{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T05:15:49Z","timestamp":1783401349593,"version":"3.54.6"},"reference-count":157,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Physiol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cadmium (Cd) is a hazardous ecological contaminant implicated in substantial oxidative stress (OS), nitrative stress, inflammation, apoptosis and fibrosis, particularly in the heart and liver.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to contrast the protective effects of \u201cCanagliflozin; Cana\u201d versus \u201cSitagliptin; Sita\u201d in countering the chronic Cd-induced cardiac and hepatic damage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Four groups of adult male Wistar rats (6 each) were created: Control, Cd-exposed; rats received 100 mg\/L CdCl\n                      <jats:sub>2<\/jats:sub>\n                      via drinking water, Cd + Cana; rats received Cana 10 mg\/kg, orally in parallel with CdCl\n                      <jats:sub>2<\/jats:sub>\n                      (100 mg\/L), and Cd + Sita; rats received Sita 10 mg\/kg, orally concomitant with CdCl\n                      <jats:sub>2<\/jats:sub>\n                      (100 mg\/L). Following a 12-week course of treatment of all regimens, serum glucose, albumin, aspartate transaminase, alanine transaminase, lactate dehydrogenase, creatine Kinase-MB (CK-MB), Troponin I and Troponin C (cTnC) were measured. Cardiac and hepatic tissues were subjected to quantitative real-time polymerase chain reaction assays for Notch1, transforming growth factor-\u03b2, SMAD3, alpha-smooth muscle actin (\u03b1-SMA), and SMAD7 expression levels. In addition, interleukin-10\/-1\u03b2, tumor necrosis factor-\u03b1, reduced glutathione, and malondialdehyde were evaluated. Besides, there was a cardiac and hepatic histological evaluation after hematoxylin and eosin, and Masson staining, as well as immunohistochemistry measurement of caspase 3, nuclear factor kappa B (NF-\u03baB) and inducible nitric oxide synthase (iNOS). Results were analyzed using one-way ANOVA followed by Tukey\u2019s\n                      <jats:italic>post hoc<\/jats:italic>\n                      and then represented as mean \u00b1 standard deviation. Differences among groups were considered statistically significant when p value is \u22640.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no substantial changes in blood glucose levels across all groups, which confirmed the model\u2019s normoglycemic nature. Therefore, independent from their glycemic effect, both Cana and Sita significantly but comparably (p &amp;gt; 0.05) improved cardiac and hepatic OS, inflammation, apoptosis, and fibrosis associated with chronic Cd exposure. However, Cana demonstrated greater improvement (p &amp;lt; 0.05) in serum CK-MB and cTnC, cardiac (\u03b1-SMA) and hepatic (collagen area%) fibrosis, cardiac and hepatic apoptosis (caspase 3%), inflammation (NF-\u03baB%) and nitrative stress (iNOS%) and restored their architecture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both medications showed comparable cardio-hepatic protective effects. Yet, Cana outperformed Sita as a potentially effective therapy to counteract the negative consequences of chronic Cd-induced cardiac and hepatic pathologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fphys.2025.1752370","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T05:37:14Z","timestamp":1768973834000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Beyond glycemic control: the cardiac and hepatic benefits of SGLT2 and DPP-4 inhibitors in mitigating chronic cadmium-induced inflammation, oxidative\/nitrative stress, apoptosis and fibrosis"],"prefix":"10.3389","volume":"16","author":[{"given":"Fatma E.","family":"Hassan","sequence":"first","affiliation":[{"name":"Medical Physiology Department, Kasr Alainy, Faculty of Medicine, Cairo University","place":["Giza, Egypt"]},{"name":"Department of Physiology, General Medicine Practice Program, Batterjee Medical College","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MennaAllah M.","family":"Hassanien","sequence":"additional","affiliation":[{"name":"Anatomy and Embryology Department, Faculty of Medicine, Cairo University","place":["Giza, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa","family":"Selmy","sequence":"additional","affiliation":[{"name":"Medical Physiology Department, Kasr Alainy, Faculty of Medicine, Cairo University","place":["Giza, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamiaa Mohamed","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Medical Physiology Department, Kasr Alainy, Faculty of Medicine, Cairo University","place":["Giza, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal","family":"Darwish","sequence":"additional","affiliation":[{"name":"Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University","place":["Cairo, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basant A.","family":"Aldreny","sequence":"additional","affiliation":[{"name":"Medical Physiology Department, Kasr Alainy, Faculty of Medicine, Cairo University","place":["Giza, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"103668","DOI":"10.1016\/j.etap.2021.103668","article-title":"Saxagliptin defers thioacetamide-induced hepatocarcinogenesis in rats: a novel suppressive impact on Wnt\/Hedgehog\/Notch1 signaling","volume":"86","author":"Abd Elhameed","year":"2021","journal-title":"Environ. 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