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Hepatic benefits of sodium-glucose cotransporter 2 inhibitors in liver disorders
Habib Yaribeygi1, Mina Maleki2, Tannaz Jamialahmadi3,4
1Research Center of Physiology, Semnan University of Medical Sciences, Semnan, Iran.
Abstract:
Diabetic patients are at higher risk of liver dysfunction compared with the normal population. Thus, using hypoglycemic agents to improve liver efficiency is important in these patients. Sodium-glucose cotransporters-2 inhibitors (SGLT2i) are newly developed antidiabetic drugs with potent glucose-lowering effects. However, recent limited evidence suggests that they have extra-glycemic benefits and may be able to exert protective effects on the liver. Hence, these drugs could serve as promising pharmacological agents with multiple benefits against different hepatic disorders. In this review, the current knowledge about the possible effects of SGLT2 inhibitors on different forms of liver complications and possible underlying mechanisms are discussed.
Insights
Sodium-glucose cotransporter-2 inhibitors (SGLT2i) show promise for protecting the liver in diabetic patients. This review explores their potential benefits beyond glucose control for various liver conditions.
Area of Science:
- Endocrinology
- Hepatology
- Pharmacology
Background:
- Diabetic patients exhibit increased susceptibility to liver dysfunction.
- Effective management of hyperglycemia is crucial for liver health in diabetes.
- Emerging evidence suggests potential hepatoprotective roles for certain antidiabetic agents.
Purpose of the Study:
- To review the current understanding of Sodium-glucose cotransporter-2 inhibitors (SGLT2i) effects on liver complications.
- To explore the potential mechanisms underlying the liver-protective effects of SGLT2 inhibitors.
- To assess the utility of SGLT2 inhibitors as therapeutic agents for hepatic disorders in diabetic individuals.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of studies investigating SGLT2 inhibitors and liver function.
- Synthesis of data on proposed mechanisms of action related to liver protection.
Main Results:
- SGLT2 inhibitors demonstrate glucose-lowering efficacy.
- Preliminary data suggest SGLT2 inhibitors may offer benefits beyond glycemic control for the liver.
- Potential mechanisms include anti-inflammatory and antioxidant effects, and improvements in lipid metabolism.
Conclusions:
- SGLT2 inhibitors represent a promising class of drugs for managing liver complications in diabetic patients.
- Further research is warranted to fully elucidate their hepatoprotective potential and clinical applications.
- These agents may offer a multi-faceted therapeutic approach for diabetic liver disease.
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