Azilsartan protects against hyperglycemia-induced hyperpermeability of the blood-brain barrier

Autor: Wanxi Pan, Erliang Jin, Longfei Yao, Shaojun Chen, Hua Tang, Jing Han
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Bioengineered, Vol 12, Iss 1, Pp 3621-3633 (2021)
Bioengineered
article-version (VoR) Version of Record
ISSN: 2165-5987
2165-5979
Popis: Diabetes mellitus (DM) is a complex metabolic disease with significant neurological complications and is reported to be closely related to the blood-brain barrier (BBB) disruption. Azilsartan is an antagonist of the Angiotensin II receptor developed for the treatment of hypertension, and it has been recently reported to have neuroprotective effects. The present study aims to investigate the protective effect of Azilsartan against hyperglycemia-induced BBB disruption and its underlying mechanism. Male db/db mice were treated with Azilsartan (20 μg/day) for 10 consecutive days. Compared to the control group, increased BBB permeability, suppressed occludin expression, excessive release of inflammatory factors, and downregulation of krüppel-like factor 2 (KLF2) were observed in diabetic mice, all of which were dramatically reversed by Azilsartan treatment. In the in vitro experiments, elevated endothelial permeability and decreased expression of occludin and KLF2 were observed in high glucose-challenged endothelial cells, which were significantly alleviated by Azilsartan. Lastly, the silencing of KLF2 abolished the protective effects of Azilsartan against the high glucose-induced expression of occludin and endothelial monolayer permeability in bEnd.3 brain endothelial cells. Based on these observations, we concluded that Azilsartan protected against hyperglycemia-induced hyperpermeability of BBB via the KLF2/occludin axis.
Graphical abstract
Databáze: OpenAIRE