Table 5.
comparative table of human studies about SGLT2i effects on endothelial function.
| Author publication date | Cohort size | Molecule Duration |
Investigation group | Control group | Endothelial function | Result |
|---|---|---|---|---|---|---|
| Solini, 2017[18] | 26 | Dapagliflozin 48 hr |
T2DM 40–70 yo, HBA1c < 6.4%, no renal or CV significant disease | Hydrochlorothiazide | Δ FMD% | P = .02 |
| Solini, 2019[19] | 40 | Dapagliflozin 4 wk |
T2DM and hypertensives, 40–75 yo, HBA1c < 6.4%, no renal or CV significant disease | Hydrochlorothiazide | ΔFMD% Circulating miRNAs: miR27b and miR200b |
NS NS |
| Shigiyama, 2017[20] | 80 | Dapagliflozin | T2DM, 20–74 yo, HBA1C 6% to 8% no significant CV disease or severe renal insufficiency | Metformin | ΔFMD% ΔFMD% in patients with HBA1C > 7% |
NS P < .05 |
| Zainordin, 2020[21] | 72 | Dapagliflozin | High risk T2DM 30–75 yo with HBA1c 7% to 10.5%, and an established ischemic heart disease significant renal insufficiency | Placebo | ΔFMD ICAM-1 eNOS |
NS NS NS |
| Sakai, 2019[7] | 184 | 3 study arms Empagliflozin (10–25 mg), luseogliflozin (2.5–5 mg), tofogliflozin (20 mg) 3 mo |
HFpEF and T2DM | – | Δ FMD% | P < .05 |
| Correale, 2022[8] | 55 | Empagliflozin (14), Dapagliflozin (4) canagliflozin (3) 3 mo |
HF and T2DM without moderate or severe renal insufficiency | Observational study. Other antidiabetic drugs in patients who did not switch to SGLT2i despite HF | Δ FMD% | <0.001 |
| Our study | 113 | Dapagliflozin 3 mo |
ACS patients either diabetic or non-diabetic patients, without restriction for renal function unless contraindicating SGLT2i use | Observational study. Patients who did not use SGLT2i for diabetes or HF | Δ FMD% | P < .001 |
Δ = change from baseline, ACS = acute coronary syndrome, CV = cardiovascular, FMD = flow-mediated dilation, HBA1c = Glycated hemoglobin, HFpEF = heart failure with preserved ejection fraction, ICAM-1 = intercellular adhesion molecule 1, eNOS = endothelial nitric oxide synthase, T2DM =type2 diabetes mellitus.