钠-葡萄糖耦联转运体2抑制剂在非糖尿病肾脏疾病中肾脏保护机制的研究进展

    Research advances on renoprotective mechanism of SGLT-2 inhibitors in non-diabetic kidney disease

    • 摘要: 钠-葡萄糖耦联转运体(sodium-glucose linked transporter,SGLT)2抑制剂是一类新兴抗糖尿病药物。SGLT-2在肾脏中表达最多,主要分布于近端小管的上部,负责过滤葡萄糖的重吸收,80%~90%的葡萄糖重吸收由SGLT-2负责,剩余葡萄糖由SGLT-1负责。SGLT-2抑制剂作用于近端小管,抑制葡萄糖和钠的重吸收,增强尿糖的排泄,减轻机体的葡萄糖负担。已有多篇研究证实SGLT-2抑制剂不仅可以改善糖尿病患者肾脏及心血管疾病的预后,还对非糖尿病肾脏疾病患者的肾脏发挥保护作用,因此SGLT-2抑制剂对非糖尿病肾脏疾病的诱导保护机制受到广泛关注。本文对SGLT-2抑制剂在非糖尿病肾脏疾病中的肾脏保护机制的研究进展做一总结。

       

      Abstract: Sodium-glucose linked transporter (SGLT-2) inhibitors are the most emerging glucose-lowering agents. Predominantly expressed in kidney, SGLT-2 is mainly distributed in upper part of proximal tubule. Mainly responsible for a reabsorption of filtered glucose, it accounts for over 80%-90% of glucose reabsorption. And SGLT-1 takes up the remainders. SGLT-2 inhibitors act at proximal tubule where they inhibit glucose and sodium reabsorption, thus enhancing urinary sugar excretion and lowering body glucose burden. Several studies have confirmed that SGLT-2 inhibitors might improve the prognoses of renal and cardiovascular disease in diabetics. Also there are significant protective effects on renal system of patients with non-diabetic kidney disease (NDKD). Therefore the induction protection mechanism of SGLT-2 inhibitors on non-diabetic chronic kidney disease (CKD) has attracted growing attention. This review summarized the latest researches of renoprotective mechanism of SGLT-2 inhibitors in NDKD.

       

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