钠葡萄糖共转运2抑制剂治疗痛风。

Manoj Kumar Reddy Somagutta, Enkhmaa Luvsannyam, Molly Jain, Gaurav Venkat Cuddapah, Sandeep Pelluru, Nafisa Mustafa, Duaa S Nasereldin, Siva K Pendyala, Nagendrababu Jarapala, Bhavani Padamati
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引用次数: 4

摘要

高尿酸血症仍然是痛风最普遍的原因。痛风患者表现为关节炎症和尿酸结晶沉积,表现为痛风石。痛风与胰岛素抵抗、糖尿病、代谢紊乱、心脏代谢风险增加和肾脏疾病风险增加的关联已得到充分证实。这些因素影响治疗计划,目前的治疗方案对降低心血管风险的作用有限。因此,需要对并发症进行广泛覆盖的新型治疗是必要的。钠-葡萄糖共转运蛋白2抑制剂是被批准用于治疗2型糖尿病的新药。它们可以防止葡萄糖的再吸收,降低血清尿酸水平。最近很少有研究研究它们与降低痛风风险的关系。它们可能有助于解决痛风相关的并发症,因为在最近的研究中,它们对减肥、改善胰岛素抵抗和心血管有益。SGLT2-Is可能有助于降低2型糖尿病患者痛风的风险。关于这些新型抗糖尿病药物在痛风患者中的安全性和有效性的文献有限。本文综述了目前关于新型抗糖尿病药物作为痛风患者早期治疗选择的作用和有效性的知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sodium glucose co-transport 2 inhibitors for gout treatment.

Sodium glucose co-transport 2 inhibitors for gout treatment.

Hyperuricemia remains the most prevalent cause of gout. Gout patients present with joint inflammation and uric acid crystals deposition manifesting as tophi. The association of gout with increased risk of insulin resistance, diabetes, metabolic disorders, increased cardiometabolic risk, and kidney disease is well established. These factors influence the treatment plan, and current treatment options have limited cardiovascular risk reduction. So the need for novel treatments with a broad range of coverage for the complications is warranted. Sodium-glucose co-transporter 2 inhibitors are novel drugs approved for treating type-2 diabetes. They prevent glucose reabsorption and lower serum uric acid levels. Recently few studies have studied their association with reducing the risk of gout. They may help address the gout related complications through their recorded benefit with weight loss, improved insulin resistance, and cardiovascular benefits in recent studies. . SGLT2-Is may be useful to reduce the risk of gout in individuals with type 2 diabetes. Limited literature is available on the safety and efficacy of these novel antidiabetic drugs in patients with gout. This review is aimed to summarize the current knowledge on the role and effectiveness of novel antidiabetic medication as an early therapeutic option in gout patients.

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