Sodium-glucose cotransporter 2 (SGLT2)
Sodium-glucose cotransporter 2 (SGLT2) is a membrane transport protein that mediates glucose reabsorption in the kidney and is a major pharmacologic target in type 2 diabetes.
Sodium-glucose cotransporter 2 (SGLT2) is a membrane transport protein that mediates glucose reabsorption in the kidney and is a major pharmacologic target in type 2 diabetes. In clinical practice, SGLT2 is most widely discussed in the context of SGLT2 inhibitors, a drug class that reduces renal glucose reuptake and thereby lowers blood glucose. Beyond glycemic control, this target has become important in cardiovascular disease, chronic kidney disease, and heart failure, reflecting a broader therapeutic role than originally recognized.
Biologically, SGLT2 is central to renal glucose handling and is therefore linked to metabolic and hemodynamic effects that extend into multiple organ systems. Recent research has examined SGLT2-targeting therapies in type 2 diabetes, metabolic dysfunction–associated steatotic liver disease, coronary flow and blood pressure regulation, kidney outcomes, and even experimental neuroprotection. Studies have also explored mechanistic associations with oxidative stress, inflammation, neuroprotection, and metabolic remodeling, including interactions with acetylcholinesterase (AChE), superoxide dismutase (SOD), interleukin-1β (IL-1β), and ketone body metabolism.
Where the papers sit
12 papers from the last 6 months study Sodium-glucose cotransporter 2 (SGLT2) directly · updated from PubMed 12 Oct 2026
Study type 2 clinical trials · 1 observational · 5 human data · 3 preclinical · 1 unclassified
Themes 3 themes
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Renal Protection in Diabetes
Renal protection is being linked to suppression of glucotoxic stress, tubular senescence, and oxidative injury rather than filtration changes alone. Dapagliflozin engages an SLC5A2-SRC-ERK/STAT3 network in proximal tubules, while CTRP1-mediated pathways emerge as potential targets. Human and experimental work also tracks metabolic, vascular, and inflammatory kidney markers. Sex-specific responses remain an open consideration in early cardiorenal disease.
4 papers · 33.3%
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Cardiorenal Outcomes in Diabetes
SGLT2 inhibitor use is moving toward routine cardiorenal risk reduction and more individualized prescribing in type 2 diabetes. Real-world and target-trial analyses focus on incident chronic kidney disease and comparative cardiovascular outcomes between agents. Primary-care underuse remains a practical barrier despite accumulating outcome evidence. Ketone-body metabolism is being explored as a precision-medicine marker in ischemic heart failure, but its predictive value remains unresolved.
4 papers · 33.3%
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Systemic Effects Beyond Glycemia
SGLT2 research here examines effects beyond glucose lowering, including combination therapy, blood pressure, coronary flow, appetite, body weight, and ischemic brain injury. Dapagliflozin appears compatible with add-on regimens and may improve vascular measures in selected patients with type 2 diabetes and liver steatosis. Clinical and rodent evidence suggests little consistent effect on appetite or weight. Cerebral protection remains preliminary, with evidence limited to a rat ischemia-reperfusion model.
4 papers · 33.3%
Papers
The 12 papers from the last 6 months that study Sodium-glucose cotransporter 2 (SGLT2) directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
Renal Protection in Diabetes (4)
- 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
Cardiorenal Outcomes in Diabetes (4)
- Ketone Body Metabolism and Sodium Glucose Cotransporter 2 Inhibitor Response in Heart Failure With Ischemic Cause: A Precision Medicine Approach Using Metabolomics Integration With Global Burden of Disease Population Data Across Diverse Genetic Backgrounds. Journal of the American Heart Association · 9 Jun 2026 PMID 42261991
- The SGLT2 inhibitor gap: why are we missing opportunities in primary care? The British journal of general practice : the journal of the Royal College of General Practitioners · 14 May 2026 PMID 42134923
- Comparative Effectiveness of Individual Sodium Glucose Transporter 2 Inhibitors on Cardiovascular Outcomes in Type 2 Diabetes With Moderate Cardiovascular Risk: Emulation of a Target Trial. Journal of the American Heart Association · 14 May 2026 PMID 42132163
- SGLT2 inhibitors and the risk of incident chronic kidney disease in type 2 diabetes: a nationwide emulated target trial in Taiwan. Diabetes research and clinical practice · 19 Apr 2026 PMID 42002149
Systemic Effects Beyond Glycemia (4)
- Real-world efficacy and safety of SGLT2 inhibitor add-on triple therapy in south indian patients with type 2 diabetes mellitus: a 24-week prospective observational cohort study. Diabetology & metabolic syndrome · 15 Jul 2026 PMID 42449436
- Dapagliflozin pretreatment attenuates focal cerebral ischemia-reperfusion injury in rats. Molecular biology reports · 23 Jun 2026 PMID 42334656
- Effects of dapagliflozin and dulaglutide on blood pressure and coronary flow in liver steatosis patients with type 2 diabetes. Journal of hypertension · 27 May 2026 PMID 42201656
- Limited Impact of Sodium-Glucose Cotransporter-2 Inhibitors on Appetite and Body Weight: Evidence From Clinical and Rodent Studies. Journal of Korean medical science · 12 May 2026 PMID 42117145
By study type
Clinical trials (2)
- 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
- Limited Impact of Sodium-Glucose Cotransporter-2 Inhibitors on Appetite and Body Weight: Evidence From Clinical and Rodent Studies. Journal of Korean medical science · 12 May 2026 PMID 42117145
Observational studies and case reports (1)
- 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 (5)
- Ketone Body Metabolism and Sodium Glucose Cotransporter 2 Inhibitor Response in Heart Failure With Ischemic Cause: A Precision Medicine Approach Using Metabolomics Integration With Global Burden of Disease Population Data Across Diverse Genetic Backgrounds. Journal of the American Heart Association · 9 Jun 2026 PMID 42261991
- Effects of dapagliflozin and dulaglutide on blood pressure and coronary flow in liver steatosis patients with type 2 diabetes. Journal of hypertension · 27 May 2026 PMID 42201656
- The SGLT2 inhibitor gap: why are we missing opportunities in primary care? The British journal of general practice : the journal of the Royal College of General Practitioners · 14 May 2026 PMID 42134923
- Comparative Effectiveness of Individual Sodium Glucose Transporter 2 Inhibitors on Cardiovascular Outcomes in Type 2 Diabetes With Moderate Cardiovascular Risk: Emulation of a Target Trial. Journal of the American Heart Association · 14 May 2026 PMID 42132163
- SGLT2 inhibitors and the risk of incident chronic kidney disease in type 2 diabetes: a nationwide emulated target trial in Taiwan. Diabetes research and clinical practice · 19 Apr 2026 PMID 42002149
Preclinical: animal, cell and lab studies (3)
- 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
Unclassified: not yet indexed with MeSH (1)
- Real-world efficacy and safety of SGLT2 inhibitor add-on triple therapy in south indian patients with type 2 diabetes mellitus: a 24-week prospective observational cohort study. Diabetology & metabolic syndrome · 15 Jul 2026 PMID 42449436
Written from 12 PubMed abstracts, each one listed by PMID above. Published: 2026-07-23. Last written: 2026-08-26 by GPT. Drafted by language models from published abstracts; not medical advice.