PMID- 24950857 OWN - NLM STAT- MEDLINE DCOM- 20150331 LR - 20210504 IS - 1976-3786 (Electronic) IS - 0253-6269 (Linking) VI - 37 IP - 8 DP - 2014 Aug TI - Clinical implication of SGLT2 inhibitors in type 2 diabetes. PG - 957-66 LID - 10.1007/s12272-014-0419-0 [doi] AB - Treatment of type 2 diabetes mellitus (T2DM) continues to present challenges, with many patients failing to achieve glycemic targets. Despite the availability of many oral and injectable anti-diabetic agents, therapeutic efficacy is often offset by undesirable side effects such as hypoglycemia, weight gain and cardiovascular complications. Therefore, the search for new therapeutic agents with an improved benefit-risk profile continues. Recent research has focused on the kidney as a potential therapeutic target, especially because maximal renal glucose reabsorption is increased in T2DM. Under normal physiological conditions, nearly all filtered glucose is reabsorbed in the proximal tubule of the nephron via the sodium/glucose co-transporter 2 (SGLT2). SGLT2-inhibitors are a new class of oral anti-diabetes, which reduce hyperglycemia by increasing urinary glucose excretion independently of insulin secretion or action. Canagliflozin and dapagliflozin in US market, and ipragliflozin and luseogliflozin in Japan market are now available for glycemic control in type 2 diabetics. There are several phase III clinical ongoing trials involving this new class of medications. This review examines some of the key efficacy and safety data from clinical trials of the SGLT2 inhibitors approved, and their future perspectives in the treatment of T2DM. FAU - Kim, Go Woon AU - Kim GW AD - Department of Pharmacology and Clinical Pharmacy, College of Pharmacy, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul, 130-701, Republic of Korea. FAU - Chung, Sung Hyun AU - Chung SH LA - eng PT - Journal Article PT - Review DEP - 20140621 PL - Korea (South) TA - Arch Pharm Res JT - Archives of pharmacal research JID - 8000036 RN - 0 (Benzhydryl Compounds) RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Thiophenes) RN - 0SAC974Z85 (Canagliflozin) RN - 1ULL0QJ8UC (dapagliflozin) RN - 3N2N8OOR7X (ipragliflozin) RN - 506T60A25R (Sorbitol) RN - C596HWF74Z (1,5-anhydro-1-(5-(4-ethoxybenzyl)-2-methoxy-4-methylphenyl)-1-thioglucitol) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Administration, Oral MH - Benzhydryl Compounds/administration & dosage/adverse effects/pharmacology/therapeutic use MH - Canagliflozin MH - Clinical Trials, Phase III as Topic MH - Diabetes Mellitus, Type 2/*drug therapy MH - Glucose/metabolism MH - Glucosides/administration & dosage/adverse effects/pharmacology/therapeutic use MH - Humans MH - Hypoglycemic Agents/administration & dosage/adverse effects/pharmacology/*therapeutic use MH - Insulin/metabolism MH - Kidney/drug effects/metabolism MH - Molecular Structure MH - Sodium-Glucose Transporter 2 MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Sorbitol/administration & dosage/adverse effects/analogs & derivatives/pharmacology/therapeutic use MH - Thiophenes/administration & dosage/adverse effects/pharmacology/therapeutic use EDAT- 2014/06/22 06:00 MHDA- 2015/04/01 06:00 CRDT- 2014/06/22 06:00 PHST- 2014/04/09 00:00 [received] PHST- 2014/05/31 00:00 [accepted] PHST- 2014/06/22 06:00 [entrez] PHST- 2014/06/22 06:00 [pubmed] PHST- 2015/04/01 06:00 [medline] AID - 10.1007/s12272-014-0419-0 [doi] PST - ppublish SO - Arch Pharm Res. 2014 Aug;37(8):957-66. doi: 10.1007/s12272-014-0419-0. Epub 2014 Jun 21.