SGLT2 inhibitor, canagliflozin, ameliorates cardiac inflammation in experimental autoimmune myocarditis

• Published in: International immunopharmacology 2022-09, Vol.110, p.109024-109024, Article 109024
• Main Authors: Long, Qi, Li, Lixia, Yang, Hongmin, Lu, Yang, Yang, Han, Zhu, Yaoxi, Tang, Yaohan, Liu, Changhu, Yuan, Jing
• Format: Article
• Language: English
• Subjects: Apoptosis; Canagliflozin; Myocarditis; NLRP3 inflammasome; SGLT2i; Th17 cell differentiation
• ISSN: 1567-5769; 1878-1705
• DOI: 10.1016/j.intimp.2022.109024

•SGLT2 inhibitor canagliflozin exerts cardioprotective effects besides its hypoglycemic effect.•Canagliflozin could improve cardiac inflammation and heart function in experimental autoimmune myocarditis.•Canagliflozin ameliorates myocarditis via suppressing NLRP3 inflammasome activation, reducing Th17 infiltration and protecting cardiomyocytes from apoptosis.•Canagliflozin could be a valuable medication for myocarditis treatment. Myocarditis is an inflammatory cardiovascular disease which contributes to dilated cardiomyopathy (DCM) and heart failure. Canagliflozin (CANA) exerts anti-inflammatory and cardioprotective effects in heart failure besides its hypoglycemic effect. However, the role of CANA in myocarditis has not been elucidated. In this work, CANA treatment markedly alleviated cardiac inflammation and improved cardiac function in experimental autoimmune myocarditis (EAM) mice induced by α-myosin-heavy chain peptides. The expressions of NLRP3 inflammasome complexes (NLRP3, ASC, and Caspase-1) and their downstream molecules (IL-1β, IL-18) were significantly downregulated by CANA, accompanied with reduced Th17 cell infiltration in hearts. Furthermore, Bax/Bcl-2 ratio, Cleaved Caspase-3 protein level and the percentage of TUNEL-positive myocardial cells, which usually indicated apoptosis, were reduced by CANA treatment. These findings suggest CANA could be a valuable medication for myocarditis treatment.