SGLT2 inhibitors in diabetic and non-diabetic kidney transplant recipients: current knowledge and expectations.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_A3943C0D8EF7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
SGLT2 inhibitors in diabetic and non-diabetic kidney transplant recipients: current knowledge and expectations.
Journal
Frontiers in nephrology
Author(s)
Polychronopoulou E., Bourdon F., Teta D.
ISSN
2813-0626 (Electronic)
ISSN-L
2813-0626
Publication state
Published
Issued date
2024
Peer-reviewed
Oui
Volume
4
Pages
1332397
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
The beneficial effect of sodium-glucose cotransporter-2 inhibitors (SGLT2i) have been shown recently in numerous randomized controlled trials (RCT) and systematic reviews. According to KDIGO guidelines, SGLT2i currently represent a first choice for diabetic patients with chronic kidney disease (CKD). In addition, a recent meta-analysis of 13 large led by the 'SGLT2 inhibitor Meta-Analysis Cardio-Renal Trialists' Consortium' (SMART-C) provided solid evidence of SGLT2i beneficial effects in CKD or in patients with heart failure, with and without diabetes. Collectively, the patients treated with SGLT2i had a decreased risk of CKD progression, acute kidney injury (AKI), end-stage kidney disease (ESKD) or death from heart failure. Whether these cardio-renal benefits should be extrapolated to kidney transplant recipients (KTR) needs to be assessed in further studies. In this article, we report recent data accumulated so far in the literature, looking at the efficacy and safety of SGLT2i in diabetic and non-diabetic KTR. We found encouraging data regarding the use of SGLT2i in KTR with diabetes. These agents appeared to be safe, and they reduced body weight and blood pressure in this group of patients. Potential effects on kidney graft function and survival are yet to be investigated.
Keywords
CKD - chronic kidney disease, SGLT2 inhibitor, diabetic kidney disease, diabetic kidney transplant recipients, kidney transplantation, post transplantation diabetes mellitus
Pubmed
Open Access
Yes
Create date
03/05/2024 15:27
Last modification date
09/08/2024 15:03
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