Sodium-Glucose linked transporter 2 (SGLT2) inhibitors--fighting diabetes from a new perspective

Adv Ther. 2014 Jun;31(6):579-91. doi: 10.1007/s12325-014-0127-7. Epub 2014 Jun 28.

Abstract

Sodium-Glucose linked transporter 2 (SGLT2) inhibitors are a new family of antidiabetic pharmaceutical agents whose action is based on the inhibition of the glucose reabsorption pathway, resulting in glucosuria and a consequent reduction of the blood glucose levels, in patients with type 2 diabetes mellitus. Apart from lowering both fasting and postprandial blood glucose levels, without causing hypoglycemia, SGLT2 inhibitors have also shown a reduction in body weight and the systolic blood pressure. This review paper explores the renal involvement in glucose homeostasis providing also the latest safety and efficacy data for the European Medicines Agency and U.S. Food and Drug Administration approved SGLT2 inhibitors, looking, finally, into the future of this novel antidiabetic category of pharmaceutical agents.

Publication types

  • Review

MeSH terms

  • Benzhydryl Compounds / pharmacology*
  • Blood Pressure / drug effects
  • Canagliflozin / pharmacology*
  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / metabolism
  • Glucose / metabolism*
  • Glucosides / pharmacology*
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Sodium-Glucose Transporter 2 Inhibitors
  • Treatment Outcome
  • Weight Loss / drug effects

Substances

  • Benzhydryl Compounds
  • Glucosides
  • Hypoglycemic Agents
  • Sodium-Glucose Transporter 2 Inhibitors
  • Canagliflozin
  • dapagliflozin
  • Glucose