Understanding EMPA-REG OUTCOME

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Presentation transcript:

Understanding EMPA-REG OUTCOME Marcel H A Muskiet, Daniël H van Raalte, Erik JM van Bommel, Mark M Smits, Lennart Tonneijck  The Lancet Diabetes & Endocrinology  Volume 3, Issue 12, Pages 928-929 (December 2015) DOI: 10.1016/S2213-8587(15)00424-6 Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure Rationale for potential benefit of combined SGLT2 and RAAS-inhibition in type 2 diabetes. SGLT2 inhibitors in addition to ACE inhibition or angiotensin-receptor blockade might favour improved cardiovascular outcomes by increasing AT2-receptor and Mas-receptor activation. SGLT2=sodium-glucose cotransporter-2. ACE=angiotensin-converting enzyme. ACE2=angiotensin-converting enzyme 2. Ang I=angiotensin-I. Ang II=angiotensin-II. ARB=angiotensin-receptor blocker. AT1=type-1 angiotensin II receptor. AT2=type-2 angiotensin-II receptor. NEP=neutral endopeptidase. RAAS=renin-angiotensin-aldosterone-system. The Lancet Diabetes & Endocrinology 2015 3, 928-929DOI: (10.1016/S2213-8587(15)00424-6) Copyright © 2015 Elsevier Ltd Terms and Conditions