論文

国際誌
2021年6月

Amelioration of pancreatic fat accumulation in Japanese type 2 diabetes patients treated with sodium-glucose cotransporter 2 inhibitors: a retrospective study.

Obesity science & practice
  • Tomomi Horii
  • ,
  • Junji Kozawa
  • ,
  • Shingo Fujita
  • ,
  • Yoshiya Hosokawa
  • ,
  • Takekazu Kimura
  • ,
  • Yukari Fujita
  • ,
  • Ayumi Tokunaga
  • ,
  • Kenji Fukui
  • ,
  • Iichiro Shimomura

7
3
開始ページ
346
終了ページ
352
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1002/osp4.482

Background: Prior reports have suggested that pancreatic fat is related to type 2 diabetes. Sodium-glucose co-transporter-2 (SGLT-2) inhibitors are expected to reduce ectopic fat accumulation. Aim: This study assessed the effect of SGLT-2 inhibitors on pancreatic and liver fat accumulations in patients with type 2 diabetes. Materials and Methods: Retrospective analyses of indices of pancreatic and liver fat accumulations were conducted in 22 type 2 diabetes outpatients who were receiving SGLT-2 inhibitors for more than 12 weeks. The differences between the pancreatic (P) or liver (L) and splenic (S) computed tomography values were evaluated. Results: Fatty pancreas was defined as P-S < -8 Hounsfield Unit (HU), and the number of patients with fatty pancreas was 11 (50%). Fatty pancreas significantly improved after SGLT-2 inhibitor use (median, -20.8; IQR, -34.8 to -14.3 HU vs. median, -14.6; IQR, -29.5 to -7.8 HU; p = 0.041). Fatty liver was defined as L-S ≤ 3.9 HU, and the number of patients with fatty liver was 11 (50%). Fatty liver significantly improved after SGLT-2 inhibitor use (median, -4.3; IQR, -23.0 to 3.0 HU vs. median, -0.7; IQR, -5.2 to 6.3 HU; p = 0.016). Conclusion: Pancreatic fat and liver fat accumulations might be reduced after treatment with SGLT-2 inhibitors in type 2 diabetes patients with intense cumulative fat depositions in these organs.

リンク情報
DOI
https://doi.org/10.1002/osp4.482
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34123402
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170578
ID情報
  • DOI : 10.1002/osp4.482
  • PubMed ID : 34123402
  • PubMed Central 記事ID : PMC8170578

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