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Given the reabsorption of renin by proximal tubule cells through megalin, and the broad expression of ACE within the kidney, allowing locally synthetized ANG II independent action, the interference of SGLT-2-i with intrarenal RAS could explain such results

[DOI] [PMC free article] [PubMed] [Google Scholar] 109

7 The direct effects on the central nervous system and the weight loss contribution to ICP reduction were a pleasant finding in a randomized, placebo-controlled, double-blind trial in which IIH patients in the exenatide group experienced a significant reduction in ICP both immediately and after 12 weeks of follow-up, along with nearly eight fewer headache days across the 12 weeks

However, because of limited efficacy this drug is no longer in clinical trials
One concern exists

181 This may indicate that diabetes exacerbates DA neuronal degeneration during the progression of PD, which may be mediated by neuroinflammation
