Frąk Weronika, Hajdys Joanna, Radzioch Ewa, Szlagor Magdalena, Młynarska Ewelina, Rysz Jacek, Franczyk Beata
Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, ul. Żeromskiego 113, 90-549 Łódź, Poland.
Biomedicines. 2023 Jul 24;11(7):2085. doi: 10.3390/biomedicines11072085.
Cardiovascular diseases (CVD) are a global health concern, affecting millions of patients worldwide and being the leading cause of global morbidity and mortality, thus creating a major public health concern. Sodium/glucose cotransporter 2 (SGLT2) inhibitors have emerged as a promising class of medications for managing CVD. Initially developed as antihyperglycemic agents for treating type 2 diabetes, these drugs have demonstrated significant cardiovascular benefits beyond glycemic control. In our paper, we discuss the role of empagliflozin, dapagliflozin, canagliflozin, ertugliflozin, and the relatively recently approved bexagliflozin, the class of SGLT-2 inhibitors, as potential therapeutic targets for cardiovascular diseases. All mentioned SGLT-2 inhibitors have demonstrated significant cardiovascular benefits and renal protection in clinical trials, in patients with or without type 2 diabetes. These novel therapeutic approaches aim to develop more effective treatments that improve patient outcomes and reduce the burden of these conditions. However, the major scientific achievements of recent years and the many new discoveries and mechanisms still require careful attention and additional studies.
心血管疾病(CVD)是一个全球性的健康问题,影响着全球数百万患者,并且是全球发病和死亡的主要原因,因此引发了重大的公共卫生问题。钠/葡萄糖协同转运蛋白2(SGLT2)抑制剂已成为一类有前景的用于管理心血管疾病的药物。这些药物最初作为治疗2型糖尿病的抗高血糖药物开发,已证明除了控制血糖外还具有显著的心血管益处。在我们的论文中,我们讨论了恩格列净、达格列净、卡格列净、依鲁格列净以及相对较新获批的贝西格列净这类SGLT-2抑制剂作为心血管疾病潜在治疗靶点的作用。所有提及的SGLT-2抑制剂在有或没有2型糖尿病的患者的临床试验中均已证明具有显著的心血管益处和肾脏保护作用。这些新的治疗方法旨在开发更有效的治疗方法,以改善患者预后并减轻这些疾病的负担。然而,近年来的主要科学成就以及许多新发现和机制仍需要仔细关注和进一步研究。