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Sodium-glucose co-transporter 2 inhibitors in COVID-19: meeting at the crossroads between heart, diabetes and infectious diseases. | LitMetric

Sodium-glucose co-transporter 2 inhibitors in COVID-19: meeting at the crossroads between heart, diabetes and infectious diseases.

Int J Clin Pharm

Division of Endocrinology and Metabolism and Diabetes Center, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital, 1 St. Kiriakidi Street, 54636, Thessaloníki, Greece.

Published: June 2021

AI Article Synopsis

  • - Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are transformative drugs for diabetes management, known for their heart and kidney protective effects.
  • - There’s potential for SGLT2i to be beneficial in treating COVID-19 due to their ability to reduce inflammation and stress in the body, addressing issues similar to those seen in diabetes.
  • - However, SGLT2i may carry risks, like euglycemic diabetic ketoacidosis, so ongoing clinical trials are necessary to determine if their benefits in COVID-19 treatment outweigh the risks.

Article Abstract

Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are a new class of glucose-lowering agents which have changed the landscape of diabetes therapy, due to their remarkable cardiorenal protective properties. The attack of severe acute respiratory syndrome coronavirus 2 on the heart and kidneys shares similarities with diabetes; therefore, the notion that SGLT2i might have a role in the future management of Coronavirus Disease 2019 (COVID-19) is based on a solid pathophysiological hypothesis. SGLT2i have been proved to decrease the expression of proinflammatory cytokines, ameliorate oxidative stress and reduce sympathetic activity, thus resulting in downregulation of both systemic and adipose tissue inflammation. On the other hand, they have been linked to an increased risk of euglycemic diabetic ketoacidosis. Therefore, the efficacy and safety of SGLT2i in COVID-19 are still debatable and remain to be clarified by ongoing randomized trials, to assess whether the benefits of treatment with these drugs outweigh the potential risks.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7942520PMC
http://dx.doi.org/10.1007/s11096-021-01256-9DOI Listing

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