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Vitamin D and canagliflozin combination alleviates Parkinson's disease in rats through modulation of RAC1/NF-κB/Nrf2 interaction.

Immunopharmacology and immunotoxicology
March 25, 2025
Sara Kamal Rizk et al. (5 authors)
Journal ArticleAnimal Study
Study Details

Study Goal

The researchers aimed to determine the effects of Vitamin D, alone and in combination with canagliflozin, on oxidative stress, neuroinflammation, and neuroprotection in a rat model of Parkinson's disease.

Results Summary

Vitamin D was more effective than canagliflozin in alleviating PD symptoms, with the combination of both showing the best therapeutic outcomes, including improved antioxidant status, reduced oxidative stress, and ameliorated inflammation. The combination also modulated key molecular pathways involved in PD.

Population

Male Wistar rats (n=50, divided into five groups of 10).

Effective Dosage

Not specified in the abstract.

Duration

Not specified in the abstract.

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Vitamin D treatment
decrease
PD symptoms
male Wistar rats
-
was more effective than CAN in alleviating
#1
combination of Vitamin D and Canagliflozin
decrease
PD symptoms
male Wistar rats
-
offered the best therapeutic outcome
#2
combination therapy of Vitamin D and Canagliflozin
increase
serum Vitamin D levels
male Wistar rats
-
significantly improved
#3
combination therapy of Vitamin D and Canagliflozin
increase
striatal dopamine (DA) levels
male Wistar rats
-
significantly improved
#4
combination therapy of Vitamin D and Canagliflozin
increase
antioxidant status (reduced glutathione (GSH) and catalase (CAT))
male Wistar rats
-
improved
#5
combination therapy of Vitamin D and Canagliflozin
decrease
oxidative stress (malondialdehyde (MDA))
male Wistar rats
-
reduced
#6
combination therapy of Vitamin D and Canagliflozin
decrease
inflammation (tumor necrosis factor-α (TNF-α), interleukin 6 (IL-6), and interleukin 10 (IL-10))
male Wistar rats
-
ameliorated
#7
combination therapy of Vitamin D and Canagliflozin
neutral
RAC1, NF-κB, Nrf2, vitamin D receptors (VDR), and vitamin D-binding protein (DBP)
male Wistar rats
-
modulated the expression of
#8
combination therapy of Vitamin D and Canagliflozin
neutral
tyrosine hydroxylase (TH), and α-synuclein (α-SYN)
male Wistar rats
-
modulated the immunoexpression of
#9
Vitamin D and Canagliflozin
neutral
the RAC1/NF-κB/Nrf2 pathway
male Wistar rats
-
synergistically modulate
#10
Vitamin D and Canagliflozin
increase
neuroprotection in PD
male Wistar rats
-
leading to improved
#11
Abstract

OBJECTIVE: Oxidative stress and neuroinflammation are crucial factors in the pathogenesis of Parkinson's disease (PD). Vitamin D (Vit D) and canagliflozin (CAN) are known to have anti-inflammatory and antioxidant properties. Together, they target key molecular pathways involved in PD, including oxidative stress and neuroinflammation, specifically, the small GTPase protein (RAC1)/nuclear factor-kappa B (NF-κB)/nuclear factor erythroid 2-related factor 2 (Nrf2) signaling, which regulates brain's oxidative stress and inflammation. This study investigates the effects of Vit D and CAN alone and in combination in a rat model of PD. MATERIALS AND METHODS: Fifty male Wistar rats were assigned to five groups (n = 10), including control, rotenone (ROT), Vit D + ROT, CAN + ROT, and Vit D + CAN + ROT. We assessed weight changes, brain weight, neurobehavioral functions, biochemical markers, and immunohistopathology of brain tissues. RESULTS: The results showed that Vit D treatment was more effective than CAN in alleviating PD symptoms, with the combination of Vit D and CAN offering the best therapeutic outcome. This combination therapy significantly improved serum Vit D, striatal dopamine (DA) levels, antioxidant status (reduced glutathione (GSH) and catalase (CAT), reduced oxidative stress (malondialdehyde (MDA)), and ameliorated inflammation (tumor necrosis factor-α (TNF-α), interleukin 6 (IL-6), and interleukin 10 (IL-10)). Additionally, the combination therapy modulated the expression of RAC1, NF-κB, Nrf2, vitamin D receptors (VDR), and vitamin D-binding protein (DBP) and immunoexpression of tyrosine hydroxylase (TH), and α-synuclein (α-SYN). CONCLUSION: These findings suggest that Vit D and CAN synergistically modulate the RAC1/NF-κB/Nrf2 pathway, leading to improved neuroprotection in PD.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score1.25
Normalized Score0.69
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