Research Article

Combination Therapy with a Sodium-Glucose Cotransporter 2 Inhibitor and a Dipeptidyl Peptidase-4 Inhibitor Additively Suppresses Macrophage Foam Cell Formation and Atherosclerosis in Diabetic Mice

Table 1

Characteristics and laboratory data of diabetic db/db mice that received a normal diet containing the indicated treatments.

ControlIpragliflozinAlogliptinCombination

Number8887
Final body weight (g)49.6 ± 0.446.5 ± 1.048.5 ± 0.446.8 ± 0.7
Food intake (g/day)4.5 ± 0.34.8 ± 0.44.2 ± 0.24.9 ± 0.3
Water intake (mL/day)4.2 ± 0.29.6 ± 1.0a,c4.4 ± 0.39.9 ± 0.9a,c
Urine volume (mL/day)7.6 ± 0.312.7 ± 1.0a,c8.1 ± 0.413.8 ± 0.9a,c
SBP (mmHg)109 ± 2104 ± 4107 ± 3105 ± 2
Pulse (/min)587 ± 36655 ± 42570 ± 60672 ± 29
Glucose (mg/dL)424 ± 37213 ± 32a231 ± 23a157 ± 13a,c
HbA1c (%)8.1 ± 0.16.7 ± 0.2a7.4 ± 0.3a,b6.6 ± 0.1a,c
Insulin (ng/mL)5.19 ± 0.425.32 ± 0.898.20 ± 0.96a,b9.56 ± 1.02a,b
Total-C (mg/dL)146 ± 12167 ± 19147 ± 13181 ± 13
HDL-C (mg/dL)62 ± 565 ± 764 ± 786 ± 14
Triglyceride (mg/dL)72 ± 961 ± 769 ± 1365 ± 13
Active GLP-1 (pmol/L)2.6 ± 0.32.7 ± 0.310.3 ± 2.2a,b7.4 ± 1.1a,b
Total GIP (pmol/L)49 ± 1056 ± 14106 ± 19a,b123 ± 29a,b

The values show mean ± SEM. Ipragliflozin, sodium-glucose cotransporter 2 inhibitor; alogliptin, dipeptidyl peptidase-4 inhibitor; SBP, systolic blood pressure; HbA1c, hemoglobin A1c; Total-C, total cholesterol; HDL-C, high-density lipoprotein cholesterol; GLP-1, glucagon like peptide-1; GIP, glucose-dependent insulinotropic polypeptide. a versus control; b versus ipragliflozin; c versus alogliptin.