Abstract:Aim To investigate the protective and reparative effect of empagliflozin on oxidized-low density lipoprotein (ox-LDL) -induced injury in human umbilical vein endothelial cells (HUVEC) and its mechanism of action. Methods Primary HUVEC were cultured in vitro. ox-LDL was used to induce HUVEC injury model, and the cell survival rate was measured by CCK-8 assay. EDU method was used to detect cell proliferation. Western blot was used to detect the protein levels of Ki-67, Bcl-2, cleaved Caspase-3, Bax, endothelial nitric oxide synthase (eNOS), intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule 1 (VCAM-1) and epidermal growth factor receptor (EGFR) in HUVEC. RT-qPCR was used to detect the mRNA expression levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in HUVEC. Using Swiss targets, GeneCards databases, gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG), protein-protein interaction (PPI) network analysis,and ClickDocking (https://mcule.com/apps/1-click-docking/) to predict the target of empagliflozin. Results CCK-8 results showed that 0.025 μmol/L empagliflozin significantly alleviated ox-LDL-induced HUVEC injury (P<0.01). EDU results showed that ox-LDL treatment for 24 h significantly inhibited the proliferation of HUVEC (P<0.01), while empagliflozin treatment significantly alleviated the inhibition of cell proliferation (P<0.01). The results of Western blot showed ox-LDL treatment significantly decreased the protein expression levels of Ki-67, Bcl-2, and eNOS, and increased the protein expression levels of cleaved Caspase-3, Bax, ICAM-1, and VCAM-1 in HUVEC (all P<0.05). However, empagliflozin treatment reversed these changes (all P<0.05). RT-qPCR results showed that ox-LDL treatment increased the mRNA expression levels of IL-6 and TNF-α in HUVEC (P<0.01), while empagliflozin treatment decreased their expression levels (P<0.05). However, after adding EGFR agonist NSC 228155, the protective effect of empagliflozin against ox-LDL-mediated HUVEC injury was significantly reversed(P<0.05). Conclusion Empagliflozin can significantly reduce ox-LDL-induced HUVEC injury, which may be related to EGFR signaling pathway.