Targeting the Sirtuin-1/PPAR-Gamma Axis, RAGE/HMGB1/NF-κB Signaling, and the Mitochondrial Functions by Canagliflozin Augments the Protective Effects of Levodopa/Carbidopa in Rotenone-Induced Parkinson's Disease

卡格列净靶向 Sirtuin-1/PPAR-Gamma 轴、RAGE/HMGB1/NF-κB 信号传导和线粒体功能可增强左旋多巴/卡比多巴对鱼藤酮诱发的帕金森病的保护作用

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作者:Mennatallah A Elkady, Ahmed M Kabel, Lamees M Dawood, Azza I Helal, Hany M Borg, Hanan Abdelmawgoud Atia, Nesreen M Sabry, Nouran M Moustafa, El-Shaimaa A Arafa, Shuruq E Alsufyani, Hany H Arab2

Conclusions

Canagliflozin may represent a new adjuvant therapeutic agent that may add value to the combatting effects of levodopa/carbidopa against the pathological effects of PD.

Methods

In a mouse model of PD, the effect of canagliflozin with or without levodopa/carbidopa was assessed at the behavioral, biochemical, and histopathological levels.

Results

The combination of levodopa/carbidopa and canagliflozin significantly mitigated the changes induced by rotenone administration regarding the behavioral tests, striatal dopamine, antioxidant status, Nrf2 content, SIRT-1/PPAR-gamma axis, RAGE/HMGB1/NF-κB signaling, and mitochondrial dysfunction; abrogated the neuroinflammatory responses, and alleviated the histomorphologic changes induced by rotenone administration relative to the groups that received either levodopa/carbidopa or canagliflozin alone. Conclusions: Canagliflozin may represent a new adjuvant therapeutic agent that may add value to the combatting effects of levodopa/carbidopa against the pathological effects of PD.

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