Efekti agonista receptora za peptid sličan glukagonu-1 na ishemijsko/reperfuzionu povredu izolovanog srca pacova sa metaboličkim sindromom
Ravić, Marko, 1990-
Srejović, Ivan, 1985-
Đurić, Dušan, 1960-
Živković, Vladimir, 1984-
Đurić, Dragan, 1961-
Metabolic syndrome is a set of interrelated disorders that include hypertension, dyslipidemia,hyperglycemia, insulin resistance, and obesity. Despite the numerous drugs available, modernguidelines highlight glucagon-like peptide 1 (GLP-1) receptor agonists as the cornerstone inthe treatment of patients with metabolic syndrome.The main goal of this study was to examine the effects of the administration of GLP-1 receptoragonists (liraglutide, exenatide, dulaglutide and semaglutide) on ischemia-reperfusion injuryin the isolated heart of rats with metabolic syndrome.50 male Wistar albino rats were included in the research, and after confirmation of theinduction of metabolic syndrome, they were classified into 5 groups depending on the drugadministered. After the 6th week from the beginning of the experimental protocol, the functionof the heart was examined in vivo using ultrasound. Immediately after sacrifice, bydecapitation, blood samples were taken to determine the values of triglycerides, cholesterol,glycemia, insulin, as well as parameters of oxidative stress: lipid peroxidation index - TBARS,nitrites, super oxide anion radical, hydrogen peroxide, catalase, superoxide dismutase,glutathione. Ex vivo cardiac function was examined using the Langendorff technique of theisolated mammalian heart. A histomorphological analysis of the heart, liver, kidneys andpancreas was also performed.The results showed that GLP-1 receptor agonists have significant cardioprotective properties,since they improved the recovery and functional performance of the myocardium. At the sametime, the drugs alleviated key metabolic disorders (hyperglycemia, dyslipidemia, andhypertension). The mentioned effects are the result of a complex action, which includesantioxidant, anti-inflammatory and antiapoptotic properties.The results of the research indicate the usefulness of GLP-1 receptor agonists administrationin patients with metabolic syndrome for the purpose of preventing and mitigating ischemicheart disease.
Metabolički sindrom je skup međusobno povezanih poremećaja koji obuhvataju hipertenziju,dislipidemiju, hiperglikemiju, insulinsku rezistenciju i gojaznost. Uprkos brojnim dostupnimlekovima, savremeni vodiči izdvajaju agoniste receptora za peptid sličan glukagonu 1(glucagon like peptid, GLP-1) kao kamen temeljac u terapiji pacijenata sa metaboličkimsindromom.Glavni cilj ovog istraživanja bio je da se ispitaju efekti primene agonista GLP-1 receptora(liraglutid, eksenatid, dulaglutid i semaglutid) na ishemisjko reperfuzionu povredu izolovanogsrca pacova sa metaboličkim sindromom.U istraživanje je uključeno 50 mužjaka pacova Wistar albino soja koje su nakon potvrdeindukcije metaboličkog sindroma razvrstani u 5 grupa u zavisnosti od primenjenog leka. Nakon6. nedelje od početka eksperimentalnog protokola, funkcija srca ispitana je in vivo primenomultrazvuka. Neposredno nakon žrtvovanja, dekapitacijom, uzeti su uzorci krvi kako bi seodredile vrednosti triglicerida, holesterola, glikemije, insulina, kao i parametri oksidativnogstresa: indeks lipidne peroksidacije - TBARS, nitriti, super oksid anjon radikal, vodonikperoksid, katalaza, superoksid dismutaza, glutation. Funkcija srca ex vivo ispitana jeupotrebom Langendorfove tehnike izolovanog srca sisara. Takođe je sprovedena ihistomorfološka analiza srca, jetre, bubrega i pankreasa.Rezultati su pokazali da agonisti GLP-1 receptora imaju značajne kardioprotektivne osobine,pošto su poboljšali oporavak i funkcionalne performanse miokarda. Istovremeno, lekovi suublažili ključne metaboličke poremećaje (hiperglikemija, dislipidemija i hipertenzija).Navedeni efekti su posledica složenog delovanja, koji uključuje antioksidaciona,antiinflamacijska i antiapoptotska svojstva.Rezultati istraživanja ukazuju na korisnost primene agonista GLP-1 receptora kod obolelih odmetaboličkog sindroma i cilju prevencije i ublažavanja ishemijske bolesti srca.
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srpski
2025
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