Sodium-Glucose Cotransporter-2 Inhibitors in Vascular Biology: Cellular and Molecular Mechanisms

Lei Xiao, Xin Nie, Yanyan Cheng, Nanping Wang*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Sodium-glucose cotransporter-2 (SGLT2) inhibitors are new antidiabetic drugs that reduce hyperglycemia by inhibiting the glucose reabsorption in renal proximal tubules. Clinical studies have shown that SGLT2 inhibitors not only improve glycemic control but also reduce major adverse cardiovascular events (MACE, cardiovascular and total mortality, fatal or nonfatal myocardial infarction or stroke) and hospitalization for heart failure (HF), and improve outcome in chronic kidney disease. These cardiovascular and renal benefits have now been confirmed in both diabetes and non-diabetes patients. The precise mechanism(s) responsible for the protective effects are under intensive investigation. This review examines current evidence on the cardiovascular benefits of SGLT2 inhibitors, with a special emphasis on the vascular actions and their potential mechanisms.

Original languageEnglish
Pages (from-to)1253-1267
Number of pages15
JournalCardiovascular Drugs and Therapy
Volume35
Issue number6
DOIs
StatePublished - Dec 2021
Externally publishedYes

Keywords

  • Mechanisms
  • Pharmacology
  • Sodium-glucose cotransporter-2 inhibitor
  • Type 2 diabetes mellitus
  • Vascular biology

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