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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

The sodium-glucose cotransporter-2 (SGLT2) inhibitors synergize with nitric oxide and prostacyclin to reduce human platelet activation

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Lescano, Caroline Honaiser [1] ; Leonardi, Guilherme [1] ; Portugal Torres, Pedro Henrique [1] ; Amaral, Tiago Nardi [2, 3] ; de Freitas Filho, Luiz Henrique [4] ; Antunes, Edson [1] ; Vicente, Cristina Pontes [4] ; Anhe, Gabriel Forato [1] ; Monica, Fabiola Zakia [1]
Total Authors: 9
[1] Univ Estadual Campinas, Fac Med Sci, Dept Pharmacol, Sao Paulo - Brazil
[2] Univ Estadual Campinas, Dept Internal Med, Sao Paulo - Brazil
[3] Fac Med, Sao Leopoldo Mand, Campinas, SP - Brazil
[4] Univ Estadual Campinas, Inst Biol, Dept Struct & Funct Biol, Sao Paulo - Brazil
Total Affiliations: 4
Document type: Journal article
Source: Biochemical Pharmacology; v. 182, DEC 2020.
Web of Science Citations: 0

Gliflozins (canagliflozin, dapagliflozin and empagliflozin) are the newest anti-hyperglycemic class and have offered cardiovascular and renal benefits. Because platelets are involved in the atherothrombosis process, this study is aimed to evaluate the direct effect of gliflozins on platelet reactivity. Platelet-rich plasma (PRP) or washed platelets (WP) were obtained from healthy volunteers. Aggregation, flow cytometry for glycoprotein IIb/ IIIa, cyclic nucleotides and intracellular calcium levels, Western blot, thromboxane B-2 (TXB2) measurement and COX-1 activity were performed in the presence of gliflozins (1-30 mu M) alone or in combination with sodium nitroprusside (SNP, 10 or 100 nM) + iloprost (ILO, 0.1 or 1 nM). SGLT2 protein is not expressed on human platelets. Gliflozins produced little inhibitory effect in agonists-induced aggregation and this effect was greatly potentiated by similar to 10-fold in the presence of SNP + ILO, accompanied by lower levels of TXB2 (58.1 +/- 5.1%, 47.1 +/- 7.2% and 43.4 +/- 9.2% inhibition for canagliflozin, dapagliflozin and empagliflozin, respectively). The activity of COX-1 was not affected by gliflozins. Collagen increased Ca2+ levels and alpha(IIb)beta(3) activation, both of which were significantly reduced by gliflozins + SNP + ILO. The intracellular levels of cAMP and cGMP and the protein expression of p-VASPSer157 and p-VASPSer239 were not increased by gliflozins while the expression of the serine-threonine kinase, AktSer473 was markedly reduced. Our results showed that the antiplatelet activity of gliflozins were greatly enhanced by nitric oxide and prostacyclin, thus suggesting that the cardiovascular protection seen by this class of drugs could be in part due to platelet inhibition. (AU)

FAPESP's process: 17/15175-1 - Modulation of soluble guanylate cyclase and the intracellular levels of cyclic nucleotides in the lower urinary tract and prostate
Grantee:Edson Antunes
Support Opportunities: Research Projects - Thematic Grants
FAPESP's process: 18/21880-2 - Characterization of the periprostatic adipose tissue and its effect in the functional activity of the prostate from obese mice treated or not with mirabgron, a beta-3 adrenoceptor agonist.
Grantee:Fabíola Taufic Monica Iglesias
Support Opportunities: Regular Research Grants
FAPESP's process: 17/26687-3 - Pharmacological characterization of glyphlozins in isolated human platelets: in vitro, in vivo evaluation and molecular modeling
Grantee:Caroline Honaiser Lescano
Support Opportunities: Scholarships in Brazil - Post-Doctoral