A novel combination therapy using Dapagliflozin and Cycas media extract in experimentally induced diabetic wounds by targeting novel pathways in wound healing

Int Immunopharmacol. 2025 Jan 10:144:113618. doi: 10.1016/j.intimp.2024.113618. Epub 2024 Nov 29.

Abstract

Diabetes mellitus, a globally prevalent condition, often complicates wound healing, leading to chronic, non-healing wounds. This study explores a novel combination therapy using Dapagliflozin and Cycas media extract for treating experimentally induced diabetic wounds in rats. By targeting the Notch signaling pathway, a critical pathway in wound healing, this research investigates the efficacy of this combination therapy in accelerating wound repair. Forty-two male Wistar albino rats were divided into control and treatment groups, receiving various Dapagliflozin and Cycas media gel combinations. The study evaluated wound healing, biochemical markers, gene expression, and histopathological changes. The findings suggest that the combination therapy significantly enhances wound healing, modulates oxidative stress, alters inflammatory responses, and influences key genes in the Notch pathway. This research provides a new perspective on diabetic wound management and underlines the potential of combining Dapagliflozin and Cycas media as a therapeutic approach.

Keywords: Combination Therapy; Cycas media; Dapagliflozin; Diabetic Wound Healing; Notch Pathway.

MeSH terms

  • Animals
  • Benzhydryl Compounds* / pharmacology
  • Benzhydryl Compounds* / therapeutic use
  • Diabetes Mellitus, Experimental* / drug therapy
  • Diabetes Mellitus, Experimental* / metabolism
  • Drug Therapy, Combination
  • Glucosides* / pharmacology
  • Glucosides* / therapeutic use
  • Humans
  • Male
  • Oxidative Stress / drug effects
  • Rats
  • Rats, Wistar*
  • Receptors, Notch / metabolism
  • Signal Transduction / drug effects
  • Wound Healing* / drug effects

Substances

  • Glucosides
  • Benzhydryl Compounds
  • dapagliflozin
  • Receptors, Notch