucose cotransporter family
0.90
Functional class
Transporter
0.90
Subcellular loc.
Plasma membrane
0.80
Isoforms (metab/obesity)
0.00
Механизм действия (21 полей)
Mechanism
Inhibits renal SGLT2 in the proximal tubule, increasing urinary glucose and sodium excretion
0.95
Mutations (obesity/lean)
0.00
Activity (obesity)
0.00
Activity temporal
0.00
Energy balance
0.00
Appetite
0.00
Fat metabolism
0.00
Lipolysis
0.00
Thermogenesis
0.00
Muscle metabolism
0.00
Inflammation
Exhibits anti-inflammatory effects; NF-κB measured as a molecular mediator in the hippocampus but Empa induced only modest, non-statistically significant changes
0.90
Glucose metabolism
Lowers blood glucose independently of insulin by inhibiting renal SGLT2
0.95
AA metabolism
0.00
Hormonal pathways
0.00
Cell death
0.00
Adipocyte fibrosis
0.00
Upstream (biochem)
0.00
Upstream (physiol)
0.00
Downstream (biochem)
BDNF, NF-κB (measured but changes were modest and non-statistically significant)
0.85
Downstream (physiol)
Urinary glucose excretion, urinary sodium excretion
0.90
PTMs
0.00
Экспрессия (8 полей)
Tissue expression
high expression of SGLT2 in the central nervous system
0.90
In vitro
0.00
In vivo
Empagliflozin treatment (10 mg/kg/day/PO) in streptozotocin-induced hyperglycemic male Wistar rats; cognitive performance evaluated using radial arm water maze; hippocampal oxidative stress markers, BDNF, and NF-κB measured
0.95
In silico
0.00
Genetic association
0.00
Ex vivo
0.00
Animal model
streptozotocin-induced hyperglycemic male Wistar rats
0.95
Diet/model
streptozotocin (40 mg/kg/IP) to induce hyperglycemia
0.95
Клиника (11 полей)
Drug
Empagliflozin
1.00
Indication
Type 2 diabetes mellitus
0.90
Patient subgroups
Patients with hyperglycemia-associated cognitive impairment (short-term memory deficits)
0.80
Safety concerns
0.00
Off-target
Neuroprotective effects (improved short-term memory) potentially unrelated to oxidative stress modulation
0.70
Trial stage
Preclinical (animal study)
1.00
Pharma competitors
0.00
AE severity
0.00
MOA weight loss
0.00
Endpoints
Significant improvement in short-term memory in hyperglycemic rats
0.90
Approved
FDA-approved
1.00