Sodium-Glucose Cotransporter-2 Inhibitors in Vascular Biology: Cellular and Molecular Mechanisms

Sodium-Glucose Cotransporter-2 Inhibitors in Vascular Biology: Cellular and Molecular Mechanisms
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血管生物学中的钠-葡萄糖协同转运蛋白 2 抑制剂:细胞和分子机制

DOI:
10.1007/s10557-021-07216-9
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发表时间:
2021-07
影响因子:
3.4
通讯作者:
Wang Nanping
Wang Nanping
中科院分区:
医学3区
文献类型:
--
作者:
Xiao Lei;Nie Xin;Cheng Yanyan;Wang Nanping

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钠-葡萄糖共转运体-2(SGLT2)抑制剂是一种新型抗糖尿病药物,通过抑制肾小管葡萄糖重吸收来降低高血糖。临床研究表明,SGLT2抑制剂不仅可以改善血糖控制,还可以减少主要心血管不良事件(MACE、心血管和总死亡率、致命性或非致命性心肌梗死或中风)和心力衰竭(HF)住院时间,并改善慢性肾脏疾病的预后。这些对心血管和肾脏的益处现在已经在糖尿病和非糖尿病患者中得到证实。负责保护作用的确切机制(S)正在深入调查中。本文综述了有关SGLT2抑制剂对心血管有益的现有证据,特别强调了其血管作用及其潜在机制。
Sodium-glucose cotransporter-2 (SGLT2) inhibitors are new antidiabetic drugs that reduce hyperglycemia by inhibiting the glucose reabsorption in renal proximal tubules. Clinical studies have shown that SGLT2 inhibitors not only improve glycemic control but also reduce major adverse cardiovascular events (MACE, cardiovascular and total mortality, fatal or nonfatal myocardial infarction or stroke) and hospitalization for heart failure (HF), and improve outcome in chronic kidney disease. These cardiovascular and renal benefits have now been confirmed in both diabetes and non-diabetes patients. The precise mechanism(s) responsible for the protective effects are under intensive investigation. This review examines current evidence on the cardiovascular benefits of SGLT2 inhibitors, with a special emphasis on the vascular actions and their potential mechanisms.
DOI: 10.1210/jc.2011-2260
发表时间: 2012-03-01
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