{"id":2363,"date":"2020-09-09T16:47:06","date_gmt":"2020-09-09T16:47:06","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2363"},"modified":"2020-09-09T16:47:06","modified_gmt":"2020-09-09T16:47:06","slug":"ijar-2020-204","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2020-204","title":{"rendered":"IJAR.2020.204"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.8.3\/IJAR.2020.204.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-8-3.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 3.3 (September 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a07728-7737<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2020.204<\/h3>\n<h3 style=\"text-align: justify;\">PROMISING EFFECT OF DAPAGLIFLOZIN ON OVARIECTOMIZED RAT MODEL OF OSTEOPOROSIS<\/h3>\n<p style=\"text-align: justify;\"><strong>Amany Ali Nawar <sup>1<\/sup>, Nancy Mohamed El Sekily *<sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1<\/sup> Clinical pharmacology Department, Faculty of Medicine, Alexandria University, Egypt.<\/p>\n<p style=\"text-align: justify;\"><sup>*2<\/sup> Anatomy and Embryology Department, Faculty of Medicine, Alexandria University, Egypt.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding author: <\/strong>Nancy Mohamed Aly El-Sekily, Anatomy and Embryology, Department, Faculty of Medicine, Alexandria University, Egypt. +0201222359100<strong>\u00a0E-Mail:<\/strong> nancyelsekily@yahoo.com<\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Introduction: <\/strong>Osteoporosis makes bones become frail thus fragile, that a fall or even gentle burdens prompting a crack. Several studies had documented that osteoporosis incidence is increased much more in diabetic patient. Dapagliflozin, is used in Type 2 diabetes management, as a selective inhibitor of sodium\/glucose cotransporter-2 (SGLT2). Few study tackled the impact of dapagliflozin on bone metabolism. In this study we aim to determine the impact of dapagliflozin on a rat model of osteoporosis.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and methods<\/strong>: Thirty adult female Wistar albino rats were used in this experiment. They were equally divided into three groups. <em>Group I<\/em> sham-operated control, group II ovariectomized (OVX), and group III ovariectomized (OVX) treated with dapagliflozin (DAPA) 10 mg\/kg\/day orally for 8 weeks. After 8weeks, plasma levels of calcium (Ca+2), phosphorous (P), alkaline phosphatase (ALP), Tartrate-Resistant Acid Phosphatase 5b (TRAP 5b), tumor necrosis factor-\u03b1 (TNF-\u03b1), serum osteocalcin level, serum osteoprotegerin level, AMP-activated protein kinase (AMPK) and advanced glycosylation end products (AGEs) were analysed. The distal end of femur bones were excised for histological and morphometric studies.<\/p>\n<p style=\"text-align: justify;\"><strong>Results<\/strong>: In the current study, the biochemical results of ovariectomized (OVX) rat group showed increase in serum level of phosphorus, alkaline phosphatase, Tartrate-Resistant Acid Phosphatase 5b (TRAP 5b), osteocalcin, advanced glycosylation end products (AGEs) and tumor necrosis factor-\u03b1 (TNF-\u03b1) . While the serum level of calcium, osteoprotegrin and AMP-activated protein kinase (AMPK) was decreased. The biochemical results of (OVX) group treated with DAPA showed a significant change in serum level of calcium, alkaline phosphatase, TRAP 5b, osteocalcin, osteoprotegrin and AMPK. While the serum level of phosphorus, AGEs and TNF- \u03b1 showed non significant change in the same group. In the present study, the (OVX) rat group showed features of osteoporosis at the epiphyseal plate of femur. These features were focal areas of disrupted arrangement of the layers of chondrocytes, some areas of the matrix appeared pale, the bone trabeculae were thinner than normal, multiple resorption cavities and some areas of hypocellularity. After oral administration of dapagliflozin to the OVX rats for eight weeks, the osteoporotic findings in femur by H&amp;E showed improvement. The chondrocytes appeared almost normally organized and the bone trabeculae were of normal thickness. By morphometric assessment, the thickness of bone trabeculae of OVX treated with DAPA group (69.9\u00b115.6) increased in comparaison to the OVX group (61.0\u00b1 18.2).<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion<\/strong>: Dapaglaflozin has an antiosteoporotic effect in ovariectomy induced osteoporosis in rat.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS: <\/strong>Dapagliflozin, Osteoporosis, bilateral ovaricteomy.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Shuid AN, Ping LL, Muhammad N, Mohamed N, Soelaiman IN. The effects of Labisia pumila var.alata on bone markers and bone calcium in a rat model of post-menopausal osteoporosis. J Ethnopharmacol 2011;133(2):538-542.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.jep.2010.10.033<br \/>\nPMid:20971181<br \/>\n[2]. Sambrook PN, Eisman JA. Osteoporosis prevention and treatment. 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Dapagliflozin Attenuates Hyperglycemia Related Osteoporosis in ZDF Rats by Alleviating Hypercalciuria. Frontiers in Endocrinology 2019;10:1-14.<br \/>\nhttps:\/\/doi.org\/10.3389\/fendo.2019.00700<br \/>\nPMid:31781028 PMCid:PMC6856656<br \/>\n[42]. Kohan D, Fioretto P, Tang W. Long-term study of patients with type 2 diabetes and moderate renal impairment shows that dapagliflozin reduces weight and blood pressure but does not improve glycemic control. Kidney Int. 2014;4:962-971.<br \/>\nhttps:\/\/doi.org\/10.1038\/ki.2013.356<br \/>\nPMid:24067431 PMCid:PMC3973038<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Amany Ali Nawar, Nancy Mohamed El Sekily. PROMISING EFFECT OF DAPAGLIFLOZIN ON OVARIECTOMIZED RAT MODEL OF OSTEOPOROSIS. Int J Anat Res 2020;8(3.3):7728-7737.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2020.204\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 8; Issue 3.3 (September 2020) Page No.:\u00a07728-7737 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2020.204 PROMISING EFFECT OF DAPAGLIFLOZIN ON OVARIECTOMIZED RAT MODEL OF OSTEOPOROSIS Amany Ali Nawar 1, Nancy Mohamed El Sekily *2. 1 Clinical pharmacology Department, Faculty of Medicine, Alexandria University, Egypt. *2 Anatomy and Embryology Department, Faculty of Medicine, Alexandria University, Egypt. Corresponding author:<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2020-204\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2363"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=2363"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2363\/revisions"}],"predecessor-version":[{"id":2370,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2363\/revisions\/2370"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}