Sodium-Glucose Co-Transporter 2 Inhibitors: Mechanism of Action and Efficacy in Non-Diabetic Kidney Disease from Bench to Bed-Side

被引:5
作者
Abdelrahman, Aly M. [1 ]
Awad, Alaa S. [2 ]
Abdel-Rahman, Emaad M. [3 ]
机构
[1] Sultan Qaboos Univ, Coll Med & Hlth Sci, Dept Pharmacol & Clin Pharm, Al Khoud 123, Oman
[2] Univ Florida, Div Nephrol, Jacksonville, FL 32209 USA
[3] Univ Virginia, Div Nephrol, Charlottesville, VA 22908 USA
关键词
SGLT2i; non-diabetics; CKD; blood pressure; IgAN; FSGS; proteinuria; survival; SGLT2; INHIBITORS; DIABETES-MELLITUS; DAPAGLIFLOZIN; METAANALYSIS; PROTEINURIA;
D O I
10.3390/jcm13040956
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are currently available for the management of type 2 diabetes mellitus. SGLT2i acts by inhibiting renal SGLT2, thereby increasing glucosuria and lowering serum glucose. Recent trials are emerging supporting a role for SGLT2i irrespective of the diabetic status pointing towards that SGLT2i have other mechanisms of actions beyond blood sugar control. In this review, we will shed light on the role of this group of medications that act as SGLT2i in non-diabetics focusing on pre-clinical and clinical data highlighting the mechanism of renoprotection and effects of SGLT2i in the non-diabetic kidneys.
引用
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页数:15
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