Department of Endocrinology and Metabolism, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China.
Department of Endocrinology, Shanghai Pudong Hospital, Fudan University, Shanghai 201399, China.
J Diabetes Res. 2020 Nov 12;2020:8867875. doi: 10.1155/2020/8867875. eCollection 2020.
Diabetic retinopathy (DR) is one of the most serious complications of diabetic microangiopathy. DR has an early onset and is not easy to detect. When visual impairment occurs, the optimal period for therapy is often missed. Therefore, the prevention and treatment of DR should start from the early stage of diabetes. Sodium-dependent glucose transporter 2 inhibitor (SGLT2i) is a new antidiabetic drug which is mainly used in clinical practice to control blood glucose of patients with type 2 diabetes prone to develop chronic heart failure. Recent studies have found that SGLT2 is also expressed in the human retina. Now, the prevention and treatment of diabetic retinopathy with SGLT2i while reducing blood sugar has become a new research field. Hence, this article reviewed the recent therapeutic and research progress of SGLT2 in the treatment of diabetic retinopathy.
糖尿病性视网膜病变(DR)是糖尿病微血管病变中最严重的并发症之一。DR 起病早且不易被察觉,当出现视力损害时,往往已错过最佳治疗时机。因此,DR 的防治应从糖尿病早期开始。钠-葡萄糖协同转运蛋白 2 抑制剂(SGLT2i)是一种新型降糖药物,主要用于临床控制易发生慢性心力衰竭的 2 型糖尿病患者的血糖。近期研究发现 SGLT2 也在人视网膜中有表达。目前,SGLT2i 在降糖的同时防治糖尿病性视网膜病变已成为新的研究领域。故本文就 SGLT2 在治疗糖尿病性视网膜病变中的治疗及研究进展作一综述。