Gut microbiota-glycine-UCP3 axis modulates the protection of canagliflozin against cardiac hypertrophy
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ABSTRACT: Canagliflozin (CANA), a selective sodium-glucose cotransporter 2 (SGLT2) inhibitor, exert cardioprotective effects and improve long-term clinical outcomes in heart failure patients without diabetes. However, given negligible myocardial SGLT2 expression, the mechanisms remain unclear. Here, we found that CANA altered the community structure of gut microbiota in mice subjected to pressure overload. Moreover, mice receiving microbiota transplants from TAC and CANA-treated mice exhibited better cardiac function compared to those receiving microbiota transplants from TAC-treated donors. Metabolite profiling identified glycine as a key mediator that protected against cardiac hypertrophy in mice. Importantly, the reduced glycine levels in hypertrophic mice were prevented by CANA treatment. We further demonstrated that Clostridium sp. was responsible for the degradation of glycine. Mechanistically, we showed that glycine activated the AMP-activated protein kinase α (AMPKα)/ peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α) pathway, thus upregulating uncoupling protein 3 (UCP3) to preserve mitochondrial integrity and promote oxidative phosphorylation. UCP3 deficiency largely abolished the protective effect of CANA or glycine treatment against heart failure in mice. Our findings establish the gut microbiota-derived glycine/UCP3 signaling axis as a novel mechanism through which CANA exerts its anti-hypertrophic effects.
ORGANISM(S): Mus musculus
PROVIDER: GSE347125 | GEO | 2026/09/21
REPOSITORIES: GEO
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