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Volume 10 Journal of Clinical & Experimental Cardiology
Page 28
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conferenceseries.com
April 29-May 01, 2019 Kyoto, Japan
Heart Congress 2019
April 29-May 01, 2019
4th World Heart Congress
Potential pleiotropic effects of SGLT2- and DPP4- inhibitors, lessons learnt from rodent models
Introduction & Aim: Clinical trials have suggested that SGLT-2 inhibitors improved cardiovascular outcomes in patients with
diabetes mellitus. We assessed whether the SGLT-2 inhibitor Dapagliflozin (Dapa) attenuates the upregulation of the cardiac
Na+/H + exchanger (NHE-1) in vitro in mouse cardio-fibroblasts stimulated with Lipopolysaccharides (LPS) and whether this
effect is dependent on Adenosine Mono Phosphate Kinase (AMPK) activation.
Method: Mouse cardiofibroblasts were exposed for 16 hours to Dapa (0.4 μM), AMPK activator [A769662 (10 μM)], AMPK
inhibitor [compound C (CC) (10 μM), an SGLT1 and SGLT2 inhibitor [Phlorizin (PZ) (100 μM)], Dapa+CC or Dapa+PZ
and then stimulated with LPS (10 ng/ml) for 3 hours. NHE-1 mRNA levels were assessed by rt-PCR and total AMPK,
phosphorylated-AMPK (P-AMPK), NHE-1 and Heat Shock Protein-70 (Hsp70) protein levels in the whole cell lysate by
immunoblotting. In addition NHE-1 protein levels attached to Hsp70 were assessed by immuno precipitation.
Result: Exposure to LPS reduced P-AMPK levels. A769662 and Dapa equally increased P-AMPK. The effect was blocked by
CC. Phlorizin had no effect on P-AMPK. LPS exposure significantly increased NHE-1 mRNA levels. Both Dapa and A769662
equally attenuated this increase. The effect of Dapa was blocked with CC. LPS significantly increased the concentration of
NHE-1 attached to Hsp70. Both Dapa and A69662 attenuated this association and CC blocked the effect of Dapa. Again,
Phlorizin had no effect and did not alter the effect of Dapa.
Conclusion: Dapa increases P-AMPK in cardiofibroblasts exposed to LPS. Dapa attenuated the increase in NHE-1 mRNA and
the association between NHE-1 and Hsp70. This effect was dependent on AMPK.
Biography
Yochai Birnbaum is currently working as a Professor of Medicine and the John S. Dunn Chair in Cardiology Research and Education at the Section of Cardiology
at Baylor College of Medicine. He has completed his graduation from Hadassah Medical School at the Hebrew University, Jerusalem, Israel. He has completed
his Residency in Internal Medicine at Kaplan Medical Center, Rehovot, Israel and his Cardiology Fellowship at Rabin Medical Center, Petah-Tiqva, Israel. He has
also completed a Research Fellowship in Cardiology at Good Samaritan Hospital and the University of Southern California, Los Angeles, California and Research
Fellowship in Echocardiography at Cedars-Sinai Medical Center, Los Angeles, California.
Yochai Birnbaum
Baylor College of Medicine, USA
Yochai Birnbaum, J Clin Exp Cardiolog 2019, Volume 10
DOI: 10.4172/2155-9880-C4-133