A nátrium-glükóz kotranszporterek (SGLT-k) alapvető szerepet játszanak a vesében zajló glükózreabszorpcióban. Az SGLT gátlása új terápiás lehetőséget nyújthat a diabetes mellitus kezelésében. Az SGLT2-gátlás – a glükózreabszorpció csökkenése miatt – fokozza a vese glükózkiválasztását, amely következményesen csökkenti a vércukorszintet és emellett testtömegcsökkenést is eredményezhet. Az SGLT2-gátlók hatása nem függ az inzulintól, ugyanakkor javítják az inzulinérzékenységet. Számos SGLT2-gátlót fejlesztenek jelenleg is, ezek közül néhány eljutott a fázis III. klinikai vizsgálatokig. Ezekben a vizsgálatokban meg kell állapítani, hogy mennyire biztonságos hosszú távú alkalmazásuk. Az eddigi adatok szerint az SGLT2-gátlók súlyos mellékhatások nélkül fejtik ki jótékony hatásukat. Orv. Hetil., 2012, 153, 695–701.
Jermendy, Gy. (ed.): Diagnosis of diabetes mellitus and medical care of adult patients with diabetes. Guideline of the Hungarian Diabetes Society 2011. [A diabetes mellitus kórismézése, a cukorbetegek gondozása felnőttkorban. A Magyar Diabetes Társaság szakmai irányelve, 2011.]. Diabetologia Hungarica, 2011, 19, 1–72. [Hungarian]
Jermendy Gy. , 'Diagnosis of diabetes mellitus and medical care of adult patients with diabetes. Guideline of the Hungarian Diabetes Society 2011. [A diabetes mellitus kórismézése, a cukorbetegek gondozása felnőttkorban. A Magyar Diabetes Társaság szakmai irányelve, 2011.] ' (2011 ) 19 Diabetologia Hungarica : 1 -72 .
Wright, E. M., Hirayama, B. A., Loo, D. F.: Active sugar transport in health and disease. J. Intern. Med., 2007, 261, 32–43.
Loo D. F. , 'Active sugar transport in health and disease ' (2007 ) 261 J. Intern. Med. : 32 -43 .
Rajesh, R., Naren, P., Vidyasagar, S., et al.: Sodium glucose cotransporter 2 (SGLT2) inhibitors: A new sword for the treatment of type 2 diabetes mellitus. International Journal of Pharma Sciences and Research, 2010, 1, 139–147.
Vidyasagar S. , 'Sodium glucose cotransporter 2 (SGLT2) inhibitors: A new sword for the treatment of type 2 diabetes mellitus ' (2010 ) 1 International Journal of Pharma Sciences and Research : 139 -147 .
Chao, E. C., Henry, R. R.: SGLT2 inhibition – a novel strategy for diabetes treatment. Nat. Rev. Drug Discov., 2010, 9, 551–559.
Henry R. R. , 'SGLT2 inhibition – a novel strategy for diabetes treatment ' (2010 ) 9 Nat. Rev. Drug Discov. : 551 -559 .
Isaji, M.: Sodium-glucose cotransporter inhibitors for diabetes. Curr. Opin. Investig. Drugs, 2007, 8, 285–292.
Isaji M. , 'Sodium-glucose cotransporter inhibitors for diabetes ' (2007 ) 8 Curr. Opin. Investig. Drugs : 285 -292 .
Van den Heuvel, L. P., Assink, K., Willemsen, M., et al.: Autosomal recessive renal glucosuria attributable to a mutation in the sodium glucose cotransporter (SGLT2). Hum. Genet., 2002, 111, 544–547.
Willemsen M. , 'Autosomal recessive renal glucosuria attributable to a mutation in the sodium glucose cotransporter (SGLT2) ' (2002 ) 111 Hum. Genet. : 544 -547 .
Santer, R., Kinner, M., Lassen, C. L., et al.: Molecular analysis of the SGLT2 gene in patients with renal glucosuria. J. Am. Soc. Nephrol., 2003, 14, 2873–2882.
Lassen C. L. , 'Molecular analysis of the SGLT2 gene in patients with renal glucosuria ' (2003 ) 14 J. Am. Soc. Nephrol. : 2873 -2882 .
Nauck, M., Del Prato, S., Rohwedder, K., et al.: Long-term efficacy and safety of add-on dapagliflozin vs. add-on glipizide in patients with T2DM inadequately controlled with metformin: 2-year results [Abstract]. Diabetes, 2011, 60 (Suppl. 1), 0040–LB.
Rohwedder K. , 'Long-term efficacy and safety of add-on dapagliflozin vs. add-on glipizide in patients with T2DM inadequately controlled with metformin: 2-year results [Abstract] ' (2011 ) 60 Diabetes : 0040-LB -.
Ehrenkranz, J. R., Lewis, N. G., Kahn, C. R., et al.: Phlorizin: a review. Diabetes Metab. Res. Rev., 2005, 21, 31–38.
Kahn C. R. , 'Phlorizin: a review ' (2005 ) 21 Diabetes Metab. Res. Rev. : 31 -38 .
Rossetti, L., Smith, D., Shulman, G. I., et al.: Correction of hyperglycemia with phlorizin normalizes tissues sensitivity to insulin in diabetic rats. J. Clin. Invest., 1987, 79, 1510–1515.
Shulman G. I. , 'Correction of hyperglycemia with phlorizin normalizes tissues sensitivity to insulin in diabetic rats ' (1987 ) 79 J. Clin. Invest. : 1510 -1515 .
Hussey, E. K., Dobbins, R. L., Stoltz, R. R., et al.: Multiple-dose pharmacokinetics and pharmacodynamics of sergliflozin etabonate, a novel inhibitor of glucose reabsorption, in healthy overweight and obese subjects: a randomized double-blind study. J. Clin. Pharmacol., 2010, 50, 636–346.
Stoltz R. R. , 'Multiple-dose pharmacokinetics and pharmacodynamics of sergliflozin etabonate, a novel inhibitor of glucose reabsorption, in healthy overweight and obese subjects: a randomized double-blind study ' (2010 ) 50 J. Clin. Pharmacol. : 636 -346 .
Fujimori, Y., Katsuno, K., Nakashima, I., et al.: Remogliflozin etabonate, in a novel category of selective low-affinity sodium glucose cotransporter (SGLT2) inhibitors, exhibits antidiabetic efficacy in rodent models. J. Pharmacol. Exp. Ther., 2008, 327, 268–276.
Nakashima I. , 'Remogliflozin etabonate, in a novel category of selective low-affinity sodium glucose cotransporter (SGLT2) inhibitors, exhibits antidiabetic efficacy in rodent models ' (2008 ) 327 J. Pharmacol. Exp. Ther. : 268 -276 .
Han, S., Hagan, D. L., Taylor, J. R., et al.: Dapagliflozin, a selective SGLT2 inhibitor, improves glucose homeostasis in normal and diabetic rats. Diabetes, 2008, 57, 1723–1729.
Taylor J. R. , 'Dapagliflozin, a selective SGLT2 inhibitor, improves glucose homeostasis in normal and diabetic rats ' (2008 ) 57 Diabetes : 1723 -1729 .
List, J. F., Woo, V., Morales, E., et al.: Sodium-glucose cotransport inhibition with dapagliflozin in type 2 diabetes. Diabetes Care, 2009, 32, 650–657.
Morales E. , 'Sodium-glucose cotransport inhibition with dapagliflozin in type 2 diabetes ' (2009 ) 32 Diabetes Care : 650 -657 .
Komoroski, B., Vachharajani, N., Boulton, D., et al.: Dapgliflozin, a novel, selective SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects. Clin. Pharmacol. Ther., 2009, 85, 520–526.
Boulton D. , 'Dapgliflozin, a novel, selective SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects ' (2009 ) 85 Clin. Pharmacol. Ther. : 520 -526 .
Komoroski, B., Vachharajani, N., Feng, Y., et al.: Dapagliflozin, a novel, selective SGLT2 inhibitor, improved glycemic control over 2 weeks in patients with type 2 diabetes mellitus. Clin. Pharmacol. Ther., 2009, 85, 513–519.
Feng Y. , 'Dapagliflozin, a novel, selective SGLT2 inhibitor, improved glycemic control over 2 weeks in patients with type 2 diabetes mellitus ' (2009 ) 85 Clin. Pharmacol. Ther. : 513 -519 .
List, J. F., Woo, V., Morales, E., et al.: Sodium-glucose cotransport inhibition with dapagliflozin in type 2 diabetes. Diabetes Care, 2009, 32, 650–657.
Morales E. , 'Sodium-glucose cotransport inhibition with dapagliflozin in type 2 diabetes ' (2009 ) 32 Diabetes Care : 650 -657 .
Bailey, C. J., Gross, J. L., Bastone, L., et al.: Dapagliflozin as an add-on to metformin lowers hyperglycemia in type 2 diabetes patients inadequately controlled with metformin alone [Abstract]. Diabetologia, 2009, 52 (Suppl. 1), S76.
Bastone L. , 'Dapagliflozin as an add-on to metformin lowers hyperglycemia in type 2 diabetes patients inadequately controlled with metformin alone [Abstract] ' (2009 ) 52 Diabetologia : S76 -.
Wilding, J. P., Norwood, P., T’joen, C., et al.: A study of dapagliflozin in patients with type 2 diabetes receiving high doses of insulin plus insulin sensitizers: applicability of a novel insulin-independent treatment. Diabetes Care, 2009, 32, 1656–1662.
T’joen C. , 'A study of dapagliflozin in patients with type 2 diabetes receiving high doses of insulin plus insulin sensitizers: applicability of a novel insulin-independent treatment ' (2009 ) 32 Diabetes Care : 1656 -1662 .
Yamamoto, K., Uchida, S., Kitano, K., et al.: TS-071 is a novel, potent and selective renal sodium-glucose cotransporter 2 (SGLT2) inhibitor with anti-hyperglycaemic activity. Br. J. Pharmacol., 2011, 164, 181–191.
Kitano K. , 'TS-071 is a novel, potent and selective renal sodium-glucose cotransporter 2 (SGLT2) inhibitor with anti-hyperglycaemic activity ' (2011 ) 164 Br. J. Pharmacol. : 181 -191 .
Bhanot, S., Murray, S. F., Booten, S. L., et al.: ISIS 388626, an SGLT2 antisense drug, causes robust and sustained glucosuria in multiple species and is safe and well-tolerated. [Abstract 328-OR]. American Diabetes Association website [online], http://professional.diabetes.org/Abstracts_Display.aspx?TYP=1&CID=74543 (2009)
Bailey, C. J., Day, C.: SGLT2 inhibitors: glucuretic treatment for type 2 diabetes. Br. J. Diabetes Vasc. Dis., 2010, 10, 193–199.
Day C. , 'SGLT2 inhibitors: glucuretic treatment for type 2 diabetes ' (2010 ) 10 Br. J. Diabetes Vasc. Dis. : 193 -199 .