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钠-葡萄糖协同转运蛋白 2 抑制剂对骨骼健康的不良影响。

Adverse effects of SGLT2 inhibitors on bone health.

机构信息

Metabolic Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.

Division of Endocrinology, Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

出版信息

Nat Rev Nephrol. 2018 Aug;14(8):473-474. doi: 10.1038/s41581-018-0028-0.

DOI:10.1038/s41581-018-0028-0
PMID:29875481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6138556/
Abstract

Sodium–glucose cotransporter 2 (SGLT2) inhibitors offer attractive metabolic and cardiorenal benefits for patients with type 2 diabetes, but are associated with a number of safety issues. A recent study documented that SGTL2 inhibition indirectly triggers the FGF23/1,25-dihydroxyvitamin D/parathyroid hormone axis, which may contribute to adverse effects on bone health.

摘要

钠-葡萄糖共转运蛋白 2(SGLT2)抑制剂为 2 型糖尿病患者提供了有吸引力的代谢和心肾益处,但与许多安全问题相关。最近的一项研究表明,SGTL2 抑制间接触发了 FGF23/1,25-二羟维生素 D/甲状旁腺激素轴,这可能导致对骨骼健康的不良影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b47/6138556/2efd480786d1/nihms973876f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b47/6138556/2efd480786d1/nihms973876f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b47/6138556/2efd480786d1/nihms973876f1.jpg

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2
Renal, metabolic and cardiovascular considerations of SGLT2 inhibition.SGLT2 抑制的肾脏、代谢和心血管考虑因素。
Nat Rev Nephrol. 2017 Jan;13(1):11-26. doi: 10.1038/nrneph.2016.170. Epub 2016 Dec 12.
3
Effects of Canagliflozin on Fracture Risk in Patients With Type 2 Diabetes Mellitus.
Glucagon-like Peptide-1 Receptor Agonists and Diabetic Osteopathy: Another Positive Effect of Incretines? A 12 Months Longitudinal Study.胰高血糖素样肽-1 受体激动剂与糖尿病性骨病:肠促胰岛素的又一积极作用?一项为期 12 个月的纵向研究。
Calcif Tissue Int. 2024 Aug;115(2):160-168. doi: 10.1007/s00223-024-01240-1. Epub 2024 Jun 12.
4
Fractures in women with type 2 diabetes are associated with marked deficits in cortical parameters and trabecular plates.患有 2 型糖尿病的女性骨折与皮质参数和小梁板明显减少有关。
J Bone Miner Res. 2024 Aug 21;39(8):1083-1093. doi: 10.1093/jbmr/zjae091.
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Effects of sodium-glucose cotransporter 2 inhibitors on bone metabolism in patients with type 2 diabetes mellitus: a systematic review and meta-analysis.钠-葡萄糖协同转运蛋白2抑制剂对2型糖尿病患者骨代谢的影响:一项系统评价和荟萃分析
BMC Endocr Disord. 2024 Apr 24;24(1):52. doi: 10.1186/s12902-024-01575-8.
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