Department of Urology, Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan, China.
Department of Nephrology, Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, Yuelu District, Changsha, 410013, Hunan, China.
Int Urol Nephrol. 2024 Dec;56(12):3807-3813. doi: 10.1007/s11255-024-04141-2. Epub 2024 Jul 4.
The immune system can lead to a variety of renal diseases through direct or indirect mechanisms. In immune-mediated nephropathy, though standardized treatment, there are still a small number of patients with further decline in renal function, which may even progress to renal failure; sodium-glucose cotransporter protein 2 (SLC5A2,SGLT2) inhibitors not only can significantly reduce blood glucose, but also have an additional protective effect on the kidneys and the heart; this review concludes the potential mechanism of the renal protective effect of SGLT2i and the new advances in the recent years in common immune-mediated nephropathies, which can provide new theoretical references to optimize the therapeutic strategy of common immune-mediated nephropathies.
免疫系统可通过直接或间接机制导致多种肾脏疾病。在免疫介导的肾病中,尽管进行了标准化治疗,但仍有少数患者的肾功能进一步下降,甚至可能进展为肾衰竭;钠-葡萄糖共转运蛋白 2(SLC5A2,SGLT2)抑制剂不仅能显著降低血糖,而且对肾脏和心脏具有额外的保护作用;本综述总结了 SGLT2i 肾脏保护作用的潜在机制以及近年来在常见免疫介导性肾病中的新进展,可为优化常见免疫介导性肾病的治疗策略提供新的理论参考。