Sacubitril/valsartan combination partially improves cardiac systolic, but not diastolic, function through β-ar responsiveness in a rat model of type 2 diabetes

dc.contributor.authorErdoğan, Betül Rabia
dc.contributor.authorYeşilyurt Dirican, Zeynep Elif
dc.contributor.authorKaraömerlioğlu, İrem
dc.contributor.authorMüderrisoğlu, Ayhanım Elif
dc.contributor.authorSevim, Kadir
dc.contributor.authorMichel, Martin
dc.contributor.authorArıoğlu İnan, Ebru
dc.date.accessioned2025-10-06T08:18:30Z
dc.date.available2025-10-06T08:18:30Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Tıbbi Farmakoloji Ana Bilim Dalı
dc.description.abstractCardiovascular complications are the major cause of diabetes mellitus-related morbidity and mortality. Increased renin–angiotensin–aldosterone system activity and decreased β-adrenergic receptor (β-AR) responsiveness contribute to diabetic cardiac dysfunction. We evaluated the effect of sacubitril/valsartan (neprilysin inhibitor plus angiotensin receptor antagonist combination) and valsartan treatments on the diabetic cardiac function through β-AR responsiveness and on protein expression of diastolic components. Six-week-old male Sprague Dawley rats were divided into control, diabetic, sacubitril/valsartan (68 mg/kg)-, and valsartan-treated (31 mg/kg) diabetic groups. Diabetes was induced by a high-fat diet plus low-dose streptozotocin (30 mg/kg, intraperitoneal). After 10 weeks of diabetes, rats were treated for 4 weeks. Systolic/diastolic function was assessed by in vivo echocardiography and pressure–volume loop analysis. β-AR-mediated responsiveness was assessed by in vitro papillary muscle and Langendorff heart experiments. Protein expression of sarcoplasmic reticulum calcium ATPase2a, phospholamban, and phosphorylated phospholamban was determined by Western blot. Sacubitril/valsartan improved ejection fraction and fractional shortening to a similar extent as valsartan alone. None of the treatments affected in vivo diastolic parameters or the expression of related proteins. β1-/β2-AR-mediated responsiveness was partially restored in treated animals. β3-AR-mediated cardiac relaxation (an indicator of diastolic function) responses were comparable among groups. The beneficial effect of sacubitril/valsartan on systolic function may be attributed to improved β1-/β2-AR responsiveness.
dc.description.sponsorshipTürkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK) ; Ankara University
dc.identifier.citationErdoğan, B. R., Yeşilyurt Dirican, Z. E., Karaömerlioğlu, İ., Müderrisoğlu, A. E., Sevim, K., Michel, M. ... Arıoğlu İnan, E. (2024). Sacubitril/valsartan combination partially improves cardiac systolic, but not diastolic, function through β-ar responsiveness in a rat model of type 2 diabetes. International Journal of Molecular Sciences, 25(19). http://dx.doi.org/10.3390/ijms251910617
dc.identifier.doi10.3390/ijms251910617
dc.identifier.issn1661-6596
dc.identifier.issn1422-0067
dc.identifier.issue19
dc.identifier.pmid39408945
dc.identifier.scopus2-s2.0-85206294613
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.3390/ijms251910617
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13074
dc.identifier.volume25
dc.identifier.wosWOS:001332368300001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorMüderrisoğlu, Ayhanım Elif
dc.language.isoen
dc.relation.ispartofInternational Journal of Molecular Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.relation.tubitakinfo:eu-repo/grantAgreement/TUBITAK/SOBAG/117S936
dc.relation.tubitakinfo:eu-repo/grantAgreement/TUBITAK/SOBAG/115S564
dc.relation.tubitakinfo:eu-repo/grantAgreement/TUBITAK/SOBAG/19H0237004
dc.relation.tubitakinfo:eu-repo/grantAgreement/TUBITAK/SOBAG/2211/A
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDiabetes
dc.subjectHeart
dc.subjectSacubitril
dc.subjectValsartan
dc.subjectΒ-Adrenoceptor
dc.titleSacubitril/valsartan combination partially improves cardiac systolic, but not diastolic, function through β-ar responsiveness in a rat model of type 2 diabetes
dc.typeArticle

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