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SGLT2抑制剂通过Na~+/H~+交换体发挥心脏保护作用的研究进展

Research progress on the cardioprotective effect of SGLT2 inhibitors through Na~+/H~+ exchanger

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【作者】 张心路; 何慧薇;

【Author】 ZHANG Xinlu;HE Huiwei;Department of Geriatrics,Nanjing Medical University Sir Run Run Hospital;Department of Geriatrics,the Second Hospital of Nanjing Medical University;

【通讯作者】 何慧薇;

【机构】 南京医科大学附属逸夫医院老年医学科; 南京医科大学第二附属医院老年科;

【摘要】 随着对钠-葡萄糖共转运蛋白2(SGLT2)抑制剂研究的深入和临床的获益,SGLT2抑制剂已逐步被写入心力衰竭的指南中,但其心脏保护的作用机制尚不完全明确。研究显示,Na~+/H~+交换体(NHE)在SGLT2抑制剂的心脏保护作用中发挥重要作用,同时NHE也是治疗心脏肥大、心肌缺血再灌注的重要干预靶点。本文就NHE对心血管的作用及其在SGLT2抑制剂心脏保护作用中的机制进行综述。

【Abstract】 As research on sodium-glucose cotransporter 2(SGLT2) inhibitors deepens and clinical benefits become evident, SGLT2 inhibitors have been gradually included in guidelines for heart failure management, although their mechanisms of cardioprotective effect remain not fully understood. The Na~+/H~+ exchanger(NHE) plays a crucial role in the cardioprotective effects of SGLT2 inhibitors, and NHE has also become an important target for drug intervention in cardiac hypertrophy and myocardial ischemia-reperfusion. This article reviews the role of NHE in cardiovascular function and its mechanism in the cardioprotective effects of SGLT2 inhibitors.

  • 【文献出处】 实用老年医学 ,Practical Geriatrics , 编辑部邮箱 ,2025年06期
  • 【分类号】R54
  • 【下载频次】25
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