�The pharmacological profile of SGLT2 inhibitors: Focus on mechanistic aspects and pharmacogenomics�

dc.contributor.authorKaur, Prabhsimran
dc.contributor.authorBehera, Bidwan Sekhar
dc.contributor.authorSingh, Sandeep
dc.contributor.authorMunshi, Anjana
dc.date.accessioned2024-01-21T10:54:00Z
dc.date.accessioned2024-08-14T07:40:46Z
dc.date.available2024-01-21T10:54:00Z
dc.date.available2024-08-14T07:40:46Z
dc.date.issued2021-05-11T00:00:00
dc.description.abstractDiabetes, characterized by high glucose levels, has been listed to be one of the world's major causes of death. Around 1.6 million deaths are attributed to this disease each year. Persistent hyperglycemic conditions in diabetic patients affect various organs of the body leading to diabetic complications and worsen the disease condition. Current treatment strategies for diabetes include biguanides, sulfonylureas, alpha-glucosidase inhibitors, thiazolidinediones, insulin and its analogs, DPP-4(dipeptidyl peptidase-4) and GLP-1 (glucagon-like peptide) analogs. However, many side effects contributing to the devastation of the disease are associated with them. Sodium glucose co-transporter-2 (SGLT2) inhibition has been reported to be new insulin-independent approach to diabetes therapy. It blocks glucose uptake in the kidneys by inhibiting SGLT2 transporters, thereby promoting glycosuria. Dapagliflozin, empagliflozin and canagliflozin are the most widely used SGLT2 inhibitors. They are effective in controlling blood glucose and HbA1c levels with few side effects including hypoglycemia or weight gain which makes them preferable to other anti-diabetic drugs. However, treatment is found to be associated with inter-individual drug response to SGLT2 inhibitors and adverse drug reactions which are also affected by genetic variations. There have been very few pharmacogenetics trials of these drugs. This review discusses the various SGLT2 inhibitors, their pharmacokinetics, pharmacodynamics and genetic variation influencing the inter-individual drug response. � 2021 Elsevier B.V.en_US
dc.identifier.doi10.1016/j.ejphar.2021.174169
dc.identifier.issn142999
dc.identifier.urihttp://10.2.3.109/handle/32116/4182
dc.identifier.urlhttps://linkinghub.elsevier.com/retrieve/pii/S0014299921003228
dc.language.isoen_USen_US
dc.publisherElsevier B.V.en_US
dc.subjectGliflozinsen_US
dc.subjectPharmacodynamicsen_US
dc.subjectPharmacogeneticsen_US
dc.subjectPharmacokineticsen_US
dc.subjectSGLT2 inhibitorsen_US
dc.title�The pharmacological profile of SGLT2 inhibitors: Focus on mechanistic aspects and pharmacogenomics�en_US
dc.title.journalEuropean Journal of Pharmacologyen_US
dc.typeReviewen_US
dc.type.accesstypeClosed Accessen_US

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