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. 2019 Feb 1;20(3):629. doi: 10.3390/ijms20030629

Table 2.

Relationship between SGLT2 inhibitor-induced changes in urine volume and urinary sodium excretion and RAS parameters.

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.