Dapagliflozin
Dapagliflozin is a small-molecule sodium-glucose cotransporter 2 (SGLT2) inhibitor used as a pharmacologic target in studies of diabetes and cardiorenal disease.
Dapagliflozin is a small-molecule sodium-glucose cotransporter 2 (SGLT2) inhibitor used as a pharmacologic target in studies of diabetes and cardiorenal disease. By inhibiting SGLT2 in the kidney, it reduces renal glucose reabsorption and promotes urinary glucose excretion, thereby improving glycemic control. Beyond glucose lowering, dapagliflozin has been investigated for broader effects on kidney, heart, vascular, and inflammatory pathways, including oxidative stress, inflammation, fibrosis, apoptosis, and cellular senescence.
In biomedical research, dapagliflozin is frequently studied in the context of type 1 diabetes, type 2 diabetes, diabetic nephropathy/diabetic kidney disease, kidney failure, and myocardial injury models. Experimental and translational work has also examined its impact on molecular processes such as Transforming growth factor, beta 1 signaling, endothelial cell responses, and metabolic stress in the kidney. These studies position dapagliflozin as a representative sodium-glucose cotransporter-2 inhibitor with relevance beyond glycemic control.
Where the papers sit
24 papers from the last 6 months study dapagliflozin directly · updated from PubMed 12 Oct 2026
Study type 6 clinical trials · 2 observational · 3 human data · 11 preclinical · 2 unclassified
Themes 4 themes · 1 paradigm shift · 1 new direction
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SGLT2 Renoprotection in Diabetes
Renal protection is being linked to more than glucose lowering, with SGLT2 inhibition altering metabolic, vascular, inflammatory and senescence markers in diabetic kidneys. Mechanistic studies point to SLC5A2-SRC-ERK/STAT3, CTRP1-mediated glucotoxic stress, AGE-RAGE-IGFBP2-FBN1 and Nrf2/HO-1 pathways. Work is moving toward testing preservation of renal structure and function in kidney transplant recipients, while youth with type 1 diabetes provide early biomarker evidence. Cerebral ischemia and diabetic lens findings broaden the proposed organ-protective effects but remain preclinical.
8 papers · 33.3%
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Heart Failure Cardiovascular Outcomes
Heart failure care is shifting from isolated glycaemic treatment toward cardiovascular-risk reduction and real-world deployment of SGLT2 inhibitors. Dapagliflozin and empagliflozin are being compared for major adverse cardiovascular events, while uptake after guideline expansion and healthcare costs test implementation. Preclinical work links dapagliflozin to less cardiac fibrosis, steatosis and diastolic dysfunction, including HIV-associated disease. Evidence in transthyretin cardiac amyloidosis remains exploratory, based on an n-of-1 pilot rather than established outcome benefit.
6 papers · 25%
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Type 2 Diabetes Treatment
Type 2 diabetes treatment is moving toward combination and head-to-head strategies rather than dapagliflozin alone. Orforglipron, semaglutide plus dapagliflozin, empagliflozin and DPP-4 inhibitors are assessed against HbA1c, postprandial glucose, adverse events and clinical outcomes. Dapagliflozin is also being tested for hepatic steatosis and fibrosis in metabolic dysfunction-associated steatotic liver disease. A spectrofluorimetric assay paper addresses formulation measurement, not therapeutic benefit, and sits at the edge of this clinical theme.
5 papers · 20.8%
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Others — Pleiotropic Organ Effects
Renal, cardiac, skeletal and ocular effects are being explored in separate dapagliflozin applications, with no single clinical question tying them together. Kidney studies test klotho, mitophagy, apoptosis, fibrosis and liraglutide combination therapy in diabetic injury. Other reports address Cx43 in diabetic cardiomyopathy, bone effects in dialysis, and polymeric nanomicelles for glaucoma delivery. The work is exploratory and preclinical or small-scale, so it does not establish a common therapeutic direction.
5 papers · 20.8%
Dapagliflozin is presented as a tissue-protective agent beyond diabetic and cardiorenal disease
The focal cerebral ischemia-reperfusion rat study 42334656Jun and the HIV-associated cardiac fibrosis, steatosis, and diastolic-dysfunction mouse study 42054528Apr both tested dapagliflozin outside the usual diabetic therapeutic setting and found protection in non-diabetic disease models. The assumed frame is therefore no longer limited to correcting glucose handling or treating diabetes-associated cardiovascular and renal injury; dapagliflozin instead emerges as a candidate modifier of ischemic neural injury and HIV-linked cardiac remodeling, broadening the diseases and mechanisms for which it may be investigated.
Dapagliflozin is used as an analyte in a therapeutic-drug assay rather than as a treatment
The first-derivative synchronous spectrofluorimetric method study of dapagliflozin and sitagliptin in dosage forms and spiked human plasma 42471380Jul assigns dapagliflozin an analytical role: the paper develops a selective method to detect and quantify it despite overlapping fluorescence spectra. This falls outside the other papers’ therapeutic, mechanistic, disease-model, and clinical-outcome categories, shifting dapagliflozin here from an intervention to the substance being measured.
Papers
The 24 papers from the last 6 months that study dapagliflozin directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
SGLT2 Renoprotection in Diabetes (8)
- SGLT2 inhibition attenuates cytoskeletal and proteostatic dysfunction through the AGE-RAGE-IGFBP2-FBN1 signaling axis in diabetic lenses. European journal of pharmacology · 14 Aug 2026 PMID 42601001
- SGLT2 inhibition modulates metabolic, vascular, and inflammatory molecular markers in the kidney in youth with type 1 diabetes. Science translational medicine · 22 Jul 2026 PMID 42485434
- SGLT2 Inhibition Attenuates Renal Tubular Senescence by Suppressing CTRP1-Mediated Glucotoxic Stress in Diabetic Kidney Disease. FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 16 Jul 2026 PMID 42461151
- Sex-specific responses in the early stages of diet-induced cardiovascular-kidney-metabolic syndrome. American journal of physiology. Heart and circulatory physiology · 7 Jul 2026 PMID 42411797
- SLC5A2-SRC-ERK/STAT3 signaling network in proximal tubule S1 cells mediates the renoprotective effects of dapagliflozin in obese mice. Biochemical and biophysical research communications · 27 Jun 2026 PMID 42364320
- Dapagliflozin pretreatment attenuates focal cerebral ischemia-reperfusion injury in rats. Molecular biology reports · 23 Jun 2026 PMID 42334656
- Can sodium-glucose cotransporter 2 (SGLT2) inhibition preserve renal structure and function in de novo kidney transplant recipients? Protocol for a randomised, double-blind, placebo-controlled trial assessing the efficacy of dapagliflozin on kidney structure, function and safety in kidney transplant recipients in Norway-the DEAK study. BMJ open · 18 Jun 2026 PMID 42315275
- Dapagliflozin attenuates ferroptosis in diabetic nephropathy through activation of the Nrf2/HO‑1 signaling pathway. International journal of molecular medicine · 8 May 2026 PMID 42099241
Heart Failure Cardiovascular Outcomes (6)
- Using dapagliflozin to reduce symptoms in transthyretin cardiac amyloidosis: An n-of-1 trial series pilot study. PloS one · 7 Oct 2026 PMID 42842573
- Differential uptake of SGLT2 inhibitors in England following heart failure guideline expansion: a controlled interrupted time series analysis. BMJ open · 22 Sept 2026 PMID 42772884
- Effects of SGLT2 inhibitor dapagliflozin on the heart of rats with long-standing Type 1 diabetes mellitus: Protein profile. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 27 Jun 2026 PMID 42364425
- Comparative effectiveness of dapagliflozin vs. empagliflozin on major adverse cardiovascular events in patients with heart failure with reduced ejection fraction: A real-world prospective cohort study. British journal of clinical pharmacology · 26 Jun 2026 PMID 42357835
- Clinical events and healthcare costs of dapagliflozin in adults with cardiovascular-kidney-metabolic syndrome in Spain: a cost-offset analysis. Journal of medical economics · 25 Jun 2026 PMID 42343656
- SGLT2 inhibitor dapagliflozin attenuates HIV-associated cardiac fibrosis, steatosis and diastolic dysfunction in a mouse model via inhibition of TGFβ signaling. AIDS (London, England) · 29 Apr 2026 PMID 42054528
Type 2 Diabetes Treatment (5)
- Short-term clinical efficacy and recorded adverse events of semaglutide combined with dapagliflozin in patients with type 2 diabetes mellitus and chronic kidney disease. Medicine · 9 Oct 2026 PMID 42854065
- Efficacy of dapagliflozin on hepatic steatosis and fibrosis in patients with type 2 diabetes mellitus and metabolic dysfunction-associated steatotic liver disease: a pre-specified single-arm analysis from a randomized controlled trial. Diabetes research and clinical practice · 25 Aug 2026 PMID 42641810
- First-derivative synchronous spectrofluorimetric method for simultaneous determination of dapagliflozin and sitagliptin in dosage forms and spiked human plasma. Scientific reports · 18 Jul 2026 PMID 42471380
- Head-to-head comparative effectiveness of empagliflozin versus dapagliflozin and DPP-4 inhibitors on clinical and metabolic outcomes: a nationwide propensity-matched study. Scientific reports · 24 Jun 2026 PMID 42342812
- Orforglipron compared with dapagliflozin in adults with type 2 diabetes and inadequate glycaemic control with metformin (ACHIEVE-2): a multicentre, randomised, non-inferiority, open-label, phase 3 trial. Lancet (London, England) · 8 Jun 2026 PMID 42259339
Others — Pleiotropic Organ Effects (5)
- Effects of Dapagliflozin on the Bone of Patients with CKD on Dialysis. Calcified tissue international · 14 Aug 2026 PMID 42595915
- Evaluation of the protective effects of liraglutide, dapagliflozin and their combination in rat kidneys of streptozotocin induced diabetes. Journal of diabetes and its complications · 24 Jun 2026 PMID 42341385
- Dapagliflozin embedded polymeric nanomicelles for enhanced ocular drug delivery: A promising strategy for glaucoma therapy. International journal of pharmaceutics · 22 Jun 2026 PMID 42331119
- Exogenous klotho as an adjunct to dapagliflozin ameliorates diabetic kidney disease by restoring mitophagy and mitigating apoptosis and fibrosis. Biochemical and biophysical research communications · 22 May 2026 PMID 42172900
- Role of suberoylanilide hydroxamic acid and dapagliflozin on Cx43 gene expression in diabetic cardiomyopathy rat's model. Scientific reports · 19 May 2026 PMID 42156803
By study type
Clinical trials (6)
- Using dapagliflozin to reduce symptoms in transthyretin cardiac amyloidosis: An n-of-1 trial series pilot study. PloS one · 7 Oct 2026 PMID 42842573
- Efficacy of dapagliflozin on hepatic steatosis and fibrosis in patients with type 2 diabetes mellitus and metabolic dysfunction-associated steatotic liver disease: a pre-specified single-arm analysis from a randomized controlled trial. Diabetes research and clinical practice · 25 Aug 2026 PMID 42641810
- Effects of Dapagliflozin on the Bone of Patients with CKD on Dialysis. Calcified tissue international · 14 Aug 2026 PMID 42595915
- SGLT2 inhibition modulates metabolic, vascular, and inflammatory molecular markers in the kidney in youth with type 1 diabetes. Science translational medicine · 22 Jul 2026 PMID 42485434
- Can sodium-glucose cotransporter 2 (SGLT2) inhibition preserve renal structure and function in de novo kidney transplant recipients? Protocol for a randomised, double-blind, placebo-controlled trial assessing the efficacy of dapagliflozin on kidney structure, function and safety in kidney transplant recipients in Norway-the DEAK study. BMJ open · 18 Jun 2026 PMID 42315275
- Orforglipron compared with dapagliflozin in adults with type 2 diabetes and inadequate glycaemic control with metformin (ACHIEVE-2): a multicentre, randomised, non-inferiority, open-label, phase 3 trial. Lancet (London, England) · 8 Jun 2026 PMID 42259339
Observational studies and case reports (2)
- Short-term clinical efficacy and recorded adverse events of semaglutide combined with dapagliflozin in patients with type 2 diabetes mellitus and chronic kidney disease. Medicine · 9 Oct 2026 PMID 42854065
- SGLT2 Inhibition Attenuates Renal Tubular Senescence by Suppressing CTRP1-Mediated Glucotoxic Stress in Diabetic Kidney Disease. FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 16 Jul 2026 PMID 42461151
Human data, design not indexed (3)
- Differential uptake of SGLT2 inhibitors in England following heart failure guideline expansion: a controlled interrupted time series analysis. BMJ open · 22 Sept 2026 PMID 42772884
- First-derivative synchronous spectrofluorimetric method for simultaneous determination of dapagliflozin and sitagliptin in dosage forms and spiked human plasma. Scientific reports · 18 Jul 2026 PMID 42471380
- Clinical events and healthcare costs of dapagliflozin in adults with cardiovascular-kidney-metabolic syndrome in Spain: a cost-offset analysis. Journal of medical economics · 25 Jun 2026 PMID 42343656
Preclinical: animal, cell and lab studies (11)
- SGLT2 inhibition attenuates cytoskeletal and proteostatic dysfunction through the AGE-RAGE-IGFBP2-FBN1 signaling axis in diabetic lenses. European journal of pharmacology · 14 Aug 2026 PMID 42601001
- Sex-specific responses in the early stages of diet-induced cardiovascular-kidney-metabolic syndrome. American journal of physiology. Heart and circulatory physiology · 7 Jul 2026 PMID 42411797
- Effects of SGLT2 inhibitor dapagliflozin on the heart of rats with long-standing Type 1 diabetes mellitus: Protein profile. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 27 Jun 2026 PMID 42364425
- SLC5A2-SRC-ERK/STAT3 signaling network in proximal tubule S1 cells mediates the renoprotective effects of dapagliflozin in obese mice. Biochemical and biophysical research communications · 27 Jun 2026 PMID 42364320
- Evaluation of the protective effects of liraglutide, dapagliflozin and their combination in rat kidneys of streptozotocin induced diabetes. Journal of diabetes and its complications · 24 Jun 2026 PMID 42341385
- Dapagliflozin pretreatment attenuates focal cerebral ischemia-reperfusion injury in rats. Molecular biology reports · 23 Jun 2026 PMID 42334656
- Dapagliflozin embedded polymeric nanomicelles for enhanced ocular drug delivery: A promising strategy for glaucoma therapy. International journal of pharmaceutics · 22 Jun 2026 PMID 42331119
- Exogenous klotho as an adjunct to dapagliflozin ameliorates diabetic kidney disease by restoring mitophagy and mitigating apoptosis and fibrosis. Biochemical and biophysical research communications · 22 May 2026 PMID 42172900
- Role of suberoylanilide hydroxamic acid and dapagliflozin on Cx43 gene expression in diabetic cardiomyopathy rat's model. Scientific reports · 19 May 2026 PMID 42156803
- Dapagliflozin attenuates ferroptosis in diabetic nephropathy through activation of the Nrf2/HO‑1 signaling pathway. International journal of molecular medicine · 8 May 2026 PMID 42099241
- SGLT2 inhibitor dapagliflozin attenuates HIV-associated cardiac fibrosis, steatosis and diastolic dysfunction in a mouse model via inhibition of TGFβ signaling. AIDS (London, England) · 29 Apr 2026 PMID 42054528
Unclassified: not yet indexed with MeSH (2)
- Comparative effectiveness of dapagliflozin vs. empagliflozin on major adverse cardiovascular events in patients with heart failure with reduced ejection fraction: A real-world prospective cohort study. British journal of clinical pharmacology · 26 Jun 2026 PMID 42357835
- Head-to-head comparative effectiveness of empagliflozin versus dapagliflozin and DPP-4 inhibitors on clinical and metabolic outcomes: a nationwide propensity-matched study. Scientific reports · 24 Jun 2026 PMID 42342812
Written from 24 PubMed abstracts, each one listed by PMID above. Published: 2026-08-15. Last written: 2026-09-24 by GPT. Drafted by language models from published abstracts; not medical advice.