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SGLT2抑制剂的基础与临床药物治疗学:当代最新进展

Basic and Clinical Pharmaco-Therapeutics of SGLT2 Inhibitors: A Contemporary Update.

作者信息

Kalra Sanjay, Shetty Kimi K, Nagarajan Vertivel B, Ved Jignesh K

机构信息

Bharti Hospital, Karnal, India.

Boehringer Ingelheim Pvt Ltd, Mumbai, India.

出版信息

Diabetes Ther. 2020 Apr;11(4):813-833. doi: 10.1007/s13300-020-00789-y. Epub 2020 Mar 4.

Abstract

Clinical relevance of sodium/glucose cotransporter 2 (SGLT2) inhibitors has been rapidly evolving across several therapy areas, apart from type 2 diabetes mellitus. While some of these developments are based on recognized scientific explanations, unexpected study findings have also shaped much of our present understanding. As the role of these agents evolves in various facets of cardiology, nephrology, hepatology and endocrinology, their optimum clinical value propositions should be realized in line with the principles of personalized medicine. An updated pharmaco-ergonomic qualification tool, based on the present evidence with these agents, would be a step in this direction. This review describes the present evidence on diverse pharmacological and therapeutic aspects for various SGLT2 inhibitors, as an attempt to provide useful guidance for optimum application in clinical practice.

摘要

除2型糖尿病外,钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂在多个治疗领域的临床相关性正在迅速演变。虽然其中一些进展基于公认的科学解释,但意外的研究结果也在很大程度上塑造了我们目前的理解。随着这些药物在心脏病学、肾脏病学、肝病学和内分泌学的各个方面的作用不断演变,应根据个性化医疗原则实现其最佳临床价值主张。基于目前这些药物的证据更新的药物工效学鉴定工具将是朝着这个方向迈出的一步。本综述描述了目前关于各种SGLT2抑制剂在不同药理学和治疗方面的证据,旨在为临床实践中的最佳应用提供有用指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8e/7136386/ebed0b84369d/13300_2020_789_Fig1a_HTML.jpg

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