A 6-WEEK TREATMENT WITH SEMAGLUTIDE IMPROVES BOTH KIDNEY DYSFUNCTION AND HEART FAILURE WITH PRESERVED EJECTION FRACTION IN THE SDT FATTY RAT MODEL

 

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https://storage.unitedwebnetwork.com/files/1099/bd7ff9e7c6c19126cd16fa3eee0d0307.pdf
A 6-WEEK TREATMENT WITH SEMAGLUTIDE IMPROVES BOTH KIDNEY DYSFUNCTION AND HEART FAILURE WITH PRESERVED EJECTION FRACTION IN THE SDT FATTY RAT MODEL

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FRANCOIS
BRIAND
FRANCOIS BRIAND f.briand@physiogenex.com PHYSIOGENEX RESEARCH ESCALQUENS France *
GUILLAUME BOURDIER g.bourdier@cardiomedex.com CARDIOMEDEX RESEARCH ESCALQUENS France -
ESTELLE GRASSET e.grasset@physiogenex.com PHYSIOGENEX RESEARCH ESCALQUENS France -
RANA ASSALY r.assaly@cardiomedex.com CARDIOMEDEX RESEARCH ESCALQUENS France -
CAROLINE DUBROCA c.dubroca@cardiomedex.com CARDIOMEDEX RESEARCH ESCALQUENS France -
MASAMI SHINOHARA shinohara-m@clea-japan.com CLEA JAPAN INC BUSINESS TOKYO Japan -
THIERRY SULPICE t.sulpice@physiogenex.com PHYSIOGENEX RESEARCH ESCALQUENS France -
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The high prevalence of cardiovascular-kidney-metabolic (CKM) syndrome in the population requires novel therapeutics to reduce cardiovascular death, and to this aim, predictive animal models are needed. Here we evaluated the effects of the GLP-1 receptor agonist semaglutide on kidney dysfunction and heart failure with preserved ejection fraction (HFpEF) in the Spontaneously Diabetic Torii (SDT) fatty, as a type 2 diabetic rat model of CKM syndrome. 

Male, 6-week-old SDT fatty rats were treated with vehicle or semaglutide 15 nmol/kg s.c. Q3D for 6 weeks. At the end of the treatment, glomerular filtration rate (GFR) was measured using transdermal fluorescence measurement after FITC-sinistrin i.v. injection and cardiac function was investigated by echocardiography.

Compared to vehicle, semaglutide for 6 weeks significantly reduced body weight and body weight gain with a concomitant reduction in food intake. Semaglutide also reduced blood glucose levels in fed and fasting conditions (-22% and -44%, respectively, both p<0.05 vs. vehicle). As expected, vehicle treated SDT fatty rats showed hyperfiltration with high GFR values at treatment start and end. After 6 weeks of treatment, semaglutide significantly improved hyperfiltration with a 25 % reduction in GFR (p<0.05 vs. vehicle).

Echocardiography demonstrated that semaglutide did not alter left ventricle ejection fraction but improved diastolic dysfunction of SDT fatty rats. Semaglutide reduced left ventricle dilation with lower left ventricle internal diameter and significantly reduced end-diastole volume. Additionally, semaglutide significantly lowered the E/E’ ratio, increased E’/A’ ratio, and reduced isovolumic relaxation time.   

Our data indicate that a 6-week treatment with semaglutide improved both kidney dysfunction and HFpEF in the SDT fatty rat. This preclinical model will be useful to evaluate novel therapies targeting CKM syndrome versus the standard of care semaglutide.

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