Table 1.
Member |
Empa [295] C23H27ClO7 |
Dapa [296] C21H25ClO6 |
Cana [297] C24H25FO5S |
Ertu [298] C22H25ClO7 |
Sota [299] C21H25ClO5S |
Ipra [300] C21H21FO5S |
Luseo [301] C23H30O6S |
Tofo [302] C22H26O6 |
Approval | FDA [303] EMA [304] |
FDA [305] EMA [306] |
FDA [307] EMA [308] |
FDA [309] EMA [310] |
EMA for type 1 diabetes [311] | Only in Japan, South Korea and Russia [312] | Only in Japan [313] | Only in Japan [314] |
Dosing regimen | 10/25 mg once daily | 5/10 mg once daily | 100/300 mg once daily | 5/15 mg once daily | 200 mg once or twice daily | 50/100 mg dose once daily | 2.5/5 mg once daily | 20 mg once daily |
Anti-inflammatory mechanism | ||||||||
Reduce ROS and hyperglycaemia mediated inflammation | ||||||||
Reduce adipose tissue volume and associated adipokines | ||||||||
Reduce AngII mediated inflammatory mediators/macrophage infiltration/fibrosis | ||||||||
Enhance ketone mediated NLRP3 inflammasome inactivation | ||||||||
Enhance M2 macrophage polarization | ||||||||
Enhance AMPK mediated reduction of inflammatory mediators | ||||||||
Inactivation of NLRP3 inflammasome |
References of the anti-inflammatory mechanisms are colour coded in for animal models, for in-vitro and ex-vivo studies, for human data and for studies with combined models.
AngII, angiotensin II; AMPK, 5′ adenosine monophosphate activated protein kinase; Cana, canagliflozin; Dapa, dapagliflozin; Ertu, ertugliflozin; EMA, European Medicines Agency; Empa, empagliflozin; FDA, Food and Drug Administration; Ipra, ipragliflozin; Luseo, luseogliflozin; NLRP3, nucleotide-binding domain, leucine-rich-containing family, pyrin domain-containing-3; ROS, reactive oxygen species; SGLT2, sodium glucose co-transporter 2; Sota, sotagliflozin; Tofo, tofogliflozin.