Empagliflozin 是一种选择性钠葡萄糖协同转运蛋白 2 抑制剂,已被证明可提供额外的非血糖益处,包括神经保护。内质网 (ER) 应激是神经退行性变的关键因素,发生在其他病理机制的十字路口;然而,它在帕金森病 (PD) 发病机制中的作用仍然难以捉摸。miR-211-5p 调节神经元分化和活力,预计会靶向 CHOP,这是 ER 应激通路中的下游效应器。这项研究首次调查了可能的神经保护作用内质网应激视角下恩格列净对鱼藤酮诱导的大鼠 PD 模型的影响。鱼藤酮 (1.5 mg/kg) 每隔一天皮下给药 3 周。同时,治疗组在 PD 诱导后连续 15 天口服依格列净 10 mg/kg/天。在分子水平上,ER 应激通路成分;GRP78、总和磷酸化 PERK、eIF2α 和 CHOP,以及 miR-211-5p 表达在鱼藤酮注射大鼠的纹状体中上调。同时,未经治疗的大鼠表现出纹状体 α-突触核蛋白水平升高,同时自噬和蛋白酶体系统减少,beclin-1 蛋白和 ELF2/NERF mRNA 表达水平降低就证明了这一点。鱼藤酮诱导的纹状体氧化应激和神经炎症通过降低的过氧化氢酶活性和升高的白细胞介素(IL)-1β水平表达。miR-211-5p与PERK/eIF2α/CHOP、IL-1β和α-突触核蛋白呈正相关,而与ELF2/NERF、beclin-1和过氧化氢酶活性呈负相关。Empagliflozin 治疗显示出对所有生化改变的恢复作用,并改善了通过开放场、握力和足迹步态分析测试的大鼠的运动功能。在组织病理学检查中,empagliflozin通过减少胶质纤维酸性蛋白和离子化的钙结合适配器,增加了完整的神经元计数并减轻了星形胶质细胞增生和小胶质细胞增生。蛋白质 1 免疫染色。总之,这些结果通过调节 GRP78/PERK/eIF2α/CHOP ER 应激通路、下调 miR-211-5p、解决氧化应激、减少星形胶质细胞/小胶质细胞活化和神经炎症以及增强自噬,强调了恩格列净对 PD 的神经治疗作用。
"点击查看英文标题和摘要"
Empagliflozin alleviates endoplasmic reticulum stress and augments autophagy in rotenone-induced Parkinson's disease in rats: Targeting the GRP78/PERK/eIF2α/CHOP pathway and miR-211-5p
Empagliflozin, a selective sodium-glucose co-transporter-2 inhibitor, has been demonstrated to provide additional non-glycemic benefits, including neuroprotection. Endoplasmic reticulum (ER) stress is a key player in neurodegeneration and occurs at the crossroads of other pathologic mechanisms; however, its role in the pathogenesis of Parkinson's disease (PD) is still elusive. miR-211-5p regulates neuronal differentiation and viability and was predicted to target CHOP, a downstream effector in the ER stress pathway. For the first time, this study investigated the possible neuroprotective effect of empagliflozin in a rotenone-induced rat model of PD from the perspective of ER stress. Rotenone (1.5 mg/kg) was administered subcutaneously every other day for 3 weeks. Meanwhile, the treated group received empagliflozin 10 mg/kg/day orally for 15 consecutive days post-PD induction. On the molecular level, the ER stress pathway components; GRP78, total and phosphorylated PERK, eIF2α and CHOP, along with miR-211-5p expression were upregulated in the striatum of rotenone-injected rats. Concurrently, the untreated rats showed elevated striatal α-synuclein levels along with diminished autophagy and the proteasome system as evidenced by reduced beclin-1 protein and ELF2/NERF mRNA expression levels. The rotenone-induced striatal oxidative stress and neuroinflammation were expressed by reduced catalase activity and elevated interleukin (IL)-1β levels. miR-211-5p was positively correlated with PERK/eIF2α/CHOP, IL-1β and α-synuclein, while negatively correlated with ELF2/NERF, beclin-1 and catalase activity. Empagliflozin treatment showed a restorative effect on all biochemical alterations and improved the motor function of rats tested by open field, grip strength and footprint gait analysis. In the histopathological examination, empagliflozin increased the intact neuron count and attenuated astrogliosis and microgliosis by reducing the glial fibrillary acidic protein and ionized calcium-binding adaptor protein 1 immunostaining. Conclusively, these results emphasize the neurotherapeutic impact of empagliflozin in PD by moderating the GRP78/PERK/eIF2α/CHOP ER stress pathway, downregulating miR-211-5p, resolving oxidative stress, lessening astrocyte/microglial activation and neuroinflammation, along with augmenting autophagy.