Evidence map›Paper›PMID 42399973›Full record

ReviewDiabetology & metabolic syndrome2026

A putative SGLT-relevant mechanistic perspective on quercetin-3-O-glucoside and rutin in diabetic kidney disease.

Dante Saksono Harbuwono, Yulia Wardhani, Edwin Hadinata, Siti Nur Rohmah, Adha Fauzi Hendrawan, Ade Meidian Ambari, Metalia Puspitasari, Danny Pratama Kuswadi, Pringgodigdo Nugroho, Eka Ginanjar and 2 more

Abstract readReview
In one paragraph

Review in Diabetology & metabolic syndrome, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Dante Saksono HarbuwonoDivision of Endocrinology, Metabolism, and Diabetes, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Mangunkusumo National Referral Hospital, Dr. Cipto, Jakarta, 10430, Indonesia.
Yulia WardhaniNephrology and Hypertension Division, Department of Internal Medicine, Faculty of Medicine, Public Health and Nursing Gadjah, Mada University/ Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Edwin HadinataSchool of Medicine, Faculty of Medicine, Universitas Ciputra Surabaya, Surabaya, 60219, Indonesia.
Siti Nur RohmahNephrology and Hypertension Division, Department of Internal Medicine, Faculty of Medicine, Public Health and Nursing Gadjah, Mada University/ Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Adha Fauzi HendrawanDepartment of Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Ade Meidian AmbariDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia-National Cardiovascular Center Harapan Kita, Jakarta, 11420, Indonesia.
Metalia PuspitasariNephrology and Hypertension Division, Department of Internal Medicine, Faculty of Medicine, Public Health and Nursing Gadjah, Mada University/ Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Danny Pratama KuswadiNephrology and Hypertension Division, Department of Internal Medicine, Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Pringgodigdo NugrohoDivision of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Dr. Cipto Mangunkusumo National General Hospital, Universitas Indonesia, Jakarta, Indonesia.
Eka GinanjarDivision of Cardiology, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Raymond Rubianto TjandrawinataSchool of Bioscience, Technology and Innovation, Atma Jaya Catholic University of Indonesia, Jakarta, 12930, Indonesia.
Fahrul NurkolisMedical Research Center of Indonesia, Surabaya, 60281, Indonesia. fahrul.nurkolis.mail@gmail.com.ORCID https://orcid.org/0000-0003-2151-0854

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) is escalating worldwide and remains difficult to control durably, in part because progressive β-cell dysfunction undermines many therapies and because long-term management must balance efficacy, safety, and affordability. Recent decades have shown that targeting sodium-glucose cotransporters (SGLTs) especially renal SGLT2 can reduce glucose levels independently of insulin and, crucially, deliver cardio-renal benefits that extend beyond glycaemic control. Yet, despite the clinical success of synthetic "gliflozins", gaps remain, adverse events, incomplete inhibition of renal glucose reabsorption, and limited access in some health systems.

methodsThis review focuses on two quercetin glycosides quercetin-3-O-glucoside (isoquercitrin) and quercetin-3-O-rutinoside (rutin) as potential SGLT-focused modulators. This study employed a narrative mechanistic review approach integrating published experimental evidence, physicochemical structure-activity relationship (SAR) analysis, and exploratory molecular docking to examine potential SGLT-related interactions and complementary glucose-regulatory pathways of Q3G and rutin.

resultsWe synthesise mechanistic evidence suggesting that Q3G and rutin may modulate SGLT-related pathways through intestinal SGLT1 interaction, regulation of renal SGLT2 expression, and complementary glucose-regulatory mechanisms. However, direct inhibition of human SGLT2 transport activity has not yet been experimentally demonstrated, and current evidence predominantly may indicate indirect pathway modulation rather than gliflozin-like transporter inhibition. Contradictory findings across assay systems are discussed in relation to structure-activity relationships shaped by glycosylation. We further examine pharmacokinetics, tissue exposure plausibility, and translational feasibility, and propose a stepwise development roadmap emphasising transporter-specific assays, quantitative target engagement, and clinically meaningful biomarkers.

conclusionQ3G and rutin may exhibit putative SGLT-relevant activity within a broader polypharmacological framework; however, direct transporter-specific inhibition and clinically relevant renal exposure remain to be established through future functional and translational studies.

Indexed as

Flavonoid glycosidesIntestinal glucose transportQuercetin-3-O-glucosideQuercetin-3-O-rutinosideRenal glucose reabsorptionSGLT1SGLT2Sodium-glucose cotransporterStructure–activity relationshipType 2 diabetes mellitus

Identifiers

PMID42399973
PMCPMC13602638

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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.