Evidence map›Paper›PMID 27865300›Full record

ArticleThe American journal of the medical sciences2016

Effect of Dapagliflozin Treatment on Fluid and Electrolyte Balance in Diabetic Rats.

Ling Chen, Lauren M LaRocque, Orhan Efe, Juan Wang, Jeff M Sands, Janet D Klein

Open access · greenAbstract read
In one paragraph

Article in The American journal of the medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

35 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Magnesium biology.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Hypoglycemic and Hypotensive Effects ofEvidence-based complementary and alternative medicine : eCAM · 2023
    Article
  14. Article
  15. Article
  16. Renal water transport in health and disease.Pflugers Archiv : European journal of physiology · 2022
    Review
  17. SGLT2 inhibition effect on salt-induced hypertension, RAAS, and NaAmerican journal of physiology. Renal physiology · 2022
    Article
  18. An Overview of the Cardiorenal Protective Mechanisms of SGLT2 Inhibitors.International journal of molecular sciences · 2022
    Review
  19. Review
  20. 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

6 authors at 1 institution in 2 countries.

Ling ChenDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia; Department of Internal Medicine & Geriatrics, Zhongnan Hospital of Wuhan University, Wuhan, China.
Lauren M LaRocqueDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Orhan EfeDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Juan WangDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Jeff M SandsDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia; Department of Physiology, Emory University School of Medicine, Atlanta, Georgia. Electronic address: jeff.sands@emory.edu.
Janet D KleinDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia; Department of Physiology, Emory University School of Medicine, Atlanta, Georgia.
Emory University · US

Funding

Regulation of Renal Inner Medullary FunctionR01DK041707 · NIDDK · EMORY UNIVERSITY · PI SANDS, JEFF M · 1996 to 2017
$4.3M
Regulation of Urea Transport by PKC-alphaR01DK089828 · NIDDK · EMORY UNIVERSITY · PI SANDS, JEFF M · 2011 to 2014
$1.5M
NIDDK NIH HHS R01 DK041707NIDDK NIH HHS R01 DK089828
6 · The paper itself

Abstract

aimThis study evaluates the effect of dapagliflozin, a SGLT2 inhibitor, on fluid or electrolyte balance and its effect on urea transporter-A1 (UT-A1), aquaporin-2 (AQP2) and Na-K-2Cl cotransporter (NKCC2) protein abundance in diabetic rats.

methodsDiabetes mellitus (DM) was induced by injection of streptozotocin into the tail vein. Serum Na

resultsDapagliflozin treatment decreased blood glucose concentration by 38% at day 7 and by 47% at day 14 and increased the urinary glucose excretion rate compared with the untreated diabetic animals. Increased 24-hour urine volume, decreased urine osmolality and hyponatremia, hypokalemia and hypochloremia observed in diabetic rats were attenuated by dapagliflozin treatment. Western blot analysis showed that UT-A1, AQP2 and NKCC2 proteins are upregulated in DM rats over control rats; dapagliflozin treatment results in a further increase in inner medulla tip UT-A1 protein abundance by 42% at day 7 and by 46% at day 14, but it did not affect the DM-induced upregulation of AQP2 and NKCC2 proteins.

conclusionDapagliflozin treatment augmented the compensatory changes in medullary transport proteins in DM. These changes would tend to conserve solute and water even with persistent glycosuria. Therefore, diabetic rats treated with dapagliflozin have a mild osmotic diuresis compared to nondiabetic animals, but this does not result in an electrolyte disorder or significant volume depletion.

Indexed as

Sodium-Glucose Transporter 2 InhibitorsAnimalsAquaporin 2Benzhydryl CompoundsBlood GlucoseDiabetes Mellitus, ExperimentalGlucosidesGlycosuriaKidneyMaleMembrane Transport ProteinsRats, Sprague-DawleySolute Carrier Family 12, Member 1Urea TransportersWater-Electrolyte BalanceAqp2 protein, ratAquaporin 2Benzhydryl CompoundsBlood GlucosedapagliflozinGlucosidesMembrane Transport ProteinsSlc12a1 protein, ratSodium-Glucose Transporter 2 InhibitorsSolute Carrier Family 12, Member 1Urea TransportersDiabetes mellitusKidneySodium glucose cotransporter 2Urine concentration

Identifiers

PMID27865300
PMCPMC5119919
OpenAlexW2513587703

What OpenQuestion holds

Textmetadata
LicenceTDM
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.