The anti-inflammatory and immunological properties of SGLT-2 inhibitors

被引:29
作者
Bendotti, G. [1 ,2 ]
Montefusco, L. [1 ]
Pastore, I. [1 ]
Lazzaroni, E. [1 ]
Lunati, M. E. [1 ]
Fiorina, P. [1 ,3 ,4 ]
机构
[1] ASST Fatebenefratelli Sacco, Div Endocrinol, Milan, Italy
[2] AO SS Antonio & Biagio & Cesare Arrigo, Endocrinol & Metab Dis Unit, Alessandria, Italy
[3] Univ Milan, Int Ctr T1D, Pediat Clin Res Ctr Romeo Enrica Invernizzi, Dept Biomed & Clin Sci L Sacco, Milan, Italy
[4] Harvard Med Sch, Boston Childrens Hosp, Nephrol Div, 300 Longwood Ave,Enders Bldg 5th Floor En511, Boston, MA 02115 USA
关键词
SGLT-2; inhibitors; Inflammation; Immune system; Immune cells; Cytokines; KIDNEY-PANCREAS TRANSPLANTATION; OXIDATIVE STRESS; INFLAMMATION; CANAGLIFLOZIN; MECHANISM;
D O I
10.1007/s40618-023-02162-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundSodium-glucose cotransporter-2 inhibitors (SGLT-2i) are antidiabetic oral drugs that act on proximal renal tubules promoting renal glucose excretion. Although SGLT-2i belong to the class of hypoglycemic agents, in the last years great interest has emerged in studying their pleiotropic effects, beyond their ability to lower glucose levels.PurposeIn this review we are describing the anti-inflammatory and immunological properties of SGLT-2i; furthermore, we are addressing how the mechanisms associated with the aforementioned anti-inflammatory properties may contribute to the beneficial effects of SGLT-2i in diabetes.MethodsA systematic search was undertaken for studies related the properties of SGLT-2i in reducing the inflammatory milieu of acute and chronic disease by acting on the immune system, independently by glycemia.ResultsRecently, some data described the anti-inflammatory and immunological properties of SGLT-2 in both pre-clinical and clinical studies. Numerous data confirmed the cardio- and -renal protective effects of SGLT-2i in patients with heart failure and kidney diseases, with or without diabetes.ConclusionsSGLT-2i are promising drugs with anti-inflammatory and immunological properties. Despite the mechanism of action of SGLT-2i is not fully understood, these drugs demonstrated anti-inflammatory effects, which may help in keeping under control the variety of complications associated with diabetes.
引用
收藏
页码:2445 / 2452
页数:8
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