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12/23/2025 8:03:19 AM | Browse: 12 | Download: 66
Publication Name World Journal of Nephrology
Manuscript ID 110990
Country Spain
Received
2025-06-20 02:26
Peer-Review Started
2025-06-20 02:26
First Decision by Editorial Office Director
2025-07-30 08:39
Return for Revision
2025-07-30 08:39
Revised
2025-07-30 15:59
Publication Fee Transferred
Second Decision by Editor
2025-09-17 02:51
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-09-17 07:47
Articles in Press
2025-09-17 07:47
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-01 07:11
Publish the Manuscript Online
2025-12-23 08:03
ISSN 2220-6124 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Medicine, General & Internal
Manuscript Type Minireviews
Article Title Beneficial effect of sodium-glucose cotransporter 2 inhibitors on kidney function can be just a mirage
Manuscript Source Invited Manuscript
All Author List María M Adeva-Andany
ORCID
Author(s) ORCID Number
María M Adeva-Andany http://orcid.org/0000-0002-9997-2568
Funding Agency and Grant Number
Corresponding Author María M Adeva-Andany, MD, PhD, Nephrology, Hospital Juan Cardona, Pardo Bazán, Ferrol 15406, Spain. madevaa@yahoo.com
Key Words Sodium-glucose cotransporter-2 inhibitors; Estimated glomerular filtration rate; Glomerular hyperfiltration; osmotic diuresis; Glucosuria; Skeletal muscle mass; Serum creatinine-based estimation of glomerular filtration rate; Kidney function overestimation
Core Tip Sodium-glucose cotransporter-2 (SGLT2) inhibitors increase long-term serum creatinine-based estimated glomerular filtration rate (GFR), but this effect may not represent a kidney protective effect. Subjects undergoing osmotic diuresis exhibit glomerular hyperfiltration. In patients receiving SGLT2 inhibitors, the elevated estimated GFR may reflect an adaptive response to osmotic diuresis rather than an improvement of kidney function. In addition, loss of skeletal muscle mass has been consistently associated with use of SGLT2 inhibitors. In patients with reduced muscle mass, serum creatinine-based estimation of GFR produces a deceptive increase of estimated GFR. In patients receiving SGLT2 inhibitors, increased estimated GFR may represent an overestimation of the factual kidney function rather than an actual improvement.
Publish Date 2025-12-23 08:03
Citation

Adeva-Andany MM. Beneficial effect of sodium-glucose cotransporter 2 inhibitors on kidney function can be just a mirage. World J Nephrol 2025; 14(4): 110990

URL https://www.wjgnet.com/2220-6124/full/v14/i4/110990.htm
DOI https://dx.doi.org/10.5527/wjn.v14.i4.110990
Full Article (PDF) WJN-14-110990-with-cover.pdf
Manuscript File 110990_Auto_Edited_092559.docx
Answering Reviewers 110990-answering-reviewers.pdf
Audio Core Tip 110990-audio.mp3
Conflict-of-Interest Disclosure Form 110990-conflict-of-interest-statement.pdf
Copyright License Agreement 110990-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 110990-non-native-speakers.pdf
Peer-review Report 110990-peer-reviews.pdf
Scientific Misconduct Check 110990-scientific-misconduct-check.png
Scientific Editor Work List 110990-scientific-editor-work-list.pdf
CrossCheck Report 110990-crosscheck-report.pdf