SGLT2 inhibitors enhance ketogenesis by acting as allosteric activators of the mitochondrial enzyme HMGCS2.

Abdualkader, Abdualrahman Mohammed; Li, Xiaobei; Yin, Yiming; Bai, Chenhao; Pourfarziani, Parisa; Guan, Jiaheng; Kwon, Sora; Kim, Kyoung-Han et al. · J Clin Invest · 2026

basic_science · Level V

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Abstract

SGLT2 inhibitors boost ketone production by directly activating a liver enzyme, revealing a new mechanism that may contribute to their heart and kidney benefits.

Medical subject headings