腹膜糖转运及钠-葡萄糖共转运蛋白2抑制剂在腹膜透析领域的研究进展

    Current developments in peritoneal glucose transport and sodium-glucose co-transporter 2 inhibitors during peritoneal dialysis

    • 摘要: 钠-葡萄糖共转运蛋白(sodium-glucose co-transporter,SGLT)2抑制剂是目前临床广泛使用的新药物,已知SGLT2抑制剂可以通过阻断SGLT2减少近端肾小管细胞对葡萄糖的重吸收来降低2型糖尿病患者的血糖。同时,该药物可为糖尿病及非糖尿病患者带来显著的肾脏及心血管获益。腹膜透析患者的人腹膜间皮细胞可表达SGLT。关于SGLT2抑制剂在腹膜透析领域的研究已有体外或动物实验报道,提示接受PD治疗的患者应用SGLT2抑制剂,可减少腹膜葡萄糖吸收,可能延迟腹膜纤维化的进展。同时,腹膜寿命的延长及转运功能的维持有利于保证透析充分性,改善患者预后。但是SGLT2抑制剂在腹膜透析领域的应用尚未引起广泛关注。本文将就腹膜糖代谢及SGLT2抑制剂在腹膜透析领域的研究进展做一综述。

       

      Abstract: As a novel widely used drug, sodium-glucose co-transporter (SGLT) 2 inhibitor may lower blood glucose in type 2 diabetics through blocking SGLT2 to curtain glucose reabsorption in proximal renal tubular cells. At the same time, this drug may bring significant renal and cardiovascular benefits to both diabetics and non-diabetics. Human peritoneal mesothelial cells (HPMCs) from peritoneal dialysis (PD) patients can express SGLT. Studies of SGLT2 inhibitors in PD have been reported in in vitro or animal experiments. Using SGLT2 inhibitors in PD patients can reduce peritoneal glucose absorption and delay the progress of peritoneal fibrosis. At the same time, prolonged use of peritoneum and maintenance of transport function are conducive to ensuring dialysis adequacy and optimizing the prognosis. However, application of SGLT2 inhibitors during PD has not attracted extensive attention. This review focused upon the developments of peritoneal glucose metabolism and SGLT2 inhibitors during PD.

       

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