Evaluating the Effects of Sodium Glucose Co-transporter -2 Inhibitors from a Renin-angiotensin-aldosterone System Perspective in Patients Infected with COVID-19: Contextualizing Findings from the Dapagliflozin in Respiratory Failure in Patients With...
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Numerous studies demonstrate parallels between CVD, type 2 diabetes mellitus (T2DM) and COVID-19 pathology, which accentuate pre-existing complications in patients infected with COVID-19 and potentially exacerbate the infection course. Antidiabetic drugs such as sodium-glucose transporter-2 (SGLT-2) inhibitors have garnered substantial attention recently due to their efficacy in reducing the severity of cardiorenal disease. The effect of SGLT-2 inhibitors in patients with COVID-19 remains unclear particularly since SGLT-2 inhibitors contribute to altering the RAAS cascade activity, which includes ACE-2, the major cell entry receptor for SARS-CoV2. A study, DARE-19, was carried out to unveil the effects of SGLT-2 inhibitor treatment on comorbid disease complications and concomitant COVID-19 outcomes and demonstrated no statistical significance. However, the need for further studies is essential to provide conclusive clinical findings.
Mohapatra S, Wisidagama S, Schifano F J Clin Med. 2024; 13(10).
PMID: 38792437 PMC: 11122629. DOI: 10.3390/jcm13102896.
Cure E, Cumhur Cure M J Endocrinol Invest. 2022; 46(4):845-847.
PMID: 36318448 PMC: 9628438. DOI: 10.1007/s40618-022-01951-y.
Kim J, Miyazaki K, Shah P, Kozai L, Kewcharoen J Healthcare (Basel). 2022; 10(4).
PMID: 35455823 PMC: 9027687. DOI: 10.3390/healthcare10040645.
VDAC2 as a novel target for heart failure: Ca at the sarcomere, mitochondria and SR.
Rosenberg P Cell Calcium. 2022; 104:102586.
PMID: 35429733 PMC: 9459362. DOI: 10.1016/j.ceca.2022.102586.