PMID- 34680473 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211026 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 9 IP - 10 DP - 2021 Sep 29 TI - Cardiovascular Benefits from Gliflozins: Effects on Endothelial Function. LID - 10.3390/biomedicines9101356 [doi] LID - 1356 AB - Type 2 diabetes mellitus (T2DM) is a known independent risk factor for atherosclerotic cardiovascular disease (CVD) and solid epidemiological evidence points to heart failure (HF) as one of the most common complications of diabetes. For this reason, it is imperative to consider the prevention of CV outcomes as an effective goal for the management of diabetic patients, as important as lowering blood glucose. Endothelial dysfunction (ED) is an early event of atherosclerosis involving adhesion molecules, chemokines, and leucocytes to enhance low-density lipoprotein oxidation, platelet activation, and vascular smooth muscle cell proliferation and migration. This abnormal vascular phenotype represents an important risk factor for the genesis of any complication of diabetes, contributing to the pathogenesis of not only macrovascular disease but also microvascular damage. Gliflozins are a novel class of anti-hyperglycemic agents used for the treatment of Type 2 diabetes mellitus (T2DM) that selectively inhibit the sodium glucose transporter 2 (SGLT2) in the kidneys and have provoked large interest in scientific community due to their cardiovascular beneficial effects, whose underlying pathophysiology is still not fully understood. This review aimed to analyze the cardiovascular protective mechanisms of SGLT2 inhibition in patients T2DM and their impact on endothelial function. FAU - Salvatore, Teresa AU - Salvatore T AD - Department of Precision Medicine, University of Campania Luigi Vanvitelli, Via De Crecchio 7, I-80138 Naples, Italy. FAU - Caturano, Alfredo AU - Caturano A AUID- ORCID: 0000-0001-7761-7533 AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Galiero, Raffaele AU - Galiero R AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Di Martino, Anna AU - Di Martino A AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Albanese, Gaetana AU - Albanese G AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Vetrano, Erica AU - Vetrano E AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Sardu, Celestino AU - Sardu C AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Marfella, Raffaele AU - Marfella R AUID- ORCID: 0000-0003-3960-9270 AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Rinaldi, Luca AU - Rinaldi L AUID- ORCID: 0000-0002-6541-3821 AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. FAU - Sasso, Ferdinando Carlo AU - Sasso FC AUID- ORCID: 0000-0002-9142-7848 AD - Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Piazza Luigi Miraglia 2, I-80138 Naples, Italy. LA - eng PT - Journal Article PT - Review DEP - 20210929 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC8533063 OTO - NOTNLM OT - cardiovascular diseases OT - endothelial dysfunction OT - gliflozins OT - heart prevention COIS- The authors declare no conflict of interest. EDAT- 2021/10/24 06:00 MHDA- 2021/10/24 06:01 PMCR- 2021/09/29 CRDT- 2021/10/23 01:04 PHST- 2021/08/11 00:00 [received] PHST- 2021/09/15 00:00 [revised] PHST- 2021/09/26 00:00 [accepted] PHST- 2021/10/23 01:04 [entrez] PHST- 2021/10/24 06:00 [pubmed] PHST- 2021/10/24 06:01 [medline] PHST- 2021/09/29 00:00 [pmc-release] AID - biomedicines9101356 [pii] AID - biomedicines-09-01356 [pii] AID - 10.3390/biomedicines9101356 [doi] PST - epublish SO - Biomedicines. 2021 Sep 29;9(10):1356. doi: 10.3390/biomedicines9101356.