中国药物警戒 ›› 2025, Vol. 22 ›› Issue (7): 836-840.
DOI: 10.19803/j.1672-8629.20250082

• 综述 • 上一篇    

SGLT2i与恶性肿瘤相关性研究进展

高彩云1, 王博媛2, 高晓洁3,*   

  1. 1中国人民解放军总医院第九医学中心研究部,北京 100101;
    2中国人民解放军总医院第九医学中心重症医学科,北京 100101;
    3国家药品监督管理局药品评价中心,国家药品监督管理局药物警戒研究与评价重点实验室,北京 100076
  • 收稿日期:2025-02-13 出版日期:2025-07-15 发布日期:2025-07-17
  • 通讯作者: *高晓洁,女,助理研究员,公共卫生。E-mail: gaoxiaojie@cdr-adr.org.cn
  • 作者简介:高彩云,女,硕士,社会医学。

Research Progress in Correlations between SGLT2 Inhibitors and Malignant Tumors

GAO Caiyun1, WANG Boyuan2, GAO Xiaojie3,*   

  1. 1Research Department, the Ninth Medical Center of PLA General Hospital, Beijing 100101, China;
    2Department of Intensive Care Medicine, the Ninth Medical Center of PLA General Hospital, Beijing 100101, China;
    3Center for Drug Reevaluation, NMPA/NMPA Key Laboratory for Research and Evaluation of Pharmacovigilance, Beijing 100076, China
  • Received:2025-02-13 Online:2025-07-15 Published:2025-07-17

摘要: 目的 探讨钠-葡萄糖共转运蛋白2抑制剂(SGLT2i)与恶性肿瘤之间的关系,为肿瘤研究提供参考。方法 以我国高发癌症类型为目标病种,分析SGLT2i与肺癌、乳腺癌、甲状腺癌、结直肠癌和肝癌相关的最新临床研究和作用机制。结果 SGLT2i可显著降低非小细胞肺癌患者的全因死亡率,显著抑制乳腺癌MCF-7细胞生长,促进甲状腺癌、结直肠癌细胞凋亡,显著降低非酒精性脂肪性肝病和肝癌风险。结论 SGLT2i作为一种潜在抗癌疗法,当前标准化疗方案联合SGLT2i治疗癌症可能成为一种新的研究思路。但在不同癌症类型中的表达和特异性作用机制、不同亚型药物活性及其联合用药疗效和安全性尚需更多实验证据。

关键词: 钠-葡萄糖共转运蛋白2抑制剂, 肺癌, 乳腺癌, 甲状腺癌, 结直肠癌, 肝癌, 恶性肿瘤, 机制

Abstract: Objective To explore the correlations between SGLT2i as a new anti-tumor drug for regulating glucose uptake and malignant tumors in order to provide data for tumor research. Methods The latest research findings on the mechanism of SGLT2i in lung cancer, breast cancer, thyroid cancer, colorectal cancer and liver cancer were reviewed. Results SGLT2i could significantly reduce the all-cause mortality of NSCLC patients, effectively inhibit the growth of MCF-7 cells of breast cancer, promote apoptosis of thyroid cancer and colorectal cancer cells, and drastically reduce the risk of non-alcoholic fatty liver disease and liver cancer. Conclusion The combination of SGLT2i as a potential anti-cancer therapy with current standard chemotherapy may offer a new line of thought for research. However, the expressions and specific mechanism of action of SGLT2i in different cancers, the activity of drugs of different subtypes and the efficacy and safety of the combination of drugs require more experimental evidence.

Key words: SGLT2i, Lung Cancer, Breast Cancer, Thyroid Cancer, Colorectal Cancer, Liver Cancer, Malignant Tumor, Mechanism

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