SGLT2 inhibitors : Beyond glycemic control

© 2024 The Authors. Published by Elsevier Inc..

Multiple randomized controlled trials have extensively examined the therapeutic effectiveness of sodium-glucose cotransporter 2 (SGLT2) inhibitors, ushering in a transformative approach to treating individuals with type 2 diabetes mellitus (DM). Notably, emerging reports have drawn attention to the potential positive impacts of SGLT2 inhibitors in nondiabetic patients. In an effort to delve into this phenomenon, a comprehensive systematic literature review spanning PubMed (NLM), Medline (Ovid), and Cochrane Library, covering publications from 2000 to 2024 was undertaken. This systematic review encompassed twenty-six randomized control trials (RCTs) involving 35,317 participants. The findings unveiled a multifaceted role for SGLT2 inhibitors, showcasing their ability to enhance metabolic control and yield cardioprotective effects through a reduction in cardiovascular death (CVD) and hospitalization related to heart failure (HF). Additionally, a renalprotective effect was observed, evidenced by a slowdown in chronic kidney disease (CKD) progression and a decrease in albuminuria. Importantly, these benefits were coupled with an acceptable safety profile. The literature also points to various biological plausibility and underlying mechanistic pathways, offering insights into the association between SGLT2 inhibitors and these positive outcomes in nondiabetic individuals. Current research trends indicate a continual exploration of additional role for SGLT2 inhibitors in. Nevertheless, further research is imperative to fully elucidate the mechanisms and long-term outcomes associated with the nondiabetic use of SGLT2 inhibitors.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Journal of clinical & translational endocrinology - 35(2024) vom: 21. März, Seite 100335

Sprache:

Englisch

Beteiligte Personen:

Hasan, Irtiza [VerfasserIn]
Rashid, Tasnuva [VerfasserIn]
Jaikaransingh, Vishal [VerfasserIn]
Heilig, Charles [VerfasserIn]
Abdel-Rahman, Emaad M [VerfasserIn]
Awad, Alaa S [VerfasserIn]

Links:

Volltext

Themen:

Cardiovascular disease
Chronic kidney disease
IgA nephropathy
Journal Article
Metabolism
SGLT2
Systematic review

Anmerkungen:

Date Revised 26.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jcte.2024.100335

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370149483