PMID- 31359514 OWN - NLM STAT- MEDLINE DCOM- 20191226 LR - 20200108 IS - 1099-1573 (Electronic) IS - 0951-418X (Linking) VI - 33 IP - 10 DP - 2019 Oct TI - Natural products with SGLT2 inhibitory activity: Possibilities of application for the treatment of diabetes. PG - 2518-2530 LID - 10.1002/ptr.6421 [doi] AB - Diabetes mellitus currently affects as many as 400 million people worldwide, creating a heavy economic burden and stretching health care resources. A dysfunction of glucose homeostasis underlies the disease. Despite advances in the treatment of diabetes, many patients still suffer from complications and side effects; hence, development of more effective treatments for diabetes is still desirable. SGLT2 is the principle cotransporter involved in glucose reabsorption in the kidney. SGLT2 inhibition reduces glucose reabsorption by the kidney and ameliorates plasma glucose concentration. The interest in natural products that can be used for the inhibition of SGLT2 is growing. The flavonoid phlorizin, which can be isolated from the bark of apple trees, has been used as lead structure due to its inhibitory activity of SGLT1 and SGLT2. Some phlorizin-derived synthetic compounds, including canagliflozin, dapagliflozin, empagliflozin, ipragliflozin, and ertugliflozin, are approved by the food and drug administration to treat type 2 diabetes mellitus (T2DM), whereas others are under clinical trials investigation. In addition, other natural product-derived compounds have been investigated for their ability to improve blood glucose control. The present review summarizes the natural products with SGLT2 inhibitory activity, and the synthetic compounds obtained from them, and discusses their application for the treatment of diabetes. CI - (c)2019 John Wiley & Sons, Ltd. FAU - Moradi-Marjaneh, Reyhaneh AU - Moradi-Marjaneh R AD - Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. FAU - Paseban, Maryam AU - Paseban M AD - Department of Physiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Sahebkar, Amirhossein AU - Sahebkar A AUID- ORCID: 0000-0002-8656-1444 AD - Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran. AD - Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. AD - School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. LA - eng PT - Journal Article PT - Review DEP - 20190729 PL - England TA - Phytother Res JT - Phytotherapy research : PTR JID - 8904486 RN - 0 (Benzhydryl Compounds) RN - 0 (Biological Products) RN - 0 (Glucosides) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 0 (Thiophenes) RN - 0SAC974Z85 (Canagliflozin) RN - 3N2N8OOR7X (ipragliflozin) RN - HDC1R2M35U (empagliflozin) SB - IM MH - Benzhydryl Compounds/therapeutic use MH - Biological Products/*therapeutic use MH - Canagliflozin/therapeutic use MH - Diabetes Mellitus/*drug therapy MH - Glucosides/therapeutic use MH - Humans MH - Sodium-Glucose Transporter 2 Inhibitors/pharmacology/*therapeutic use MH - Thiophenes/therapeutic use OTO - NOTNLM OT - SGLT2 OT - diabetes OT - phytochemical EDAT- 2019/07/31 06:00 MHDA- 2019/12/27 06:00 CRDT- 2019/07/31 06:00 PHST- 2019/02/12 00:00 [received] PHST- 2019/05/15 00:00 [revised] PHST- 2019/05/26 00:00 [accepted] PHST- 2019/07/31 06:00 [pubmed] PHST- 2019/12/27 06:00 [medline] PHST- 2019/07/31 06:00 [entrez] AID - 10.1002/ptr.6421 [doi] PST - ppublish SO - Phytother Res. 2019 Oct;33(10):2518-2530. doi: 10.1002/ptr.6421. Epub 2019 Jul 29.