{ "labelLang" : "hun", "responseDate" : "2024-03-28 23:23", "content" : { "otype" : "JournalArticle", "mtid" : 31344870, "status" : "VALIDATED", "published" : true, "comment" : "Funding Agency and Grant Number: Jichi Medical University Young Investigator Awards; Japan Agency for Medical Research and Development (AMED)Japan Agency for Medical Research and Development (AMED); [15K21321]\n Funding text: This study was supported in part by Grant-in-Aid for Young Scientists 15K21321 (to T.M), Jichi Medical University Young Investigator Awards (to T.M. and K.O.) and a Grant-in-Aid for Research on Advanced Chronic Kidney Disease, Practical Research Project for Renal Diseases from the Japan Agency for Medical Research and Development (AMED to D.N.).\nDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan \n Department of Internal Medicine, Nasu Minami Hospital, Nasukarasuyama, Tochigi, Japan \n Export Date: 22 June 2020 \n Correspondence Address: Masuda, T.; Division of Nephrology, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Japan; email: takamasu35@gmail.com \n Chemicals/CAS: brain natriuretic peptide, 114471-18-0; dapagliflozin, 461432-26-8; furosemide, 54-31-9; tolvaptan, 150683-30-0\nFunding Agency and Grant Number: Jichi Medical University Young Investigator Awards; Japan Agency for Medical Research and Development (AMED)Japan Agency for Medical Research and Development (AMED); [15K21321]; Grants-in-Aid for Scientific ResearchMinistry of Education, Culture, Sports, Science and Technology, Japan (MEXT)Japan Society for the Promotion of ScienceGrants-in-Aid for Scientific Research (KAKENHI) [15K21321] Funding Source: KAKEN\n Funding text: This study was supported in part by Grant-in-Aid for Young Scientists 15K21321 (to T.M), Jichi Medical University Young Investigator Awards (to T.M. and K.O.) and a Grant-in-Aid for Research on Advanced Chronic Kidney Disease, Practical Research Project for Renal Diseases from the Japan Agency for Medical Research and Development (AMED to D.N.).\nDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan \n Department of Internal Medicine, Nasu Minami Hospital, Nasukarasuyama, Tochigi, Japan \n Cited By :5 \n Export Date: 9 July 2021 \n Correspondence Address: Masuda, T.; Division of Nephrology, 3311-1 Yakushiji, Japan; email: takamasu35@gmail.com \n Chemicals/CAS: brain natriuretic peptide, 114471-18-0; dapagliflozin, 461432-26-8; furosemide, 54-31-9; tolvaptan, 150683-30-0", "unhandledTickets" : 0, "deleted" : false, "lastRefresh" : "2022-05-23T06:50:41.748+0000", "lastModified" : "2020-09-16T06:40:38.212+0000", "created" : "2020-06-15T06:55:00.102+0000", "creator" : { "otype" : "Author", "mtid" : 10003400, "link" : "/api/author/10003400", "label" : "Lengyel Csaba Attila (diabetológia, belgyógyászat)", "familyName" : 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"FOREIGN", "hungarian" : false, "published" : true, "oldId" : 10022939, "snippet" : true }, "volume" : "12", "issue" : "1", "internalId" : "37", "firstPageOrInternalIdForSort" : "37", "pageLength" : 9, "publishedYear" : 2020, "abstractText" : "Background Sodium-glucose cotransporter 2 (SGLT2) inhibitors are an antihyperglycemic drug with diuretic action. We recently reported that the SGLT2 inhibitor dapagliflozin ameliorates extracellular volume expansion with a mild increase in urine volume. However, the impact of the pretreatment extracellular volume status on the body fluid response to SGLT2 inhibitors remains unclear. Methods Thirty-six diabetic kidney disease (DKD) patients were treated with dapagliflozin. The body fluid volume, including intracellular water (ICW), extracellular water (ECW) and total body water (TBW), were measured on baseline and day 7 using a bioimpedance analysis (BIA) device. The ECW/TBW and ECW were used as markers of the extracellular volume status. For a comparison, the extracellular volume status responses to loop diuretic furosemide (n = 16) and vasopressin V2 receptor antagonist tolvaptan (n = 13) were analyzed. Results The body weight, brain natriuretic peptide and body fluid parameters measured by a BIA (ICW, ECW, TBW, and ECW/TBW) were significantly decreased for 1 week after dapagliflozin administration. The change in the ECW/TBW in the high-ECW/TBW group (over the median value of 0.413) was significantly higher than in the low-ECW/TBW group (- 2.1 +/- 0.4 vs. - 0.5 +/- 0.4%, p = 0.006). Only with dapagliflozin treatment (not furosemide or tolvaptan treatment) was the baseline ECW/TBW significantly correlated with the changes in the ECW/TBW (r = - 0.590, p < 0.001) and ECW (r = - 0.374, p = 0.025). Conclusions The pretreatment extracellular volume status predicts the body fluid response to the SGLT2 inhibitor dapagliflozin in DKD patients. 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