Synthetic oleanane triterpenoids: magic bullets or not?

A recent clinical trial in patients with chronic kidney disease (CKD) and diabetic nephropathy demonstrated that bardoxolone methyl (CDDO-ME) increases estimated glomerular filtration rate (eGFR) by an unknown mechanism. The paper by Ding et al. suggests that short-term administration of a CDDO-ME a...

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Veröffentlicht in:Kidney international 2013-05, Vol.83 (5), p.785-787
1. Verfasser: Abboud, Hanna E.
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description A recent clinical trial in patients with chronic kidney disease (CKD) and diabetic nephropathy demonstrated that bardoxolone methyl (CDDO-ME) increases estimated glomerular filtration rate (eGFR) by an unknown mechanism. The paper by Ding et al. suggests that short-term administration of a CDDO-ME analog increases GFR by increasing glomerular surface area. However, changes in other renal hemodynamic parameters cannot be excluded. Vigorous testing of CDDO-ME and highly purified analogs is warranted to determine their physiology, pharmacology, and efficacy and to exclude serious side effects.
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subjects Angiotensin II - pharmacology
Animals
Cell Shape - drug effects
Glomerular Filtration Rate - drug effects
Humans
Male
Mesangial Cells - drug effects
Oleanolic Acid - analogs & derivatives
Oleanolic Acid - pharmacology
title Synthetic oleanane triterpenoids: magic bullets or not?
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