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From FLOW to translational positioning in chronic kidney disease: mechanistic complementarity of SGLT2 inhibitors and GLP-1 receptor agonists.

Tian X, Ma X, Song E, et al. Translational research : the journal of laboratory and clinical medicine. 2026.
SupportedReviewMentions: Semaglutide

Editor's note

A translational review positioning GLP-1 receptor agonists and SGLT2 inhibitors as mechanistically complementary in chronic kidney disease, anchored on the FLOW trial's kidney-outcome data for semaglutide. The piece is conceptual, synthesizing mechanism rather than reporting new data, and it flags as unresolved whether semaglutide's renal benefit extends to the whole GLP-1 class. Useful for readers interested in the biological rationale behind combination strategies.

Plain-language abstract

This review discusses how GLP-1 receptor agonists and SGLT2 inhibitors may complement each other in chronic kidney disease, citing the FLOW trial's kidney-outcome evidence for semaglutide. It frames the two drug classes as working through different but converging biological pathways.