Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway

Empagliflozin (EMPA), a sodium-glucose co-transporter 2 (SGLT2) inhibitor, prevents endothelial dysfunction, but its effects on vascular tone in hypertension remain unclear. This study investigated whether EMPA modulates vasomotor tone via sirtuin 1 (SIRT1) and AMP-activated protein kinase (AMPK) pa...

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Main Authors: Monika Kloza, Anna Krzyżewska, Hanna Kozłowska, Sandra Budziak, Marta Baranowska-Kuczko
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/14/7/507
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author Monika Kloza
Anna Krzyżewska
Hanna Kozłowska
Sandra Budziak
Marta Baranowska-Kuczko
author_facet Monika Kloza
Anna Krzyżewska
Hanna Kozłowska
Sandra Budziak
Marta Baranowska-Kuczko
author_sort Monika Kloza
collection DOAJ
description Empagliflozin (EMPA), a sodium-glucose co-transporter 2 (SGLT2) inhibitor, prevents endothelial dysfunction, but its effects on vascular tone in hypertension remain unclear. This study investigated whether EMPA modulates vasomotor tone via sirtuin 1 (SIRT1) and AMP-activated protein kinase (AMPK) pathways in spontaneously hypertensive rats (SHR) and controls (Wistar Kyoto rats, WKY). Functional (wire myography, organ bath) and biochemical (Western blot) studies were conducted on the third-order of the superior mesenteric arteries (sMAs) and/or aortas. EMPA induced concentration-dependent relaxation of preconstricted sMAs in both groups. In SHR, EMPA enhanced acetylcholine (Ach)-induced relaxation in sMAs and aortas and reduced constriction induced by phenylephrine (Phe) and U46619 in sMAs. The SIRT1 inhibitor (EX527) abolished EMPA’s effects on Ach-mediated relaxation and U46619-induced vasoconstriction, while AMPK inhibition reduced Ach-mediated relaxation and Phe-induced vasoconstriction. SHR showed increased SGLT2 and SIRT1 expression and decreased pAMPK/AMPK levels in sMAs. In conclusion, EMPA might exert vasoprotective effects in hypertension by enhancing endothelium-dependent relaxation and reducing constriction via AMPK/SIRT1 pathways. These properties could improve vascular health in patients with hypertension and related conditions. Further studies are needed to explore new indications for SGLT2 inhibitors.
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spelling doaj-art-b25a66a4afa34b70a73a507f6bfdd2952025-08-20T02:15:55ZengMDPI AGCells2073-44092025-03-0114750710.3390/cells14070507Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK PathwayMonika Kloza0Anna Krzyżewska1Hanna Kozłowska2Sandra Budziak3Marta Baranowska-Kuczko4Department of Experimental Physiology and Pathophysiology, Medical University of Białystok, 15-222 Białystok, PolandDepartment of Experimental Physiology and Pathophysiology, Medical University of Białystok, 15-222 Białystok, PolandDepartment of Experimental Physiology and Pathophysiology, Medical University of Białystok, 15-222 Białystok, PolandDepartment of Experimental Physiology and Pathophysiology, Medical University of Białystok, 15-222 Białystok, PolandDepartment of Experimental Physiology and Pathophysiology, Medical University of Białystok, 15-222 Białystok, PolandEmpagliflozin (EMPA), a sodium-glucose co-transporter 2 (SGLT2) inhibitor, prevents endothelial dysfunction, but its effects on vascular tone in hypertension remain unclear. This study investigated whether EMPA modulates vasomotor tone via sirtuin 1 (SIRT1) and AMP-activated protein kinase (AMPK) pathways in spontaneously hypertensive rats (SHR) and controls (Wistar Kyoto rats, WKY). Functional (wire myography, organ bath) and biochemical (Western blot) studies were conducted on the third-order of the superior mesenteric arteries (sMAs) and/or aortas. EMPA induced concentration-dependent relaxation of preconstricted sMAs in both groups. In SHR, EMPA enhanced acetylcholine (Ach)-induced relaxation in sMAs and aortas and reduced constriction induced by phenylephrine (Phe) and U46619 in sMAs. The SIRT1 inhibitor (EX527) abolished EMPA’s effects on Ach-mediated relaxation and U46619-induced vasoconstriction, while AMPK inhibition reduced Ach-mediated relaxation and Phe-induced vasoconstriction. SHR showed increased SGLT2 and SIRT1 expression and decreased pAMPK/AMPK levels in sMAs. In conclusion, EMPA might exert vasoprotective effects in hypertension by enhancing endothelium-dependent relaxation and reducing constriction via AMPK/SIRT1 pathways. These properties could improve vascular health in patients with hypertension and related conditions. Further studies are needed to explore new indications for SGLT2 inhibitors.https://www.mdpi.com/2073-4409/14/7/507empagliflozinSGLT2 inhibitorssirtuin 1AMPKspontaneously hypertensive ratvasoprotection
spellingShingle Monika Kloza
Anna Krzyżewska
Hanna Kozłowska
Sandra Budziak
Marta Baranowska-Kuczko
Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway
Cells
empagliflozin
SGLT2 inhibitors
sirtuin 1
AMPK
spontaneously hypertensive rat
vasoprotection
title Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway
title_full Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway
title_fullStr Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway
title_full_unstemmed Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway
title_short Empagliflozin Plays Vasoprotective Role in Spontaneously Hypertensive Rats via Activation of the SIRT1/AMPK Pathway
title_sort empagliflozin plays vasoprotective role in spontaneously hypertensive rats via activation of the sirt1 ampk pathway
topic empagliflozin
SGLT2 inhibitors
sirtuin 1
AMPK
spontaneously hypertensive rat
vasoprotection
url https://www.mdpi.com/2073-4409/14/7/507
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