Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Sodium Glucose Co-transporter 2 Inhibitors: Pharmacology, Mechanism of Action and Efficacy in Non-diabetic Kidney Disease from Bench to Bed-Side

Version 1 : Received: 10 January 2024 / Approved: 11 January 2024 / Online: 11 January 2024 (10:58:18 CET)

A peer-reviewed article of this Preprint also exists.

Abdelrahman, A.M.; Awad, A.S.; Abdel-Rahman, E.M. Sodium-Glucose Co-Transporter 2 Inhibitors: Mechanism of Action and Efficacy in Non-Diabetic Kidney Disease from Bench to Bed-Side. J. Clin. Med. 2024, 13, 956. Abdelrahman, A.M.; Awad, A.S.; Abdel-Rahman, E.M. Sodium-Glucose Co-Transporter 2 Inhibitors: Mechanism of Action and Efficacy in Non-Diabetic Kidney Disease from Bench to Bed-Side. J. Clin. Med. 2024, 13, 956.

Abstract

Sodium glucose cotransporter 2 inhibitors (SGLT2i) are currently available for the management of type 2 diabetes mellitus. SGLT2i act by inhibiting renal SGLT2, thereby increasing glucosuria and lowering serum glucose. Recent trials are emerging supporting a role for SGLT2i irrespective of the diabetic status pointing towards that SGLT2i have other mechanisms of actions beyond blood sugar control. In this review, we will shed light on the role of this group of medications that act as SGLT2i in non-diabetics focusing on pre-clinical and clinical data highlighting the mechanism of renoprotection and effects of SGLT2i in the non-diabetic kidneys.

Keywords

SGLT2i; CKD; Blood Pressure; IGAN; FSGS; Proteinuria; survival; Non-Diabetics

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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