Table 2.
Subjects | Observation Period | RAS Parameters | Urinary Sodium Excretion | Urine Volume | SGLT2 Inhibitor | Reference | |
---|---|---|---|---|---|---|---|
Animal Experiments | db/db mice | 10 weeks | PRA increased by ~1.5 fold | N/A | Increased by ~1.06 fold | empagliflozin | [46] |
5/6 Nx SD rats | 10 weeks | No change | N/A | N/A | luseogliflozin | [69] | |
OLETF rats | 12 weeks | PRA no change | N/A | N/A | dapagliflozin | [74] | |
Urinary Ang II decreased by ~30 fold | |||||||
Urinary AGT decreased by ~5 fold | |||||||
Plasma aldosterone no change | |||||||
Clinical Studies | Type 2 diabetes |
Day 1 | PRA no change | Increased by ~1.33 fold | Increased by ~3.71 fold | canagliflozin | [16] |
Plasma aldosterone no change | |||||||
Day 5 | PRA increased by ~2 fold | No change | Increased by ~1.03 fold | ||||
Plasma aldosterone no change | |||||||
Type 1 diabetes with hyperfiltration | 8 weeks | PRA increased by ~1.11 fold, but this change was not significant | Increased by ~1.10 fold | Increased by ~1.56 fold | empagliflozin | [50] | |
Plasma Ang II increased by ~1.56 fold | |||||||
Plasma aldosterone increased by ~1.72 fold | |||||||
Type 2 diabetes |
4 days | PRA increased by ~1.0 fold, but this change was not significant | Increased by ~1.28 fold | Increased by ~1.6 fold | ipragliflozin | [53] | |
Plasma Ang II no change | |||||||
Plasma aldosterone no change | |||||||
Type 2 diabetes |
1 month | total urinary AGT/creatinine ratio no changed | N/A | N/A | canagliflozin, ipragliflozin, dapagliflozin, tofogliflozin, luseogliflozin | [75] | |
Type 2 diabetes | 1 month | PRA increased by ~3.0 fold | N/A | N/A | tofogliflozin, empagliflozin, canagliflozin | [76] | |
Plasma aldosterone no change | |||||||
6 months | PRA no change | ||||||
Plasma aldosterone no change | |||||||
Type 2 diabetes | 24 weeks | PRA increased by ~1.59 fold, but this change was not significant | N/A | N/A | Ipragliflozin | [77] | |
Plasma aldosterone increased by ~1.27 fold |
SGLT2, sodium glucose cotransporter 2; RAS, renin angiotensin system; PRA, plasma renin activity; Nx, nephrectomy; SD, sprague dawley; OLETF, otsuka long-evans tokushima fatty; Ang II, angiotensin II; AGT, angiotensinogen.