SGLT2抑制剂:有什么新进展?]

Q4 Medicine Nephrologe Pub Date : 2021-01-01 Epub Date: 2021-06-30 DOI:10.1007/s11560-021-00511-4
Eva Dumann, Jan Menne
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引用次数: 4

摘要

钠-葡萄糖转运蛋白2抑制剂(SGLT2i,格列净)最初是为治疗2型糖尿病而开发的;然而,在强制性批准研究中,它们对心血管终点和肾功能表现出意想不到的积极作用。去年发表的几项III期研究调查了这类药物对糖尿病和非糖尿病患者慢性肾脏疾病和心力衰竭的影响。主要的积极结果导致其临床应用的不断扩大。本文旨在概述最近关于SGLT2i的终点研究,并展示其对实践的影响,介绍关于风险和副作用的知识状况,并总结目前关于这类药物作用方式的假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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[SGLT2 inhibitors: What is new?]

Sodium-glucose transport protein 2 inhibitors (SGLT2i, gliflozins) were originally developed for the treatment of type 2 diabetes; however, in mandatory approval studies, they demonstrated unexpected positive effects on cardiovascular endpoints and renal function. Several phase III studies published during the last year have investigated the effects of this drug class on chronic kidney disease and heart failure in diabetic and non-diabetic patients. The predominantly positive results have led to a continuing expansion of their clinical use. This article aims to provide an overview of the most recent endpoint studies on SGLT2i and show implications for practice, to present the state of knowledge on risks and side effects and to summarize current hypotheses on the mode of action of this class of drugs.

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来源期刊
Nephrologe
Nephrologe UROLOGY & NEPHROLOGY-
CiteScore
0.40
自引率
0.00%
发文量
25
期刊介绍: Zielsetzung der Zeitschrift Der Nephrologe bietet aktuelle und kompakte Fortbildung für alle nephrologisch tätigen Ärzt*innen in Klinik und Praxis. Inhaltlich werden sämtliche Bereiche der angewandten Nephrologie und Hypertensiologie praxisnah abgedeckt. Das Spektrum reicht von der Prävention, diagnostischen Vorgehensweisen und Komplikationsmanagement bis hin zu modernen Therapiestrategien. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit. Beiträge der Rubrik "CME Zertifizierte Fortbildung" bieten gesicherte Ergebnisse wissenschaftlicher Forschung und machen ärztliche Erfahrung für die tägliche Praxis nutzbar. Nach Lektüre der Beiträge können die Leser*innen ihr erworbenes Wissen überprüfen und online CME-Punkte erwerben. Die Rubrik orientiert sich an der Weiterbildungsordnung des Fachgebiets. Aims & Scope Der Nephrologe offers up-to-date information for all nephrologists working in practical and clinical environments and scientists who are particularly interested in issues of nephrology. The content covers all areas of applied nephrology and hypertensiology. The topics range from prevention to diagnostic approaches and management of complications to current therapy strategies. Comprehensive reviews on a specific topical issue provide evidenced based information on diagnostics and therapy. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice. Review All articles of Der Nephrologe are reviewed. Declaration of Helsinki All manuscripts submitted for publication presenting results from studies on probands or patients must comply with the Declaration of Helsinki.
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