Skip to main content
letter
. 2019 Oct 29;11(11):769–772. doi: 10.14740/jocmr4019

Table 1. Reported Mechanisms for an Improvement of Liver Function due to SGLT2is.

SGLT2is References Subjects Effects on liver and putative mechanisms to improve liver function
Ipragliflozin [5] Type 2 diabetic mice Improvement of hepatic steatosis and liver injury; reduction of plasma and liver levels of oxidative stress biomarkers and inflammatory markers
Ipragliflozin [6] Type 1 diabetic rats Improvement of hepatic steatosis and liver injury; reduction of liver levels of oxidative stress biomarkers and plasma levels of inflammatory markers
Ipragliflozin [7] NAFLD rats Prevention of hepatic triglyceride accumulation, large lipid droplet formation and liver fibrosis
Ipragliflozin [8] Obese mice Prevention of ectopic fat accumulation in the liver
Luseogliflozin [9, 10] Type 2 diabetic patients with NAFLD Reduction of hepatic fat content
Empagliflozin [11] Well-controlled type 2 diabetic patients Lowering of liver fat content
Canagliflozin [12] HEK-293 cells AMPK activation by inhibition of Complex I of the respiratory chain; inhibition of lipid synthesis, by phosphorylation of ACC at the AMPK sites in human hepatocytes, which leads to downregulation of fatty acid synthesis-related molecules and upregulation of β oxidation-associated molecules
Tofogliflozin [13] C57BL/6 mice Decrease of hepatic triglyceride content; acceleration of lipolysis in adipose tissue and hepatic β-oxidation

SGLT2is: sodium-glucose cotransporter-2 inhibitors; ACC: acetyl-CoA carboxylase; AMPK: adenosine 5'-monophosphate-activated protein kinase; NAFLD: nonalcoholic fatty liver disease; HEK: human embryonic kidney.