The effects of SGLT2 inhibitors on lowering blood pressure are well characterized, but data now demonstrate their enhanced blood pressure-lowering capacity when combined with dual antihypertensive therapy. Specifically, blood pressure was markedly reduced when dapagliflozin was administered to patients receiving a renin–angiotensin system blocker plus a calcium antagonist or β-blocker.
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References
Oliva, R. V. & Bakris, G. L. Blood pressure effects of sodium-glucose co-transport 2 (SGLT2) inhibitors. J. Am. Soc. Hypertens. 8, 330–339 (2014).
Lewington, S. et al. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 360, 1903–1913 (2002).
Bakris, G. & Cherney, D. SGLT-2 inhibitors for type 2 diabetes: renal and urinary issues. Renal & Urology News [online], (2015).
Baker, W. L. et al. Effects of sodium-glucose co-transporter 2 inhibitors on blood pressure: a systematic review and meta-analysis. J. Am. Soc. Hypertens. 8, 262–275.e9 (2014).
Bonner, C. et al. Inhibition of the glucose transporter SGLT2 with dapagliflozin in pancreatic alpha cells triggers glucagon secretion. Nat. Med. 21, 512–517 (2015).
Zinman, B. et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N. Engl. J. Med. 373, 2117–2128 (2015).
Tikkanen, I. et al. Empagliflozin reduces blood pressure in patients with type 2 diabetes and hypertension. Diabetes Care 38, 420–428 (2015).
Weber, M. et al. Blood pressure and glycaemic effects of dapagliflozin versus placebo in patients with type 2 diabetes on combination antihypertensive therapy: a randomised, double-blind, placebo-controlled, Phase 3 study. Lancet Diabetes Endocrinol. http://dx.doi.org/10.1016/S2213-8587(15)00417-9 (2015).
Lambers Heerspink, H. J., de Zeeuw, D., Wie, L., Leslie, B. & List, J. Dapagliflozin a glucose-regulating drug with diuretic properties in subjects with type 2 diabetes. Diabetes Obes. Metab. 15, 853–862 (2013).
Bakris, G. L., Iyengar, M., Lukas, M. A., Ordronneau, P. & Weber, M. A. Effect of combining extended-release carvedilol and lisinopril in hypertension: results of the COSMOS study. J. Clin. Hypertens. (Greenwich) 12, 678–686 (2010).
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G.B. consults for Bayer, Boerhinger-Ingelheim, Takeda, AbbVie, Janssen, Merck, Astra-Zeneca and Relypsa. H.S. declares no competing interests.
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Sternlicht, H., Bakris, G. SGLT2 inhibitors: not just another glucose-lowering agent. Nat Rev Nephrol 12, 128–129 (2016). https://doi.org/10.1038/nrneph.2015.217
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DOI: https://doi.org/10.1038/nrneph.2015.217