Effects of empagliflozin on reproductive system in men without diabetes.

Details

Ressource 1Download: Empagliflozine_reproductive system_final published_Scientific reports.pdf (1011.44 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_A7E8B905DAB3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effects of empagliflozin on reproductive system in men without diabetes.
Journal
Scientific reports
Author(s)
Kosinski C., Papadakis G.E., Salamin O., Kuuranne T., Nicoli R., Pitteloud N., Zanchi A.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
14/06/2024
Peer-reviewed
Oui
Volume
14
Number
1
Pages
13802
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: epublish
Abstract
Sodium-glucose cotransporter (SGLT) 2 inhibition is a well-known target for the treatment of type 2 diabetes, renal disease and chronic heart failure. The protein SGLT2 is encoded by SLC5A2 (Solute Carrier Family 5 Member 2), which is highly expressed in renal cortex, but also in the testes where glucose uptake may be essential for spermatogenesis and androgen synthesis. We postulated that in healthy males, SGLT2 inhibitor therapy may affect gonadal function. We examined the impact on gonadal and steroid hormones in a post-hoc analysis of a double-blind, randomized, placebo-controlled research including 26 healthy males who were given either placebo or empagliflozin 10 mg once daily for four weeks. After one month of empagliflozin, there were no discernible changes in androgen, pituitary gonadotropin hormones, or inhibin B. Regardless of BMI category, the administration of empagliflozin, a highly selective SGLT2 inhibitor, did not alter serum androgen levels in men without diabetes. While SGLT2 is present in the testes, its inhibition does not seem to affect testosterone production in Leydig cells nor inhibin B secretion by the Sertoli cells.
Keywords
Male, Humans, Benzhydryl Compounds/pharmacology, Glucosides/pharmacology, Adult, Sodium-Glucose Transporter 2 Inhibitors/pharmacology, Sodium-Glucose Transporter 2 Inhibitors/therapeutic use, Double-Blind Method, Testis/metabolism, Testis/drug effects, Testosterone/blood, Inhibins/blood, Inhibins/metabolism, Middle Aged, Sodium-Glucose Transporter 2/metabolism, Androgens/metabolism, Leydig Cells/metabolism, Leydig Cells/drug effects, Sertoli Cells/metabolism, Sertoli Cells/drug effects, Empagliflozin, Reproductive system, SGLT2 inhibitors, Testosterone
Pubmed
Open Access
Yes
Create date
21/06/2024 9:31
Last modification date
29/06/2024 10:11
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