Abstract
Patients with diabetes are at higher risk of cognitive impairment and memory loss than the normal population. Thus, using hypoglycemic agents to improve brain function is important for diabetic patients. Sodium-glucose cotransporters-2 inhibitors (SGLT2i) are a class of therapeutic agents used in the management of diabetes that has some pharmacologic effects enabling them to fight against the onset and progress of memory deficits. Although the exact mediating pathways are not well understood, emerging evidence suggests that SGLT2 inhibition is associated with improved brain function. This study reviewed the possible mechanisms and provided evidence suggesting SGLT2 inhibitors could ameliorate cognitive deficits.
Keywords: Diabetes mellitus, sodium-glucose cotransporters-2 inhibitors, oxidative stress, apoptosis, cognition, memory.
[http://dx.doi.org/10.1038/s41572-018-0051-2] [PMID: 30617281]
[http://dx.doi.org/10.1093/pm/pnz071] [PMID: 30980660]
[http://dx.doi.org/10.1007/s00109-019-01781-1] [PMID: 30949723]
[http://dx.doi.org/10.1007/s12031-019-01290-3] [PMID: 30949957]
[http://dx.doi.org/10.2147/NDT.S189905] [PMID: 30655669]
[http://dx.doi.org/10.1016/j.jdiacomp.2018.04.003] [PMID: 29728302]
[http://dx.doi.org/10.1016/j.maturitas.2019.02.006] [PMID: 31027677]
[http://dx.doi.org/10.1016/j.psychres.2018.11.061] [PMID: 30551083]
[http://dx.doi.org/10.1016/S2215-0366(19)30405-5] [PMID: 31732482]
[http://dx.doi.org/10.1007/s10608-018-9947-0]
[http://dx.doi.org/10.1016/j.dsx.2019.03.031] [PMID: 31336541]
[http://dx.doi.org/10.1002/jcp.26851] [PMID: 30076706]
[http://dx.doi.org/10.1016/j.phrs.2019.104611] [PMID: 31863868]
[http://dx.doi.org/10.7150/thno.54498] [PMID: 33754074]
[http://dx.doi.org/10.2174/1871530319666191014110414] [PMID: 31612835]
[http://dx.doi.org/10.1002/jcp.30851] [PMID: 35951776]
[http://dx.doi.org/10.1016/j.lfs.2019.117090] [PMID: 31765648]
[http://dx.doi.org/10.3390/antiox10121935] [PMID: 34943038]
[http://dx.doi.org/10.2337/dc17-S005] [PMID: 27979889]
[http://dx.doi.org/10.2337/ds15-0047] [PMID: 27899877]
[http://dx.doi.org/10.2337/dc14-S081] [PMID: 24357215]
[http://dx.doi.org/10.1007/s11892-016-0775-x] [PMID: 27491830]
[http://dx.doi.org/10.1212/WNL.0000000000006955] [PMID: 30674592]
[http://dx.doi.org/10.1155/2020/4981814]
[http://dx.doi.org/10.7759/cureus.9853] [PMID: 32832307]
[http://dx.doi.org/10.3233/JPD-181305] [PMID: 29614702]
[http://dx.doi.org/10.1007/s00592-018-1111-5] [PMID: 29492658]
[http://dx.doi.org/10.1016/j.kint.2018.04.025] [PMID: 30021702]
[http://dx.doi.org/10.3810/pgm.2014.10.2819] [PMID: 25414933]
[http://dx.doi.org/10.1002/jcp.26760] [PMID: 30443936]
[http://dx.doi.org/10.2337/diaclin.32.1.4] [PMID: 26246672]
[http://dx.doi.org/10.1016/j.metabol.2015.10.010] [PMID: 26773934]
[http://dx.doi.org/10.2337/db07-1472] [PMID: 18356408]
[http://dx.doi.org/10.1111/dom.12187] [PMID: 23911013]
[http://dx.doi.org/10.1172/JCI72227] [PMID: 24463454]
[http://dx.doi.org/10.1038/nrd3180] [PMID: 20508640]
[http://dx.doi.org/10.1136/bmjopen-2012-001007] [PMID: 23087012]
[http://dx.doi.org/10.1007/s12020-016-0943-4] [PMID: 27270407]
[http://dx.doi.org/10.3390/molecules26237213] [PMID: 34885795]
[http://dx.doi.org/10.1016/j.phrs.2022.106062] [PMID: 35017046]
[http://dx.doi.org/10.1007/s00125-018-4654-7] [PMID: 30132033]
[http://dx.doi.org/10.1016/j.jphs.2016.02.003] [PMID: 26970780]
[http://dx.doi.org/10.1186/s12883-018-1086-4] [PMID: 29879920]
[http://dx.doi.org/10.1111/fcp.12548] [PMID: 32068294]
[http://dx.doi.org/10.3390/brainsci9030057] [PMID: 30866531]
[http://dx.doi.org/10.1007/s00414-018-1893-6] [PMID: 30073510]
[http://dx.doi.org/10.1038/emm.2015.3]
[http://dx.doi.org/10.1016/j.nlm.2011.11.001] [PMID: 22085799]
[http://dx.doi.org/10.3390/biomedicines9050576] [PMID: 34069618]
[http://dx.doi.org/10.1186/s13195-021-00784-w] [PMID: 33597002]
[http://dx.doi.org/10.1074/jbc.274.49.34893] [PMID: 10574963]
[http://dx.doi.org/10.1016/j.ejphar.2004.02.045] [PMID: 15094074]
[http://dx.doi.org/10.1523/JNEUROSCI.19-17-07300.1999] [PMID: 10460236]
[http://dx.doi.org/10.1073/pnas.1817391116] [PMID: 30765523]
[http://dx.doi.org/10.1172/JCI24445] [PMID: 15841180]
[http://dx.doi.org/10.1016/j.bbr.2011.03.052] [PMID: 21458499]
[http://dx.doi.org/10.1038/nrn3209] [PMID: 22430016]
[http://dx.doi.org/10.3389/fnins.2019.00788] [PMID: 31417349]
[http://dx.doi.org/10.1038/s41398-018-0270-z] [PMID: 29317594]
[http://dx.doi.org/10.3390/cells10020262] [PMID: 33572709]
[http://dx.doi.org/10.1111/j.1471-4159.2005.03269.x] [PMID: 16092951]
[http://dx.doi.org/10.2337/db15-0596] [PMID: 26216852]
[http://dx.doi.org/10.1371/journal.pone.0031124] [PMID: 22383997]
[http://dx.doi.org/10.1016/j.taap.2017.08.005] [PMID: 28807765]
[http://dx.doi.org/10.1186/s13195-020-00607-4] [PMID: 32264944]
[PMID: 34716213]
[http://dx.doi.org/10.2174/1871527317666180425122557]
[http://dx.doi.org/10.1186/s12974-017-1026-z] [PMID: 29338747]
[http://dx.doi.org/10.1016/B978-0-12-820593-8.00006-9]
[http://dx.doi.org/10.3390/antiox10091479] [PMID: 34573112]
[http://dx.doi.org/10.1093/jnen/59.11.1011] [PMID: 11089579]
[http://dx.doi.org/10.1155/2015/967203]
[http://dx.doi.org/10.1016/j.neulet.2018.06.023] [PMID: 29908257]
[http://dx.doi.org/10.3390/ijms18051083] [PMID: 28524098]
[http://dx.doi.org/10.1155/2012/542042]
[http://dx.doi.org/10.1371/journal.pone.0112394] [PMID: 25402275]
[http://dx.doi.org/10.1080/01616412.2016.1251711] [PMID: 27809706]
[http://dx.doi.org/10.3389/fcvm.2019.00186] [PMID: 31970162]
[http://dx.doi.org/10.1111/jdi.12802] [PMID: 29352520]
[http://dx.doi.org/10.1002/jcp.27164]
[http://dx.doi.org/10.1038/s41514-017-0012-0] [PMID: 28900540]
[http://dx.doi.org/10.1371/journal.pone.0165703] [PMID: 27802313]
[http://dx.doi.org/10.3390/jcm8111814] [PMID: 31683785]
[http://dx.doi.org/10.1186/s12933-014-0148-1] [PMID: 25344694]
[http://dx.doi.org/10.1152/ajpheart.00438.2021] [PMID: 34951541]
[http://dx.doi.org/10.1172/JCI86950] [PMID: 27841763]
[http://dx.doi.org/10.1038/s41598-018-34305-x] [PMID: 30382157]
[http://dx.doi.org/10.3389/fped.2020.00583] [PMID: 33014950]
[http://dx.doi.org/10.1111/j.1749-6632.2010.05726.x] [PMID: 20955439]
[http://dx.doi.org/10.3389/fnagi.2021.679837] [PMID: 33994998]
[http://dx.doi.org/10.1192/bjo.2021.966] [PMID: 36043690]
[http://dx.doi.org/10.1159/000471765] [PMID: 28785561]
[http://dx.doi.org/10.3390/ijms21218189] [PMID: 33139635]
[http://dx.doi.org/10.1007/s00125-016-4158-2] [PMID: 27866224]
[http://dx.doi.org/10.1152/ajprenal.00520.2013] [PMID: 24226524]
[http://dx.doi.org/10.1038/srep32887] [PMID: 27611858]
[http://dx.doi.org/10.1038/nature11729] [PMID: 23254930]
[http://dx.doi.org/10.1038/s41467-020-15983-6] [PMID: 32358544]
[http://dx.doi.org/10.1146/annurev-immunol-042617-053010] [PMID: 29400998]
[http://dx.doi.org/10.1016/j.brainres.2014.09.013] [PMID: 25234726]
[PMID: 26379861]
[http://dx.doi.org/10.3892/ijmm.2016.2715] [PMID: 27572468]
[PMID: 26550427]
[http://dx.doi.org/10.3390/ph13110379] [PMID: 33187206]
[http://dx.doi.org/10.1016/j.lfs.2019.06.013] [PMID: 31176776]
[http://dx.doi.org/10.1038/s41598-019-46402-6] [PMID: 31285506]
[http://dx.doi.org/10.1016/j.amjcard.2017.05.013] [PMID: 28606341]
[http://dx.doi.org/10.1093/ndt/gfy104.FP416]
[http://dx.doi.org/10.1507/endocrj.EJ15-0396] [PMID: 26522271]
[http://dx.doi.org/10.3390/biomedicines10020203] [PMID: 35203411]
[http://dx.doi.org/10.1016/j.jns.2017.09.039] [PMID: 29111028]
[http://dx.doi.org/10.3389/fncel.2015.00124] [PMID: 25914621]
[http://dx.doi.org/10.3389/fnagi.2020.00112] [PMID: 32410983]
[http://dx.doi.org/10.1186/s13024-019-0320-x] [PMID: 31186026]
[http://dx.doi.org/10.5772/intechopen.84473]
[http://dx.doi.org/10.1111/nan.12728] [PMID: 33969516]
[http://dx.doi.org/10.3389/fnins.2021.708547] [PMID: 34489627]
[http://dx.doi.org/10.1016/j.cmet.2020.06.020]
[http://dx.doi.org/10.1074/jbc.M110.100420] [PMID: 20178983]
[http://dx.doi.org/10.1007/s00401-002-0587-8] [PMID: 12410379]
[http://dx.doi.org/10.1016/j.neuint.2021.105158] [PMID: 34391818]