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EMPAGLIFLOZIN RENAL SAFETY IN NORMOGLYCEMIC RATS WITH HEART FAILURE

https://doi.org/10.24884/1561-6274-2018-22-1-83-90

Abstract

The aim: to evaluate the effect of the sodium-glucose cotransporter SGLT-2 inhibitor – empagliflozin on the kidney in nondiabetic Wistar rats  with experimental heart failure (HF).

Material and methods.  Chronic HF was induced by ligation the left coronary artery. Animals with HF in the first group (n=11) received empagliflozin (Jardiance®, Boehringer Ingelheim) orally (1 mg / kg/day) for 1 month. In the second group of rats with HF (n = 10) the drug is not administered. Concentrations and daily urinary excretion of glucose, protein and albumin were measured. The relative level of microRNA-21 urinary expression was established. Morphological examination of kidney tissue was performed using light microscopy.

Results. The administration of empagliflozin to experimental animals resulted in regularly higher values of diuresis, glucose concentration in urine and its daily excretion. There were no significant differences in levels of albuminuria and proteinuria or miRNA-21 expression in urine in groups with and without empagliflozin. The animals receiving the drug  showed a slightly less pronounced damage to the cells of the tubular epithelium compared to rats with only heart failure.

Conclusion. The data obtained, at least confirm the renal safety of long-term empagliflozin administration even under conditions of high risk.

About the Authors

S. V. Okovity`i`
Saint Petersburg state chemical pharmaceutical academy
Russian Federation

Sergey V. Okovityi - MD, PhD, DMedSci, Prpf., department of pharmacology and clinical pharmacology, head.

197022 St-Petersburg, Prof. Popova st., 14, lit.A, (812) 234-13-29



O. N. Beresneva
First Pavlov St.-Petersburg State Medical University Institute of Nephrology, Nephrology research institute of scientific clinical research centre
Russian Federation

Olga N. Beresneva – PhD, senior researcher, Nephrology Laboratory of Clinical Physiology of the Kidney.

197022 St-Petersburg , L.Tolstoy st., 17, build. 54, (812)346-39-26



M. M. Parastaeva
First Pavlov St.-Petersburg State Medical University Institute of Nephrology, Nephrology research institute of scientific clinical research centre
Russian Federation

Marina M. Parastaeva – PhD, senior researcher, Laboratory of Clinical Physiology of the Kidney.

197022 St-Petersburg , L.Tolstoy st., 17, build. 54, (812)346-39-26



G. T. Ivanova
Pavlov physiology institute Russian academy of science
Russian Federation

Galina T. Ivanova - PhD, senior researcher, Laboratory of Experimental and Clinical Cardiology.

199034 St-Petersburg, Makarov emb. 6, (812) 3280701



D. Yu. Ivkin
St. Petersburg state chemical-pharmaceutical academy, Center of experimental pharmacology
Russian Federation

Dmitry Y. Ivkin – PhD, director.

199034, St-Petersburg, Prof. Popova st., 14, lit. A, (812) 234-13-29



A. S. Ivkina
St. Petersburg State chemical-pharmaceutical academy, Center of experimental pharmacology
Russian Federation

Arina S. Ivkina – researcher, pharmacological research laboratory.

197022 St-Petersburg, Prof. Popova st., 14, lit.A, (812) 234-13-29



V. G. Sipovskii
First Pavlov St.-Petersburg State Medical University Institute of Nephrology, Nephrology research institute of scientific clinical research centre
Russian Federation

Evdokia O. Bogdanova – researcher, Laboratory of Biochemical Homeostasis.

197022 St-Petersburg,  L.Tolstoy  st.,  17, build. 54, (812) 338-69-01



M. I. Zaraiyskii`
Pavlov First Saint Petersburg State Medical University
Russian Federation

Mikhail I. Zaraiski - MD, PhD, DMedSci., Prof.,  Department of clinical laboratory diagnostics with a course of molecular medicine.

197022 St-Petersburg, L. Tolstoy st., 6/8, build. 10, (812) 346-39-26



A. A. Karpov
Federal medical research center VA Almazov
Russian Federation

Andrey A. Karpov - junior researcher.

197022 St-Petersburg, Parkhomenko st, 15, (812) 702-51-68



А. G. Kucher
First Pavlov St.-Petersburg State Medical University, Research and clinical research cente
Russian Federation

Anatoly G. Kucher - MD, PhD, DMedSci.,  Prof., vice-director.

197022 St-Petersburg, L.Tolstoy st., 17, build. 54, +7921 4211817



E. O. Bogdanova
Nephrology research institute of scientific clinical research centre
Russian Federation

Evdokia O. Bogdanova – researcher, Laboratory of Biochemical Homeostasis.

197022 St-Petersburg,  L.Tolstoy  st.,  17, build. 54, (812) 338-69-01



E. B. Sipovskaya
First Pavlov St.-Petersburg State Medical University Institute of Nephrology, Nephrology research institute of scientific clinical research centre
Russian Federation

Elena B. Sipovski – researcher, Laboratory Clinical Morphology and Immunology, researcher.

197022 St-Petersburg, L.Tolstoy st., 17, build. 54, (812)3386932



A. N. Kulikov
First Pavlov St.-Petersburg State Medical University, Research and clinical research center
Russian Federation

Prof. Aleksandr N. Kulikov - MD, PhD, DMedSci., Department of clinical physiology and functional diagnostics, head.

197022 St-Petersburg , L.Tolstoy st., 6-8, (812) 338-71-23



I. G. Kayukov
First Pavlov St.-Petersburg State Medical University, Institute of Nephrology
Russian Federation

Ivan G. Kayukov - MD, PhD, DMedSci., Prof., Laboratory of Clinical Physiology of the Kidney, head.

197022 St-Petersburg,  L. Tolstoy  st.  17, build. 54, (812) 346-39-26



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Review

For citations:


Okovity`i` S.V., Beresneva O.N., Parastaeva M.M., Ivanova G.T., Ivkin D.Yu., Ivkina A.S., Sipovskii V.G., Zaraiyskii` M.I., Karpov A.A., Kucher А.G., Bogdanova E.O., Sipovskaya E.B., Kulikov A.N., Kayukov I.G. EMPAGLIFLOZIN RENAL SAFETY IN NORMOGLYCEMIC RATS WITH HEART FAILURE. Nephrology (Saint-Petersburg). 2018;22(1):83-90. (In Russ.) https://doi.org/10.24884/1561-6274-2018-22-1-83-90

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ISSN 1561-6274 (Print)
ISSN 2541-9439 (Online)