PMID- 34273093 OWN - NLM STAT- MEDLINE DCOM- 20210906 LR - 20220531 IS - 1865-8652 (Electronic) IS - 0741-238X (Print) IS - 0741-238X (Linking) VI - 38 IP - 8 DP - 2021 Aug TI - Possible Preventative/Rehabilitative Role of Gliflozins in OSA and T2DM. A Systematic Literature Review-Based Hypothesis. PG - 4195-4214 LID - 10.1007/s12325-021-01791-x [doi] AB - Obstructive sleep apnoea (OSA) is characterized by frequent apnoea episodes during sleep due to upper airway obstruction. The present review summarizes current knowledge on inter-relationships between OSA and type 2 diabetes mellitus (T2DM) and suggests the former as a possible target for sodium-glucose co-transporter-2 inhibitors (SGLT-2i). Based on pathophysiological mechanisms underlying OSA onset and renal SGLT-2 effects, we suggest that SGLT-2i indications might expand beyond current ones, including glucose, lipids, uric acid, blood pressure, and body weight control as well as chronic heart failure and kidney disease prevention. CI - (c) 2021. The Author(s). FAU - Monda, Vincenzo Maria AU - Monda VM AD - Diabetes Unit "Santissima Annunziata" Hospital Cento, Ferrara, Italy. FAU - Porcellati, Francesca AU - Porcellati F AD - Section of Internal Medicine, Endocrinology and Metabolism, Department of Medicine, Perugia University School of Medicine, Perugia, Italy. FAU - Strollo, Felice AU - Strollo F AD - Endocrinology and Diabetes, IRCCS San Raffaele Pisana, Rome, Italy. FAU - Fucili, Alessandro AU - Fucili A AD - Cardiovascular Research Center, Ferrara University, Ferrara, Italy. FAU - Monesi, Marcello AU - Monesi M AD - Diabetes Unit "Sant'Anna" Hospital Ferrara, Ferrara, Italy. FAU - Satta, Ersilia AU - Satta E AD - Nefrocenter Research and Nyx Start-Up, Naples, Italy. AD - Multi-Specialty Nephrology Center (CNP) SrL, Frattamaggiore, Italy. FAU - Gentile, Sandro AU - Gentile S AUID- ORCID: 0000-0002-9059-6121 AD - Nefrocenter Research and Nyx Start-Up, Naples, Italy. s.gentile1949@gmail.com. AD - Department of Internal Medicine, Campania University "Luigi Vanvitelli", Caserta, Italy. s.gentile1949@gmail.com. LA - eng SI - figshare/10.6084/m9.figshare.14547447 PT - Journal Article DEP - 20210717 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - IY9XDZ35W2 (Glucose) MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Glucose MH - *Heart Failure MH - Humans MH - Hypoglycemic Agents MH - *Sleep Apnea, Obstructive/complications MH - *Sodium-Glucose Transporter 2 Inhibitors/therapeutic use MH - Systematic Reviews as Topic PMC - PMC8342338 OTO - NOTNLM OT - Diabetes mellitus OT - Obstructive sleep apnoea OT - Rehabilitation OT - Renal function OT - SGLT-2i OT - Vascular disease EDAT- 2021/07/18 06:00 MHDA- 2021/09/07 06:00 PMCR- 2021/07/17 CRDT- 2021/07/17 12:10 PHST- 2021/04/14 00:00 [received] PHST- 2021/05/13 00:00 [accepted] PHST- 2021/07/18 06:00 [pubmed] PHST- 2021/09/07 06:00 [medline] PHST- 2021/07/17 12:10 [entrez] PHST- 2021/07/17 00:00 [pmc-release] AID - 10.1007/s12325-021-01791-x [pii] AID - 1791 [pii] AID - 10.1007/s12325-021-01791-x [doi] PST - ppublish SO - Adv Ther. 2021 Aug;38(8):4195-4214. doi: 10.1007/s12325-021-01791-x. Epub 2021 Jul 17.