Sodium glucose co-transporter 2 inhibitors in the treatment of glomerular diseases: a CKJ controversy

Author:

Caravaca-Fontán Fernando1,del Vecchio Lucia2,Praga Manuel3,Floege Jürgen4,Zoccali Carmine567

Affiliation:

1. Department of Nephrology, Instituto de Investigación Hospital 12 de Octubre (imas12) , Madrid , Spain

2. Department of Nephrology and Dialysis, ASST Lariana , Como , Italy

3. Department of Medicine, Complutense University , Madrid , Spain

4. Department of Nephrology and Rheumatology and Department of Cardiology, RWTH University Hospital Aachen , Aachen , Germany

5. Renal Research Institute , NY , USA

6. Institute of Molecular Biology and Genetics, (Biogem), Ariano Irpino , Italy

7. Associazione Ipertensione Nefrologia Trapianto Renale (IPNET), c/o Nefrologia, Grande Ospedale Metropolitano , Reggio Calabria, Italy

Abstract

ABSTRACT Integrating sodium-glucose co-transporter 2 inhibitors (SGLT2i) into the treatment for chronic kidney disease (CKD) has marked a significant therapeutic advance in nephrology. Clinical trials such as DAPA-CKD and EMPA-KIDNEY have demonstrated the beneficial effects of SGLT2i in slowing CKD progression and reducing proteinuria. However, the applicability of these results to patients with glomerulonephritis is still unresolved due to various limitations. This manuscript combines the evidence supporting the use of SGLT2i in glomerular diseases, highlights the limitations and strikes a conclusive balance on their role in clinical practice.

Publisher

Oxford University Press (OUP)

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