Empagliflozin's Fuel Hypothesis: Not so Soon.

Lopaschuk, Gary D; Verma, Subodh · Cell Metab · 2016

editorial · Level V

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Abstract

The EMPA-REG OUTCOME trial (Zinman et al., 2015) established cardioprotective effects of empagliflozin in high-risk diabetic patients, but the underlying mechanisms remain elusive. A recent hypothesis proposed that increased ketone oxidation contributed to the effect, but several caveats indicate that the role of myocardial ketone oxidation is far from clear.

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