Considerations and possibilities for sodium-glucose cotransporter 2 inhibitors in pediatric CKD

Alexander J. Kula*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Sodium-glucose cotransporter 2 inhibitors (SGLT2is) were originally developed as glucose-lowering agents. These medications function by inhibiting glucose and sodium reabsorption in the S1 segment of the proximal tubule. Early clinical trials in adults with type 2 diabetes mellitus (T2DM) suggested a significant improvement in kidney and cardiovascular outcomes with SGLT2i therapy. Since then, SGLT2is have become a mainstay treatment for adult patients with CKD. A growing body of research has explored deploying these medications in new clinical contexts and investigated the mechanisms underlying their physiologic effects. However, patients under the age of 18 years have been largely excluded from all major trials of SGLT2i. This review aims to summarize the available clinical evidence, physiology, and mechanisms relating to SGLT2is to inform discussions about their implementation in pediatrics.

Original languageEnglish (US)
Pages (from-to)2267-2276
Number of pages10
JournalPediatric Nephrology
Issue number10
StatePublished - Oct 2022
Externally publishedYes


  • Mechanisms
  • Pediatric CKD
  • SGLT2 inhibitor

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health


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