PMID- 35011882 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220114 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 1 DP - 2021 Dec 27 TI - Effects of SGLT2 Inhibitors on Atherosclerosis: Lessons from Cardiovascular Clinical Outcomes in Type 2 Diabetic Patients and Basic Researches. LID - 10.3390/jcm11010137 [doi] LID - 137 AB - Atherosclerosis-caused cardiovascular diseases (CVD) are the leading cause of mortality in type 2 diabetes mellitus (T2DM). Sodium-glucose cotransporter 2 (SGLT2) inhibitors are effective oral drugs for the treatment of T2DM patients. Multiple pre-clinical and clinical studies have indicated that SGLT2 inhibitors not only reduce blood glucose but also confer benefits with regard to body weight, insulin resistance, lipid profiles and blood pressure. Recently, some cardiovascular outcome trials have demonstrated the safety and cardiovascular benefits of SGLT2 inhibitors beyond glycemic control. The SGLT2 inhibitors empagliflozin, canagliflozin, dapagliflozin and ertugliflozin reduce the rates of major adverse cardiovascular events and of hospitalization for heart failure in T2DM patients regardless of CVD. The potential mechanisms of SGLT2 inhibitors on cardioprotection may be involved in improving the function of vascular endothelial cells, suppressing oxidative stress, inhibiting inflammation and regulating autophagy, which further protect from the progression of atherosclerosis. Here, we summarized the pre-clinical and clinical evidence of SGLT2 inhibitors on cardioprotection and discussed the potential molecular mechanisms of SGLT2 inhibitors in preventing the pathogenesis of atherosclerosis and CVD. FAU - Xu, Jing AU - Xu J AD - Department of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan. FAU - Hirai, Taro AU - Hirai T AUID- ORCID: 0000-0002-7278-3417 AD - Department of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan. FAU - Koya, Daisuke AU - Koya D AUID- ORCID: 0000-0003-2711-1539 AD - Department of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan. AD - Division of Anticipatory Molecular Food Science and Technology, Medical Research Institute, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan. AD - Omi Medical Center, Omi General Hospital, Kusatsu, Shiga 525-8585, Japan. FAU - Kitada, Munehiro AU - Kitada M AUID- ORCID: 0000-0002-3854-1385 AD - Department of Diabetology and Endocrinology, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan. AD - Division of Anticipatory Molecular Food Science and Technology, Medical Research Institute, Kanazawa Medical University, Uchinada, Ishikawa 920-0293, Japan. LA - eng PT - Journal Article PT - Review DEP - 20211227 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC8745121 OTO - NOTNLM OT - SGLT2 inhibitors OT - atherosclerosis OT - cardiovascular disease OT - diabetes COIS- The authors declare that they have no conflict of interest. EDAT- 2022/01/12 06:00 MHDA- 2022/01/12 06:01 PMCR- 2021/12/27 CRDT- 2022/01/11 01:16 PHST- 2021/12/01 00:00 [received] PHST- 2021/12/21 00:00 [revised] PHST- 2021/12/24 00:00 [accepted] PHST- 2022/01/11 01:16 [entrez] PHST- 2022/01/12 06:00 [pubmed] PHST- 2022/01/12 06:01 [medline] PHST- 2021/12/27 00:00 [pmc-release] AID - jcm11010137 [pii] AID - jcm-11-00137 [pii] AID - 10.3390/jcm11010137 [doi] PST - epublish SO - J Clin Med. 2021 Dec 27;11(1):137. doi: 10.3390/jcm11010137.