Evidence mapPaperPMID 35756735Full record

ReviewClinical kidney journal2022

Sodium-glucose cotransporter inhibition in polycystic kidney disease: fact or fiction.

Baris Afsar, Rengin Elsurer Afsar, Atalay Demiray, Sevval Altay, Hakan Korkmaz, Abdulmecit Yildiz, Adrian Covic, Alberto Ortiz, Mehmet Kanbay

Open access · goldAbstract readReview
In one paragraph

Review in Clinical kidney journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. SGLT2 inhibition for patients with ADPKD - closing the evidence gap.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  3. Article
  4. Therapies in autosomal dominant polycystic kidney disease: beyond tolvaptan.Current opinion in nephrology and hypertension · 2025
    Review
  5. Article
  6. Cardiovascular Complications in ADPKD.Kidney international reports · 2025
    Review
  7. Review
  8. Design considerations for future renoprotection trials in the era of multiple therapies for chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  9. Chronic kidney disease.Nature reviews. Disease primers · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. TheBiomedicines · 2024
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Baris AfsarDepartment of Medicine, Division of Nephrology, Suleyman Demirel University School of Medicine, Isparta, Turkey.
Rengin Elsurer AfsarDepartment of Medicine, Division of Nephrology, Suleyman Demirel University School of Medicine, Isparta, Turkey.
Atalay DemirayDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-5503-5305
Sevval AltayDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Hakan KorkmazDepartment of Medicine, Division of Endocrinology, Suleyman Demirel University School of Medicine, Isparta, Turkey.
Abdulmecit YildizDepartment of Medicine, Division of Nephrology, Uludag University School of Medicine, Bursa, Turkey.
Adrian CovicNephrology Clinic, Dialysis and Renal Transplant Center, 'C.I. PARHON' University Hospital, and 'Grigore T. Popa' University of Medicine, Iasi, Romania.
Alberto OrtizDepartment of Medicine, Universidad Autonoma de Madrid and IIS-Fundacion Jimenez Diaz, Madrid, Spain.ORCID https://orcid.org/0000-0002-9805-9523
Mehmet KanbayDepartment of Medicine, Division of Nephrology, Koc University School of Medicine, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-1297-0675
Koç University · TRSüleyman Demirel University · TRBursa Uludağ Üni̇versi̇tesi̇ · TRGrigore T. Popa University of Medicine and Pharmacy · ROHospital Universitario Fundación Jiménez Díaz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is the most prevalent hereditary kidney disease. Recent evidence suggests that the pathogenesis of ADPKD is a complex web of abnormal cellular processes including altered cell signaling, disordered cell metabolism, impaired autophagy, increased apoptosis, mitochondrial dysfunction and chronic inflammation. Sodium-glucose cotransporter (SGLT) inhibitors (SGLTi) reduce body weight, blood pressure and blood glucose levels, have kidney and cardiovascular protective activity, and have been reported to decrease inflammation, increase autophagy and improve mitochondrial dysfunction. We now review results from preclinical studies on SGLTi for ADPKD identified through a systematic search of the MEDLINE, Cochrane Library, Embase and PubMed databases. Potential underlying mechanisms for the conflicting results reported as well as implications for clinical translation are discussed, as ADPKD patients were excluded from clinical trials exploring kidney protection by SGLT2 inhibitors (SGLT2i). However, they were not excluded from cardiovascular safety trials or trials for cardiovascular conditions. A post-hoc analysis of the kidney function trajectories and safety of SGLT2i in ADPKD patients enrolled in such trials may provide additional information. In conclusion, SGLT2i are cardio- and nephroprotective in diverse clinical situations. Currently, it is unclear whether ADPKD patients may benefit from SGLT2i in terms of kidney function preservation, and their safety in this population remains unexplored. We propose a roadmap to address this unmet clinical need.

Indexed as

apoptosisautophagycanagliflozindapagliflozinpolycystic kidney diseaseSGLT inhibitors

Identifiers

PMID35756735
PMCPMC9217633
OpenAlexW4210708486

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.