Elena Conte
SGLT2 inhibitors improve skeletal muscle impairment in an animal model of heart failure by modulating glucose and ion homeostasis
Autori
- ELENA CONTE (DEPARTMENT OF PHARMACY-DRUG SCIENCES, UNIVERSITY OF BARI ALDO MORO – RESEARCHER)
- PAOLA IMBRICI (DEPARTMENT OF PHARMACY-DRUG SCIENCES, UNIVERSITY OF BARI ALDO MORO – ASSOCIATE PROFESSOR)
- GIORGIA DI NOI (DEPARTMENT OF PHARMACY-DRUG SCIENCES, UNIVERSITY OF BARI ALDO MORO – PHD STUDENT)
- KONRAD URBANEK (DEPARTMENT OF MOLECULAR MEDICINE AND MEDICAL BIOTECHNOLOGIES, UNIVERSITY OF NAPLES “FEDERICO II” – ASSOCIATE PROFESSOR)
- DONATO CAPPETTA (DEPARTMENT OF BIOLOGICAL AND ENVIRONMENTAL SCIENCES AND TECHNOLOGIES, UNIVERSITY OF SALENTO – PROFESSOR)
- LIBERATO BERRINO (DEPARTMENT OF EXPERIMENTAL MEDICINE, UNIVERSITY OF CAMPANIA “LUIGI VANVITELLI” – FULL PROFESSOR)
- ANNAMARIA DE LUCA (DEPARTMENT OF PHARMACY-DRUG SCIENCES, UNIVERSITY OF BARI ALDO MORO – FULL PROFESSOR)
- ANTONELLA DE ANGELIS (DEPARTMENT OF EXPERIMENTAL MEDICINE, UNIVERSITY OF CAMPANIA “LUIGI VANVITELLI” – ASSOCIATE PROFESSOR)
- ANTONELLA LIANTONIO (DEPARTMENT OF PHARMACY-DRUG SCIENCES, UNIVERSITY OF BARI ALDO MORO – ASSOCIATE PROFESSOR)
Presentatore
ELENA CONTE (DEPARTMENT OF PHARMACY-DRUG SCIENCES, UNIVERSITY OF BARI ALDO MORO)
Modalità
Oral Communication
Abstract
Heart failure (HF) is characterized by severe dyspnea, fatigue, and exercise intolerance. Among comorbidities, skeletal muscle mechanical-metabolic abnormalities are of particular importance as they impair daily activities and quality of life in patients. Sodium-glucose cotransporter2 inhibitors (SGLT2i) increase physical performance in HF, but their mechanisms of action are not completely clear (Wood et al., 2024). Altered muscle ion and glucose homeostasis may play a role in HF-related muscle changes and may be indirect targets of SGLT2i action. We investigated the involvement of proteins mediating Ca2+, Na+, and glucose transport in HF-associated muscle alterations, meanwhile assessing the potential SGLT2i benefit. We used Dahl salt-sensitive rats fed with a high salt diet (HS) for five weeks and then randomized to the SGLT2i dapagliflozin (HS-DAP) for the following six weeks. Outcomes were evaluated on ex vivo indices using EDL muscle. Gene/protein expression analysis showed that HS rats presented increased expression of SGLT2, active CaMKII and related GLUT4 protein, supporting metabolic dysfunction. In addition, we observed changes in proteins mediating Ca2+ and Na+ transport (NCX3, Ryr1, NHE1/6, Na+/K+-ATPase, Nav1.4) suggesting a calcium/sodium overload. Dapagliflozin was able to counteract SGLT2 increase as well as Na+ and Ca2+-related protein alterations. These findings are consistent with ∼20% reduced myofiber atrophy in HS-DAP rats vs HS. These results demonstrate that altered ionic homeostasis and increased SGLT2 expression contribute to HF-related muscle changes. Accordingly, skeletal muscle could be highly responsive to SGLT2i treatment supporting the potential of these drugs in slowing the progression of HF-related skeletal muscle pathology.