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恩格列净对 2 型糖尿病患者的肾脏影响。

Renal Effects of Empagliflozin in Patients with Type 2 Diabetes Mellitus.

机构信息

Chronic Kidney Disease Research Center, Semnan University of Medical Sciences, Semnan, Iran.

Department of Physiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Curr Med Chem. 2023;30(25):2850-2863. doi: 10.2174/0929867329666220831151645.

DOI:10.2174/0929867329666220831151645
PMID:36045524
Abstract

Type 2 diabetes mellitus (T2DM) is one of the main causes of mortality and morbidity worldwide. It leads to various long-term complications such as diabetic nephropathy. Diabetes nephropathy is the leading cause of renal failure in patients with chronic kidney diseases undergoing hemodialysis. Hence preventing the development and progression of diabetic nephropathy is one of the main goals in the management of patients with type 2 diabetes. Sodium-glucose cotransporter 2 inhibitors of empagliflozin is a potent anti-hyperglycemic agents. In addition, it has been shown to have some pharmacologic potentials to provide renoprotective effects in patients with T2DM. In the current study, we review the available clinical data on the potential renoprotective effects of this drug from a mechanistic and molecular viewpoint.

摘要

2 型糖尿病(T2DM)是全球主要的死亡和发病原因之一。它会导致各种长期并发症,如糖尿病肾病。糖尿病肾病是慢性肾脏病患者进行血液透析时导致肾衰竭的主要原因。因此,预防糖尿病肾病的发生和进展是 2 型糖尿病患者管理的主要目标之一。钠-葡萄糖共转运蛋白 2 抑制剂恩格列净是一种有效的降血糖药物。此外,研究表明,它在 T2DM 患者中具有一些药理潜力,可以提供肾脏保护作用。在本研究中,我们从机制和分子角度综述了该药物潜在肾脏保护作用的现有临床数据。

相似文献

1
Renal Effects of Empagliflozin in Patients with Type 2 Diabetes Mellitus.恩格列净对 2 型糖尿病患者的肾脏影响。
Curr Med Chem. 2023;30(25):2850-2863. doi: 10.2174/0929867329666220831151645.
2
Renal protection by sodium-glucose cotransporter 2 inhibitors and its underlying mechanisms in diabetic kidney disease.钠-葡萄糖共转运蛋白 2 抑制剂对糖尿病肾病的肾脏保护作用及其机制。
J Diabetes Complications. 2018 Jul;32(7):720-725. doi: 10.1016/j.jdiacomp.2018.04.011. Epub 2018 May 5.
3
Renal Benefits of SGLT 2 Inhibitors and GLP-1 Receptor Agonists: Evidence Supporting a Paradigm Shift in the Medical Management of Type 2 Diabetes.SGLT2 抑制剂和 GLP-1 受体激动剂的肾脏获益:支持 2 型糖尿病医学管理模式转变的证据。
Int J Mol Sci. 2019 Nov 20;20(23):5831. doi: 10.3390/ijms20235831.
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New Glucose-Lowering Agents for Diabetic Kidney Disease.新型降糖药物治疗糖尿病肾脏疾病。
Adv Chronic Kidney Dis. 2018 Mar;25(2):149-157. doi: 10.1053/j.ackd.2018.01.002.
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No Cytotoxic and Inflammatory Effects of Empagliflozin and Dapagliflozin on Primary Renal Proximal Tubular Epithelial Cells under Diabetic Conditions In Vitro.在糖尿病体外条件下,恩格列净和达格列净对原代近端肾小管上皮细胞无细胞毒性和炎症作用。
Int J Mol Sci. 2020 Jan 8;21(2):391. doi: 10.3390/ijms21020391.
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Sodium-glucose Cotransporter Type 2 Inhibitors: A New Insight into the Molecular Mechanisms of Diabetic Nephropathy.钠-葡萄糖共转运蛋白 2 抑制剂:糖尿病肾病分子机制的新见解。
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Int J Mol Sci. 2024 Jun 27;25(13):7057. doi: 10.3390/ijms25137057.
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Renoprotective effects of sodium-glucose cotransporter-2 inhibitors and underlying mechanisms.钠-葡萄糖共转运蛋白 2 抑制剂的肾脏保护作用及其机制。
Curr Opin Nephrol Hypertens. 2020 Jan;29(1):112-118. doi: 10.1097/MNH.0000000000000561.
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Renoprotective effects of sodium-glucose cotransporter-2 inhibitors.钠-葡萄糖共转运蛋白 2 抑制剂的肾脏保护作用。
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Narrative review investigating the nephroprotective mechanisms of sodium glucose cotransporter type 2 inhibitors in diabetic and nondiabetic patients with chronic kidney disease.综述探讨钠-葡萄糖共转运蛋白 2 抑制剂在糖尿病和非糖尿病慢性肾脏病患者中的肾保护机制。
Front Endocrinol (Lausanne). 2023 Dec 20;14:1281107. doi: 10.3389/fendo.2023.1281107. eCollection 2023.