Evidence map›Paper›PMID 40926738›Full record

ArticleDiabetes, obesity & metabolism2025

An SGLT2 inhibitor, canagliflozin, reduces blood glucose level in the renal capillaries and protects the capillary network in the diabetic rats.

Anqi Zhang, Zhicheng Bi, Satoshi Kidoguchi, Akira Nishiyama, Xiaopeng Hu, Daisuke Nakano

Erratum issuedAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Anqi ZhangDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.ORCID 0009-0000-0753-0838
Zhicheng BiDepartment of Pharmacology, Kagawa University, Kagawa, Japan.
Satoshi KidoguchiDepartment of Pharmacology, Kagawa University, Kagawa, Japan.ORCID 0000-0001-8114-8952
Akira NishiyamaDepartment of Pharmacology, Kagawa University, Kagawa, Japan.
Xiaopeng HuDepartment of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Daisuke NakanoDepartment of Pharmacology, Kagawa University, Kagawa, Japan.

Funding

Beijing Postdoctoral Science Foundation 2023-ZZ-001Mitsubishi Tanabe Pharma Corporation
6 · The paper itself

Abstract

aimSodium-glucose cotransporter 2 (SGLT2) inhibitors consistently demonstrate renal protection against progressive kidney disease. We hypothesised that SGLT2 inhibition reduces blood glucose levels in peri-proximal tubular capillaries by limiting reabsorption from the tubular filtrate, thereby safeguarding the renal microvasculature from hyperglycaemic stress. MATERIALS AND

methodsIn anaesthetised streptozotocin-induced type 1 and Otsuka-Long Evans fatty (OLETF) type 2 diabetic rats, we measured the arterial-to-renal venous glucose ratio (RV/A) to evaluate the effects of canagliflozin, a SGLT2 inhibitor.

resultsIn fasting OLETF rats, three-day oral canagliflozin treatment at both glycaemic and subglycaemic doses significantly lowered the RV/A glucose ratio compared with vehicle. During anaesthesia, duodenal glucose infusion increased the RV/A glucose ratio in diabetic OLETF rats, an effect prevented by canagliflozin but not by acute insulin infusion. Moreover, 4-week canagliflozin therapy preserved renal capillary density more effectively than insulin in OLETF rats.

conclusionThese findings indicate that canagliflozin offers superior protection of the renal microvasculature from hyperglycaemic stress, independent of its systemic glucose-lowering action.

Indexed as

Blood GlucoseCanagliflozinCapillariesDiabetes Mellitus, ExperimentalDiabetes Mellitus, Type 2Diabetic NephropathiesHypoglycemic AgentsKidneySodium-Glucose Transporter 2 InhibitorsAnimalsMaleRatsRats, Inbred OLETFBlood GlucoseCanagliflozinHypoglycemic AgentsSodium-Glucose Transporter 2 Inhibitorsrenal diseaserenal perfusion glucoseSGLT2

Identifiers

PMID40926738
PMCPMC12587256

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Texttitle and abstract
LicenceCC BY-NC
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Registered trials

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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.