論文

査読有り 国際誌
2021年1月

Relationship between basal sodium intake and the effects of dapagliflozin in albuminuric diabetic kidney disease

Scientific Reports
  • Sho Kinguchi
  • Hiromichi Wakui
  • Yuzuru Ito
  • Yoshinobu Kondo
  • Kengo Azushima
  • Uru Osada
  • Tadashi Yamakawa
  • Tamio Iwamoto
  • Jun Yutoh
  • Toshihiro Misumi
  • Gen Yasuda
  • Taishi Yoshii
  • Kotaro Haruhara
  • Yusuke Kobayashi
  • Takeharu Yamanaka
  • Yasuo Terauchi
  • Kouichi Tamura
  • 全て表示

11
1
開始ページ
951
終了ページ
951
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41598-020-79687-z
出版者・発行元
Springer Science and Business Media LLC

<title>Abstract</title>We investigated the impact of basal dietary sodium intake on the dapagliflozin-induced changes in albuminuria and blood pressure (BP) measured at home in patients with diabetic kidney disease (DKD).This was a secondary analysis of the Y-AIDA Study, in which DKD patients with estimated glomerular filtration rate (eGFR) ≥ 45 ml/min/1.73 m2 and urinary albumin-to-creatinine ratio (UACR) ≥ 30 mg/g creatinine were administered dapagliflozin for 24 weeks, and dapagliflozin significantly improved albuminuria levels and home BP profiles. The effects on UACR, home-measured BP, and eGFR were compared between high- and low-sodium intake groups (HS and LS groups), which were created using baseline urinary sodium-to-creatinine ratio of 84 participants with available basal sodium-to-creatinine ratios. At baseline, clinic-/home-measured BPs, UACR, and eGFR, were comparable in the two groups. After 24 weeks, the reductions from baseline in ln-UACR were comparable in the two groups. In contrast, the reductions in evening home systolic BP and eGFR from baseline were larger in HS than in LS (BP: − 13 ± 2.08 vs. − 6 ± 1.88, <italic>P</italic> = 0.020; eGFR: − 3.33 ± 1.32 vs. 0.37 ± 1.29, <italic>P</italic> = 0.049). The home BP-lowering effects of dapagliflozin are larger in HS than LS, concomitant with a larger reduction in eGFR, suggesting a dapagliflozin-induced improvement in glomerular relative hyperfiltration in HS.

リンク情報
DOI
https://doi.org/10.1038/s41598-020-79687-z
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33441623
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7806956
URL
http://www.nature.com/articles/s41598-020-79687-z.pdf
URL
http://www.nature.com/articles/s41598-020-79687-z
ID情報
  • DOI : 10.1038/s41598-020-79687-z
  • eISSN : 2045-2322
  • PubMed ID : 33441623
  • PubMed Central 記事ID : PMC7806956

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