betway必威登陆网址 (betway.com )学报››2022,Vol. 43››Issue (5): 388-392.DOI:10.3969/j.issn.2097-0005.2022.05.014

• 综述 •上一篇下一篇

达格列净治疗慢性肾脏病的研究进展

张青青1(), 刘珊珊2, 王英惠1, 柳刚2()

  1. 1.山东大学齐鲁医学院,山东 济南 250012
    2.山东大学第二医院肾内科,山东 济南 250033
  • 收稿日期:2021-11-01出版日期:2022-05-25发布日期:2022-06-09
  • 通讯作者:柳刚
  • 作者简介:张青青,硕士研究生,主要从事糖尿病肾病研究,E-mail:1691741356@qq.com
  • 基金资助:
    山东大学荣祥再生医学基金(2019SDRX-01);山东大学临床研究重点项目(2020SDUCRC004)

Research progress of dapagliflozin in the treatment of chronic kidney disease

Qingqing ZHANG1(), Shanshan LIU2, Yinghui WANG1, Gang LIU2()

  1. 1.Cheeloo College of Medicine,Shangdong University,Jinan 250012,China
    2.Department of Nephrology,The Second Hospital,Cheeloo College of Medicine,Shangdong University,Jinan 250033,China
  • Received:2021-11-01Online:2022-05-25Published:2022-06-09
  • Contact:Gang LIU

摘要:

达格列净是钠?葡萄糖共转运蛋白2抑制剂(sodium-glucose transporter 2 inhibitors,SGLT-2i)类较新型降糖药,通过促进尿糖排出以降低血糖。我国慢性肾脏病(chronic kidney disease,CKD)患者众多,且治疗手段有限。达格列净不仅是一种良好的降糖药物,同时还能减少心血管不良事件,延缓糖尿病肾病(diabetic nephropathies,DN)的发病,在非糖尿病肾病的CKD患者也观察到肾脏获益。本文旨在总结达格列净在CKD治疗中的研究进展,探讨其可能的作用机制及安全性,为临床治疗提供指导。

关键词:达格列净,SGLT-2抑制剂,糖尿病肾病,慢性肾脏病,作用机制

Abstract:

Dapagliflozin is a newer type of hypoglycemic agent of sodium-glucose transporter 2 inhibitors (SGLT-2i), which lowers blood sugar by promoting the excretion of urine sugar. There is a large population of chronic kidney disease (CKD) in China, and the treatment options are limited. Dapagliflozin is not only a good hypoglycemic drug, but it can also reduce adverse cardiovascular events and delay diabetic nephropathies (DN). Renal benefits have also been observed in CKD patients with non-diabetic nephropathy. This article intends to summarize the research progress of dapagliflozin in the treatment of CKD, explore its possible mechanism of action and safety and provide guidance for clinical treatment.

Key words:dapagliflozin,sodium-glucose transporter 2 inhibitors,diabetic nephropathies,chronic kidney disease,pharmacology