Τίτλος:
Sodium-glucose cotransporter 2 inhibitors: Nephroprotective impact on diabetic kidney disease
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Diabetic nephropathy is a crucial microvascular complication of diabetes mellitus that is associated with elevated cardiovascular risk. SGLT-2 inhibitors are a new class of hypoglycemic drugs that positively affect several risk factors of cardiorenal damage. Objectives: The study aimed to review and critically discuss available data on the association of SGLT-2 inhibitors treatment with kidney function, progress of diabetic kidney disease, and renal related outcomes, as well to unveil potential mechanisms of action that mediate such effects. Method: We conducted a comprehensive search of the literature on the renal related effects of SGLT-2 inhibitors, to compose a narrative mini-review. Results: The administration of SGLT-2 inhibitors was observed to exert beneficial effects on a wide cluster of risk factors of chronic kidney disease, such as hyperglycemia, blood pressure, serum uric acid, and body weight. Data from the first two large, randomized, clinical trials of SGLT-2 inhibitors conducted to address the renal related outcomes of SGLT-2 inhibitors suggest substantial benefits on estimated glomerular filtration rate decline and albuminuria. Conclusion: The initial data suggest clinically meaningful benefits of the SGLT-2 inhibitors in diabetic patients in relevance with chronic kidney disease. Future, well-designed randomised clinical trials need to be further investigated such as nephroprotective outcomes, that if confirmed, could lead to new perspectives in the management of diabetic nephropathy. © 2018 Bentham Science Publishers.
Συγγραφείς:
Stavropoulos, K.
Imprialos, K.P.
Stavropoulos, N.
Bouloukou, S.
Kerpiniotis, G.
Dimitriadis, K.
Tsioufis, C.
Doumas, M.
Περιοδικό:
Cardiovascular and Hematological Disorders - Drug Targets
Εκδότης:
Bentham Science Publishers B.V.
Λέξεις-κλειδιά:
sodium glucose cotransporter 2 inhibitor; uric acid; antidiabetic agent, albuminuria; blood pressure; body weight; body weight loss; chronic kidney failure; clinical outcome; diabetic nephropathy; drug effect; estimated glomerular filtration rate; human; hyperglycemia; kidney blood flow; kidney function; randomized controlled trial (topic); renal protection; Review; risk factor; systematic review; uric acid blood level; diabetic nephropathy; non insulin dependent diabetes mellitus; pharmacology, Diabetes Mellitus, Type 2; Diabetic Nephropathies; Humans; Hypoglycemic Agents; Sodium-Glucose Transporter 2 Inhibitors
DOI:
10.2174/1871529X18666180206155349
