Evidence map›Paper›PMID 27423646›Full record

ReviewAdvances in therapy2016

Sodium-Glucose Cotransporter-2 Inhibition and the Glomerulus: A Review.

Sanjay Kalra, Vikram Singh, Dinesh Nagrale

Open access · hybridAbstract readReview
In one paragraph

Review in Advances in therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Antihyperglycemic agents as novel natriuretic therapies in diabetic kidney disease.American journal of physiology. Renal physiology · 2018
    Review
  13. Ertugliflozin and Sitagliptin Co-initiation in Patients with Type 2 Diabetes: The VERTIS SITA Randomized Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2018
    Article
  14. Article
  15. Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Sanjay KalraDepartment of Endocrinology, Bharti Hospital, Karnal, India. brideknl@gmail.com.
Vikram SinghMedical Affairs, Janssen (Pharmaceutical Division of Johnson & Johnson), Mumbai, India.
Dinesh NagraleMedical Affairs, Janssen (Pharmaceutical Division of Johnson & Johnson), Mumbai, India.
Janssen (India) · INBharti Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledBlood glucose-lowering treatment options generally target insulin action or beta-cell function. In diabetes, expression of the sodium-glucose cotransporter-2 (SGLT2) genes is up-regulated and renal threshold increased, resulting in increased glucose reabsorption from glomerular filtrate, reducing urinary glucose excretion and worsening the hyperglycemic condition. The SGLT2 inhibitors (SGLT2i) are a novel class of anti-diabetic drugs that lower blood glucose levels through the suppression of renal glucose reabsorption thereby promoting renal glucose excretion. The efficacy of SGLT2i is reduced in renal impairment because the ability of glucose-lowering is directly proportional to glomerular filtration rate. On the other hand, ongoing research suggests that SGLT2i may offer potential nephroprotection in diabetes. The SGLT2i have been shown to reduce glomerular hyperfiltration, systemic and intraglomerular pressure and the biochemical progression of chronic kidney disease. Additional mechanisms through which SGLT2i exert nephroprotection may include normalizing blood pressure and uricemia. This review explores this bidirectional relationship of the SGLT2i and the glomerulus. While SGLT2i exhibit reduced efficacy in later stages, they exhibit nephroprotective effects in early stages of renal impairment.

fundingJanssen India (Pharmaceutical division of Johnson & Johnson).

Indexed as

Diabetes MellitusDiabetic NephropathiesSodium-Glucose Transporter 2 InhibitorsGlucoseHumansHypoglycemic AgentsKidney GlomerulusRenal EliminationRenal ReabsorptionGlucoseHypoglycemic AgentsSodium-Glucose Transporter 2 InhibitorsChronic kidney diseaseDiabetes mellitusEndocrinologyGlomerular hyperfiltrationGlomerulusNephrologyNephroprotectionSGLT2 inhibitors

Identifiers

PMID27423646
PMCPMC5020120
OpenAlexW2465112930

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.