PMID- 35421452 OWN - NLM STAT- MEDLINE DCOM- 20220517 LR - 20220517 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 300 DP - 2022 Jul 1 TI - Characteristics and molecular mechanisms through which SGLT2 inhibitors improve metabolic diseases: A mechanism review. PG - 120543 LID - S0024-3205(22)00243-0 [pii] LID - 10.1016/j.lfs.2022.120543 [doi] AB - Metabolic diseases, such as diabetes, gout and hyperlipidemia are global health challenges. Among them, diabetes has been extensively investigated. Type 2 diabetes mellitus (T2DM), which is characterized by hyperglycemia, is a complex metabolic disease that is associated with various metabolic disorders. The newly developed oral hypoglycemic agent, sodium-glucose cotransporter 2 (SGLT2) inhibitor, has been associated with glucose-lowering effects and it affects metabolism in various ways. However, the potential mechanisms of SGLT2 inhibitors in metabolic diseases have not fully reviewed. Many of the effects beyond glycemic control must be considered off-target effects. Therefore, we reviewed the effects of SGLT2 inhibitors on metabolic diseases such as obesity, hypertension, hyperlipidemia, hyperuricemia, fatty liver disease, insulin resistance, osteoporosis and fractures. Moreover, we elucidated their molecular mechanisms to provide a theoretical basis for metabolic disease treatment. CI - Copyright (c) 2022 Elsevier Inc. All rights reserved. FAU - Lingli, Xie AU - Lingli X AD - Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China. FAU - Wenfang, Xia AU - Wenfang X AD - Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Hubei Provincial Clinical Research Center for Diabetes and Metabolic Disorders, Wuhan, China. Electronic address: xiawenfang@hust.edu.cn. LA - eng PT - Journal Article PT - Review DEP - 20220412 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Diabetes Mellitus, Type 2/metabolism MH - Glucose MH - Humans MH - *Hyperlipidemias/complications MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - *Sodium-Glucose Transporter 2 Inhibitors/pharmacology/therapeutic use OTO - NOTNLM OT - Diabetes mellitus OT - Metabolic diseases OT - Molecular mechanism OT - Off-target effects OT - SGLT2 inhibitors EDAT- 2022/04/15 06:00 MHDA- 2022/05/18 06:00 CRDT- 2022/04/14 20:10 PHST- 2021/11/30 00:00 [received] PHST- 2022/04/07 00:00 [revised] PHST- 2022/04/08 00:00 [accepted] PHST- 2022/04/15 06:00 [pubmed] PHST- 2022/05/18 06:00 [medline] PHST- 2022/04/14 20:10 [entrez] AID - S0024-3205(22)00243-0 [pii] AID - 10.1016/j.lfs.2022.120543 [doi] PST - ppublish SO - Life Sci. 2022 Jul 1;300:120543. doi: 10.1016/j.lfs.2022.120543. Epub 2022 Apr 12.