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Updated: Aug 14, 2025

Author Spotlight: Development and Characterization of a Mouse Model for Abdominal Aortic Aneurysm
Published on: August 2, 2024
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.
Abstract:
The incidence of abdominal aortic aneurysm (AAA) in the elderly is increasing year by year with high mortality. Current treatment is mainly through surgery or endovascular intervention, which is not sufficient to reduce future risk. Therefore, we still need to find an effective conservative measure as an adjunct therapy or early intervention to prevent AAA progression. Traditional therapeutic agents, such as β-receptor blockers, calcium channel blockers, and statins, have been shown to have limited effects on the growth of AAA. Recently, sodium-glucose cotransport proteins inhibitors (SGLT2is), a new class hypoglycemic drug, have shown outstanding beneficiary effects on cardiovascular diseases by plasma volume reduction, vascular tone regulation, and various unidentified mechanisms. It has been demonstrated that SGLT2i is abundantly expressed in the aorta, and some studies also showed promising results of SGLT2i in treating animal AAA models. This article aims to summarize the recent progress of AAA studies and look forward to the application of SGLT2i in AAA treatment for early intervention or adjunct therapy after surgical repair or stent graft.
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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