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SODYUM GLUKOZ KO-TRANSPORTER 2 İNHİBİTÖRLERİNİN PLEİOTROPİK ETKİLERİ

Yıl 2016, Cilt: 18 Sayı: 2, 75 - 79, 31.08.2016
https://doi.org/10.24938/kutfd.252681

Öz

Diabetes
mellitus, insulin rezistansı, insulin sekresyonundaki bozukluk veya
sekresyonunun olmayışından ya da bunların bir arada bulunmasından kaynaklanan
hiperglisemi ile karakterize kronik metabolik bir hastalıktır. Diyabetik
bireyler için iyi bir glisemik kontrol çok önemlidir. Ne yazık ki, diyabetik
bireylerin pek çoğunda, kabul edilebilir bir glisemik kontrole
ulaşılamamaktadır. Bu nedenle de diyabet ile ilgili komplikasyonlardan
kaynaklanan morbidite ve mortalite yüksektir. Sodyum glukoz ko-transporter-2
(SGLT2) inhibitörleri, benzersiz etki mekanizmasına sahip, yeni bir
antidiyabetik ilaç sınıfıdır. Bu çalışma, SGLT2 inhibitörlerinin pleiotropik
etkilerine ilişkin genel bilgi sağlamaktadır. Bu amaçla, ilgili makaleler
PubMed ve Uluslararası Farmasötik Özetler aracılığıyla taranmıştır. Taramada
kullanılan anahtar kelimeler: “canagliflozin, dapagliflozin, empagliflozin,
pleiotropic effects, sodium-glucose co transporter 2 inhibitors” olarak
seçilmiştir.

Kaynakça

  • Diabetes fact sheet. World Health Organisation website. Erişim 20. Ekim. 2015. http://www.who.int/mediacentre/factsheets/fs312/e n/.
  • Statistics about diabetes. American Diabetes Association website. Erişim 20. Ekim. 2015. http://www.diabetes.org/diabetesbasics/statistics/?lo c=db-slabnav.
  • The effect of intensive treatment of diabetes on the development of long-term complications ininsulin- dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group. N Engl JMed. 1993; 329: 977-86.
  • Holman RP, Paul SK, Bethel MA. 10-year follow- up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008; 359: 1577-89.
  • American Diabetes Association. Approaches to glycemic treatment. Diabetes Care. 2015; 38: 41-8.
  • Whalen K, Miller S, Onge E. The role of sodium- glucose co-transporter 2 inhibitors in the treatment of type 2 diabetes. Clin Ther. 2015; 37: 1150-66.
  • Bays H. Sodium Glucose Co-transporter Type 2 (SGLT-2) Inhibitors: Targeting the kidney to improve glycemic control in diabetes mellitus. Diabetes Ther. 2013; 4: 195-220.
  • Halimi S, Vergès B. Adverse effects and safety of SGLT-2 inhibitors. Diab Metab. 2014; 40: 28-34.
  • Ptaszynska A, Johnsson KM, Parikh SJ, de Bruin TW, Apanovitch AM, List JF. Safety profile of dapagliflozin for type 2 diabetes: pooled analysis of clinical studies for overall safety and rare events. Drug Saf. 2014; 37: 815-29.
  • Vasilakou D, Karagiannis T, Athanasiadou E, et al. Sodium-glucose cotransporter 2 inhibitors for type 2 diabetes: a systematic review and meta-analysis. Ann Intern Med. 2013; 159: 262-74.
  • Lambers Heerspink HJ, de Zeeuw D, Wie L, Leslie B, List J. Dapagliflozin a glucose-regulating drug with diuretic properties in subjects with type 2 diabetes. Diabetes Obes Metab. 2013; 15: 853-62.
  • Tikkanen I, Narko K, Zeller C, et al. EMPA-REG BP Investigators. Empagliflozin improves blood pressure in patients with type 2 diabetes (T2DM) and hypertension. In: Abstract 942 presented at the 49th European Association for the Study of Diabetes Annual Meeting, September 23–27, Barcelona, Spain. Diabetologia. 2013; 56: 377.
  • Weir MR, Januszewicz A, Gilbert RE, Lavalle Gonzalez FJ, Meininger G. Lower blood pressure (BP) with canagliflozin (cana) in subjects with type 2 diabetes mellitus (T2DM). Diabetes. 2013; 62: 1077.
  • Rohwedder K, Johnsson E, Parikh S. Reduced risk of hypoglycemic events with dapagliflozin vs. glipizide as add-on therapy in type 2 diabetes mellitus: 4-year data from a phase 3 study. In: Poster presented at 50th Annual meeting of the European Association for the Study of Diabetes. Vienna; 2014.
  • Leiter LA, Yoon KH, Arias P, et al. Canagliflozin provides durable glycemic improvements and body weight reduction over 104 weeks versus glimepiride in patients with type 2 diabetes on metformin: a randomized, double-blind, phase 3 study diabetes care. 2014. 16. Sha S, Devineni D, Ghosh A, et al. Pharmacodynamic effects of canagliflozin, a sodium glucose co-transporter 2 inhibitor, from a randomized study in patients with type 2 diabetes. PLoS One. 2014; 9: 105638.
  • Nauck MA, Del Prato S, Durán-García S, et al. Durability of glycaemic efficacy over 2 years with dapagliflozin versus glipizide as add-on therapies in patients whose type 2 diabetes mellitus is inadequately controlled with metformin. Diabetes Obes Metab. 2014; 16(11): 1111-20.
  • Scheen A. Pharmacokinetic and pharmacodynamics profile of empagliflozin, a sodium glucose cotransporter 2 inhibitor. Clin Pharmacokinet. 2014; 53(3): 213-25.
  • Rohwedder K, Johnsson E, Parikh S. Reduced risk of hypoglycemic events with dapagliflozin vs. glipizide as add-on therapy in type 2 diabetes mellitus: 4-year data from a phase 3 study. In: Poster presented at 50th Annual meeting of the European Association for the Study of Diabetes. Vienna; 2014.
  • Rosenstock J, Jelaska A, Zeller C, Kim G, Broedl UC, Woerle HJ; EMPA-REG BASALTM trial investigators. Impact of empagliflozin added on to basal insulin in type 2 diabetes inadequately controlled on basal insulin: a 78-week randomized, double-blind, placebo-controlled trial. Diabetes Obes Metab. 2015; 17(10): 936-48.
  • Scheen A. Pharmacokinetic and pharmacodynamics profile of empagliflozin, a sodium glucose cotransporter 2 inhibitor. Clin Pharmacokinet. 2014; 53(3): 213-25.
  • Bolinder J, Ljunggren Ö, Johansson L, et al. Dapagliflozin maintains glycaemic control while reducing weight and body fat mass over 2 years in patients with type 2 diabetes mellitus inadequately controlled on metformin. Diabetes Obes Metab. 2014;16: 159-69.
  • Ruggenenti P, Porrini EL, Gaspari F, et al. GFR Study Investigators. Glomerular hyperfiltration and renal disease progression in type 2 diabetes. Diabetes Care. 2012; 35: 2061-8.

Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors

Yıl 2016, Cilt: 18 Sayı: 2, 75 - 79, 31.08.2016
https://doi.org/10.24938/kutfd.252681

Öz

Diabetes
mellitus is a chronic metabolic disorder characterized by hyperglycemia because
of insulin resistance, diminished or absent insulin secretion or both. Good
glycemic control is one of the most important issues for diabetic individual.
Unfortunately, most of the diabetics fail to achieve acceptable glycemic
control. Therefore, diabetes-associated morbidity and mortality is high
resulting from complications. The sodium-glucose co-transporter 2 (SGLT2)
inhibitors are a new class of antidiabetic agents with a unique mechanism of
action. This article provides an overview of pleiotropic effects of SGLT2
inhibitors. For this purpose, relevant articles were identified through
searches of PubMed and International Pharmaceutical Abstracts by using the key
words diabetes, canagliflozin, dapagliflozin, empagliflozin, pleiotropic
effects, sodium-glucose co transporter 2 inhibitors.

Kaynakça

  • Diabetes fact sheet. World Health Organisation website. Erişim 20. Ekim. 2015. http://www.who.int/mediacentre/factsheets/fs312/e n/.
  • Statistics about diabetes. American Diabetes Association website. Erişim 20. Ekim. 2015. http://www.diabetes.org/diabetesbasics/statistics/?lo c=db-slabnav.
  • The effect of intensive treatment of diabetes on the development of long-term complications ininsulin- dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group. N Engl JMed. 1993; 329: 977-86.
  • Holman RP, Paul SK, Bethel MA. 10-year follow- up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008; 359: 1577-89.
  • American Diabetes Association. Approaches to glycemic treatment. Diabetes Care. 2015; 38: 41-8.
  • Whalen K, Miller S, Onge E. The role of sodium- glucose co-transporter 2 inhibitors in the treatment of type 2 diabetes. Clin Ther. 2015; 37: 1150-66.
  • Bays H. Sodium Glucose Co-transporter Type 2 (SGLT-2) Inhibitors: Targeting the kidney to improve glycemic control in diabetes mellitus. Diabetes Ther. 2013; 4: 195-220.
  • Halimi S, Vergès B. Adverse effects and safety of SGLT-2 inhibitors. Diab Metab. 2014; 40: 28-34.
  • Ptaszynska A, Johnsson KM, Parikh SJ, de Bruin TW, Apanovitch AM, List JF. Safety profile of dapagliflozin for type 2 diabetes: pooled analysis of clinical studies for overall safety and rare events. Drug Saf. 2014; 37: 815-29.
  • Vasilakou D, Karagiannis T, Athanasiadou E, et al. Sodium-glucose cotransporter 2 inhibitors for type 2 diabetes: a systematic review and meta-analysis. Ann Intern Med. 2013; 159: 262-74.
  • Lambers Heerspink HJ, de Zeeuw D, Wie L, Leslie B, List J. Dapagliflozin a glucose-regulating drug with diuretic properties in subjects with type 2 diabetes. Diabetes Obes Metab. 2013; 15: 853-62.
  • Tikkanen I, Narko K, Zeller C, et al. EMPA-REG BP Investigators. Empagliflozin improves blood pressure in patients with type 2 diabetes (T2DM) and hypertension. In: Abstract 942 presented at the 49th European Association for the Study of Diabetes Annual Meeting, September 23–27, Barcelona, Spain. Diabetologia. 2013; 56: 377.
  • Weir MR, Januszewicz A, Gilbert RE, Lavalle Gonzalez FJ, Meininger G. Lower blood pressure (BP) with canagliflozin (cana) in subjects with type 2 diabetes mellitus (T2DM). Diabetes. 2013; 62: 1077.
  • Rohwedder K, Johnsson E, Parikh S. Reduced risk of hypoglycemic events with dapagliflozin vs. glipizide as add-on therapy in type 2 diabetes mellitus: 4-year data from a phase 3 study. In: Poster presented at 50th Annual meeting of the European Association for the Study of Diabetes. Vienna; 2014.
  • Leiter LA, Yoon KH, Arias P, et al. Canagliflozin provides durable glycemic improvements and body weight reduction over 104 weeks versus glimepiride in patients with type 2 diabetes on metformin: a randomized, double-blind, phase 3 study diabetes care. 2014. 16. Sha S, Devineni D, Ghosh A, et al. Pharmacodynamic effects of canagliflozin, a sodium glucose co-transporter 2 inhibitor, from a randomized study in patients with type 2 diabetes. PLoS One. 2014; 9: 105638.
  • Nauck MA, Del Prato S, Durán-García S, et al. Durability of glycaemic efficacy over 2 years with dapagliflozin versus glipizide as add-on therapies in patients whose type 2 diabetes mellitus is inadequately controlled with metformin. Diabetes Obes Metab. 2014; 16(11): 1111-20.
  • Scheen A. Pharmacokinetic and pharmacodynamics profile of empagliflozin, a sodium glucose cotransporter 2 inhibitor. Clin Pharmacokinet. 2014; 53(3): 213-25.
  • Rohwedder K, Johnsson E, Parikh S. Reduced risk of hypoglycemic events with dapagliflozin vs. glipizide as add-on therapy in type 2 diabetes mellitus: 4-year data from a phase 3 study. In: Poster presented at 50th Annual meeting of the European Association for the Study of Diabetes. Vienna; 2014.
  • Rosenstock J, Jelaska A, Zeller C, Kim G, Broedl UC, Woerle HJ; EMPA-REG BASALTM trial investigators. Impact of empagliflozin added on to basal insulin in type 2 diabetes inadequately controlled on basal insulin: a 78-week randomized, double-blind, placebo-controlled trial. Diabetes Obes Metab. 2015; 17(10): 936-48.
  • Scheen A. Pharmacokinetic and pharmacodynamics profile of empagliflozin, a sodium glucose cotransporter 2 inhibitor. Clin Pharmacokinet. 2014; 53(3): 213-25.
  • Bolinder J, Ljunggren Ö, Johansson L, et al. Dapagliflozin maintains glycaemic control while reducing weight and body fat mass over 2 years in patients with type 2 diabetes mellitus inadequately controlled on metformin. Diabetes Obes Metab. 2014;16: 159-69.
  • Ruggenenti P, Porrini EL, Gaspari F, et al. GFR Study Investigators. Glomerular hyperfiltration and renal disease progression in type 2 diabetes. Diabetes Care. 2012; 35: 2061-8.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Aslı F. Ceylan

Yayımlanma Tarihi 31 Ağustos 2016
Gönderilme Tarihi 18 Kasım 2015
Yayımlandığı Sayı Yıl 2016 Cilt: 18 Sayı: 2

Kaynak Göster

APA Ceylan, A. F. (2016). Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors. The Journal of Kırıkkale University Faculty of Medicine, 18(2), 75-79. https://doi.org/10.24938/kutfd.252681
AMA Ceylan AF. Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors. Kırıkkale Üni Tıp Derg. Ağustos 2016;18(2):75-79. doi:10.24938/kutfd.252681
Chicago Ceylan, Aslı F. “Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors”. The Journal of Kırıkkale University Faculty of Medicine 18, sy. 2 (Ağustos 2016): 75-79. https://doi.org/10.24938/kutfd.252681.
EndNote Ceylan AF (01 Ağustos 2016) Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors. The Journal of Kırıkkale University Faculty of Medicine 18 2 75–79.
IEEE A. F. Ceylan, “Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors”, Kırıkkale Üni Tıp Derg, c. 18, sy. 2, ss. 75–79, 2016, doi: 10.24938/kutfd.252681.
ISNAD Ceylan, Aslı F. “Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors”. The Journal of Kırıkkale University Faculty of Medicine 18/2 (Ağustos 2016), 75-79. https://doi.org/10.24938/kutfd.252681.
JAMA Ceylan AF. Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors. Kırıkkale Üni Tıp Derg. 2016;18:75–79.
MLA Ceylan, Aslı F. “Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors”. The Journal of Kırıkkale University Faculty of Medicine, c. 18, sy. 2, 2016, ss. 75-79, doi:10.24938/kutfd.252681.
Vancouver Ceylan AF. Pleiotropic Effects of Sodium - Glucose Co-Transporter 2 Inhibitors. Kırıkkale Üni Tıp Derg. 2016;18(2):75-9.

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