Perspective of SGLT2i in the Treatment of Abdominal Aortic Aneurysms

Zhongtiao Jin1, Hongping Deng2, Sizheng Xiong2

  • 1Master of Medicine, Department of Endocrinology, Renmin Hospital of Wuhan University, 430060, China; and.

Insights

Sodium-glucose cotransport protein inhibitors (SGLT2is) show promise for treating abdominal aortic aneurysms (AAAs). Further research is needed to explore their role as adjunct therapy or early intervention for this high-mortality condition.

Area of Science:

  • Cardiovascular Medicine
  • Pharmacology
  • Vascular Biology

Background:

  • Abdominal aortic aneurysm (AAA) incidence and mortality are rising in the elderly.
  • Current surgical and endovascular treatments have limitations in reducing future risk.
  • Effective conservative measures are needed for early intervention or adjunct therapy.

Purpose of the Study:

  • To review recent advancements in abdominal aortic aneurysm (AAA) research.
  • To explore the potential application of sodium-glucose cotransport protein inhibitors (SGLT2is) in AAA treatment.
  • To evaluate SGLT2is as an early intervention or adjunct therapy for AAA.

Main Methods:

  • Literature review of recent AAA studies.
  • Analysis of existing data on traditional AAA therapeutic agents.
  • Examination of emerging evidence for SGLT2is in cardiovascular diseases and AAA models.

Main Results:

  • Traditional agents like beta-blockers, calcium channel blockers, and statins show limited efficacy in controlling AAA growth.
  • Sodium-glucose cotransport protein inhibitors (SGLT2is) demonstrate beneficial cardiovascular effects through mechanisms like plasma volume reduction and vascular tone regulation.
  • SGLT2is are expressed in the aorta, and preliminary studies in animal models suggest therapeutic potential for AAA.

Conclusions:

  • SGLT2is represent a novel therapeutic class with potential benefits for abdominal aortic aneurysm (AAA) management.
  • Further investigation into SGLT2is is warranted for their application in early AAA intervention or as an adjunct to existing treatments.
  • The unique mechanisms of SGLT2is may offer a new conservative approach to mitigate AAA progression and improve patient outcomes.

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