| 초록 |
Objectives: Inhibition of sodium-glucose cotransporter 2 (SGLT2) in proximal renal tubules may induce glucosuria and sodium excretion to lower serum glucose in patients with type 2 diabetes mellitus.The design of this study was to explore changes in electrolyte and associated transporters.
Methods: C57BLKsJ-db/db mice were used as spontaneous type 2 diabetic animal model. Dapagliflozin, a SGLT2 inhibitor, was fed with 1 mg/kg. Serum and urine were collected after 6-hours and 24-hours and kidneys were extracted for quantification of protein amount by Western blotting.
Results: Fraction excretion of sodium, potassium, phosphate, calcium and magnesium were all decreased after 6 hours and increased after 24 hours.In proximal renal tubules, the insignificant changes of sodium-hydrogen exchangers 3, type 2a and 2c sodium-phosphate cotransporters were noted.The protein expression of sodium-chloride cotransporters in distal tubules and sodium-potassium-2 chloride cotransporters in thick ascending limbs were enhanced at 6 hour but decrease to baseline at 24 hour. The epithelial sodium channels increased at both 6 and 24-hour sampling.
Conclusions: Inhibition of SGLT2 may alter renal tubular sodium handling and the expression of Na-dependent cotransporters. The underlying mechanism needs further exploration and investigation.
Table 1 Urine and serum electrolyte change
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