» Articles » PMID: 34575958

Treatment Response to SGLT2 Inhibitors: From Clinical Characteristics to Genetic Variations

Overview
Journal Int J Mol Sci
Publisher MDPI
Date 2021 Sep 28
PMID 34575958
Citations 10
Authors
Affiliations
Soon will be listed here.
Abstract

SGLT2 (sodium-glucose cotransporter 2) inhibitors are a new class of antihyperglycaemic drugs that act on the proximal tubules of the kidney. They have shown efficacy in the management of diabetes mellitus type 2 and their cardiovascular and renal safety have been extensively investigated and confirmed in clinical trials. However, inter-individual differences in response to treatment with SGLT2 inhibitors may present in everyday clinical practice, and good predictors of glycemic response and the risk for adverse events in an individual patient are lacking. As genetic variability of SGLT2 may influence the treatment response, pharmacogenetic information could support the choice of the most beneficial treatment strategy in an individual patient. This review focuses on the clinical and genetic factors that may influence the treatment response to SGLT2 inhibitors in type 2 diabetes patients with comorbid conditions.

Citing Articles

Impact of SGLT2 inhibitors on lower limb complications: a mendelian randomization perspective.

Chen B, Huang M, Pu B, Dong H Front Pharmacol. 2024; 15:1401103.

PMID: 39355774 PMC: 11442421. DOI: 10.3389/fphar.2024.1401103.


The Impact of Genetic Polymorphisms on the Anti-Hyperglycemic Effect of Dapagliflozin.

Wang Z, Li X, Xu Q, Yao Y, Li X, Yan H Diabetes Metab Syndr Obes. 2024; 17:2881-2894.

PMID: 39100970 PMC: 11298192. DOI: 10.2147/DMSO.S464671.


Effects of a New Group of Antidiabetic Drugs in Metabolic Diseases.

Sanz-Canovas J, Ricci M, Cobos-Palacios L, Lopez-Sampalo A, Hernandez-Negrin H, Vazquez-Marquez M Rev Cardiovasc Med. 2024; 24(2):36.

PMID: 39077405 PMC: 11273146. DOI: 10.31083/j.rcm2402036.


Metabolic disorders in prediabetes: From mechanisms to therapeutic management.

Ping W, Hu S, Su J, Ouyang S World J Diabetes. 2024; 15(3):361-377.

PMID: 38591088 PMC: 10999048. DOI: 10.4239/wjd.v15.i3.361.


SGLT2 inhibition, high-density lipoprotein, and kidney function: a mendelian randomization study.

Wang Z, Wei J, Zhao W, Shi R, Zhu Y, Li X Lipids Health Dis. 2024; 23(1):84.

PMID: 38509588 PMC: 10953263. DOI: 10.1186/s12944-024-02072-6.


References
1.
Onder C, Gursoy K, Kuskonmaz S, Kocer U, Culha C . Fournier's gangrene in a patient on dapagliflozin treatment for type 2 diabetes. J Diabetes. 2019; 11(5):348-350. DOI: 10.1111/1753-0407.12896. View

2.
Lan N, Fegan P, Yeap B, Dwivedi G . The effects of sodium-glucose cotransporter 2 inhibitors on left ventricular function: current evidence and future directions. ESC Heart Fail. 2019; 6(5):927-935. PMC: 6816235. DOI: 10.1002/ehf2.12505. View

3.
Verma S, Mazer C, Fitchett D, Inzucchi S, Pfarr E, George J . Empagliflozin reduces cardiovascular events, mortality and renal events in participants with type 2 diabetes after coronary artery bypass graft surgery: subanalysis of the EMPA-REG OUTCOME® randomised trial. Diabetologia. 2018; 61(8):1712-1723. PMC: 6061159. DOI: 10.1007/s00125-018-4644-9. View

4.
Cianciolo G, De Pascalis A, Capelli I, Gasperoni L, Di Lullo L, Bellasi A . Mineral and Electrolyte Disorders With SGLT2i Therapy. JBMR Plus. 2019; 3(11):e10242. PMC: 6874177. DOI: 10.1002/jbm4.10242. View

5.
Drexel H, Leiherer A, Saely C, Brandtner E, Geiger K, Vonbank A . Are SGLT2 polymorphisms linked to diabetes mellitus and cardiovascular disease? Prospective study and meta-analysis. Biosci Rep. 2019; 39(8). PMC: 6684948. DOI: 10.1042/BSR20190299. View