Evidence mapPaperPMID 41948725Full record

ArticleFrontiers in pharmacology2026

Sodium-glucose cotransporter 2 inhibitors and constipation: a two-sample mendelian randomization study.

Qiuhui Liu, Jing Ning, Zihan Chen, Zihan Wang, Haihua Qian, Dan Zhang, Xi Zhou

Abstract read
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Article in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Qiuhui Liu *Department of Preventive Treatment of Disease, Wujin Hospital of Traditional Chinese Medicine, Wujin TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Changzhou, China.
Jing Ning *School of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Zihan ChenSchool of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Zihan WangSchool of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Haihua QianDepartment of Anorectal Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Dan ZhangDepartment of Anorectal Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.
Xi ZhouSchool of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Evidence regarding the effect of sodium-glucose cotransporter 2 (SGLT-2) inhibition on constipation is conflicting and the underlying mechanism unknown. We aimed to investigate the causal effect of SGLT-2 inhibition on constipation and the potential mediating role of circulating metabolites. Methods: We conducted a two-sample Mendelian randomization (MR) study. Genetic instruments for SGLT-2 inhibition were constructed from variants associated with SLC5A2 gene expression and glycated hemoglobin (HbA1c) levels. Summary-level data for constipation and 452 circulating metabolites were obtained from large-scale genome-wide association studies (GWAS). The primary analysis used the inverse-variance weighted method, supplemented by extensive sensitivity analyses. A two-step MR approach was applied to quantify mediation. Results: Genetically proxied SGLT-2 inhibition was associated with a reduced risk of constipation (OR 0.31, 95% CI 0.19-0.53, Conclusion: This study provides genetic support for a causal relationship between SGLT-2 inhibition and reduced constipation risk, and identifies DSGEGDFXAEGGGVR as a potential mediating metabolite. These findings offer insights into a possible pharmacological pathway that may inform future approaches to constipation management.

Indexed as

circulating metabolitesconstipationmendelian randomizationsodium-glucose cotransporter 2 inhibitiontype 2 diabetes mellitus

Identifiers

PMID41948725
PMCPMC13051265

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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.