Diabetic nephropathy: protective factors and a new therapeutic paradigm

Abstract Diabetic nephropathy (DN) is the most common cause of chronic kidney disease (CKD) and its number has been increasing. CKD is a worldwide threat to health but the precise mechanism of this problem is not fully appreciated. It is believed that hyperglycemia is one of the most important metab...

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Veröffentlicht in:Journal of diabetes and its complications 2013-09, Vol.27 (5), p.526-530
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container_title Journal of diabetes and its complications
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creator Mima, Akira
description Abstract Diabetic nephropathy (DN) is the most common cause of chronic kidney disease (CKD) and its number has been increasing. CKD is a worldwide threat to health but the precise mechanism of this problem is not fully appreciated. It is believed that hyperglycemia is one of the most important metabolic factors in the development of DN. Multiple molecular mechanisms have been proposed to mediate hyperglycemia’s adverse effects on kidney. To identify targets for therapeutic intervention, most studies have focused on understanding how abnormal levels of such metabolities cause DN. However, there have been few reports regarding endogenous renal protective factors. Thus, recognition of the importance of this could be providing a new perspective for understanding the development of DN and a new therapeutic paradigm to combat DN.
doi_str_mv 10.1016/j.jdiacomp.2013.03.003
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CKD is a worldwide threat to health but the precise mechanism of this problem is not fully appreciated. It is believed that hyperglycemia is one of the most important metabolic factors in the development of DN. Multiple molecular mechanisms have been proposed to mediate hyperglycemia’s adverse effects on kidney. To identify targets for therapeutic intervention, most studies have focused on understanding how abnormal levels of such metabolities cause DN. However, there have been few reports regarding endogenous renal protective factors. 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CKD is a worldwide threat to health but the precise mechanism of this problem is not fully appreciated. It is believed that hyperglycemia is one of the most important metabolic factors in the development of DN. Multiple molecular mechanisms have been proposed to mediate hyperglycemia’s adverse effects on kidney. To identify targets for therapeutic intervention, most studies have focused on understanding how abnormal levels of such metabolities cause DN. However, there have been few reports regarding endogenous renal protective factors. 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subjects Angiopoietins
Animals
Cytoprotection - drug effects
Cytoprotection - physiology
Diabetes
Diabetic Nephropathies - prevention & control
Diabetic Nephropathies - therapy
Diabetic nephropathy (DN)
Dipeptidyl peptidase-4 (DPP-4) inhibitors
Dipeptidyl-Peptidase IV Inhibitors - pharmacology
Dipeptidyl-Peptidase IV Inhibitors - therapeutic use
Endocrinology & Metabolism
Endostatin
Glucagon like peptide-1 (GLP-1)
Glucagon-Like Peptide 1 - physiology
Heme Oxygenase-1 - physiology
Humans
Hyperglycemia
Hypoglycemic Agents - therapeutic use
Insulin
Insulin - pharmacology
Insulin - therapeutic use
Insulin receptor substrate 1 (IRS1)
Insulin resistance
Kidney - drug effects
Kidney - physiology
Kinases
Muscular system
Protein kinase C (PKC)
Src homology-2 domain containing phosphatase-1 (SHP-1)
Tumstatin
Vascular endothelial growth factor (VEGF)
Vascular Endothelial Growth Factor A - physiology
title Diabetic nephropathy: protective factors and a new therapeutic paradigm
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