Acta Metallurgica Sinica

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SGLT2 inhibitors-new way for the treatment of type 2 diabetes.

GU Guang-yuZHENG Shao-xiong.   

  1. Department of Endocrinology,the Second Hospital,Tianjin Medical University,Tianjin 300211,China
  • Online:2014-10-01 Published:2014-09-30

钠-葡萄糖协同转运蛋白2抑制剂--糖尿病治疗新途径

谷光宇郑少雄   

  1. 作者单位:天津医科大学第二医院,天津 300210
  • 通讯作者: 郑少雄
  • 作者简介:郑少雄,天津医科大学第二医院内分泌科教授。兼任天津医学会骨质疏松和骨矿盐疾病分会名誉主任委员,天津中西医结合学会糖尿病分会副主任委员,天津医学会内分泌分会顾问,欧洲糖尿病研究会(EASD)及美国糖尿病协会会员,《中华糖尿病杂志》《中华内分泌代谢杂志》《中华骨质疏松和骨矿盐疾病》等杂志编委。参加国内专业书籍编写10部。在国内外杂志发表学术论文90篇,

Abstract:

Abstract:With the progress of type 2 diabetes and β cell failure,traditional medications may not meet type 2 diabetes complicated clinical needs.SGLT2-inhibitors,highly selective SGLT2-inhibitors,are a new class of oral antidiabetics.By inhibiting SGLT-2 in the renal tubules,SGLT2-inhibitors decrease renal glucose absorption and thereby calorie loss with improved glycemic control and weight loss.SGLT2-inhibitors are well tolerated and have a low propensity to cause hypoglycaemia.New therapies with complementary mechanisms of action that are independent of insulin secretion or action may provide additional therapeutic options to enable patients to achieve glycaemic control.

Key words: type 2 diabetes mellitus, SGLT2 inhibitors, dapagliflozin

摘要:

随着2型糖尿病的病程进展和胰岛B细胞功能的进一步衰减,传统的降糖药物不能满足2型糖尿病治疗达标需求。钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂不以胰岛素分泌和作用为靶点,而是通过抑制表达于肾小球近曲小管的SGLT2,减少肾脏的葡萄糖重吸收,增加尿液中葡萄糖的排泄,从而降低血浆葡萄糖水平,同时对减轻体重,降低血压也有一定作用,多重受益,其低血糖发生率,低血容量和低血压和肿瘤发生与对照组相当。SGLT-2抑制剂独特的非胰岛素依赖型降糖机制,为2型糖尿病治疗提供了新的途径。

关键词: 2型糖尿病, 钠-葡萄糖协同转运蛋白2, 达格列净

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