Putative pathophysiological role of growth factors and cytokines in experimental diabetic kidney disease

The development of diabetic nephropathy in patients with Type I (insulin-dependent) and Type II (non-insulin-dependent) diabetes mellitus is still a huge clinical problem associated with increased morbidity and mortality. The mechanisms underlying the development of diabetic kidney disease are extre...

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Veröffentlicht in:Diabetologia 2000-10, Vol.43 (10), p.1205-1223
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description The development of diabetic nephropathy in patients with Type I (insulin-dependent) and Type II (non-insulin-dependent) diabetes mellitus is still a huge clinical problem associated with increased morbidity and mortality. The mechanisms underlying the development of diabetic kidney disease are extremely complex and yet not completely understood. Among many potential pathogenic mechanisms responsible for the development of diabetic kidney disease, various growth factors have been suggested to be important players. In particular, growth hormone (GH)/insulin-like growth factors (IGFs), transforming growth factor beta (TGF-beta), vascular endothelial growth factor (VEGF) and epidermal growth factor (EGF) have measurable effects on the development of experimental diabetic kidney disease through complex intra-renal systems. Recent findings that these growth factors might initiate the early diabetic renal changes have provided insight into processes that might be relevant for future development of new drugs useful in the treatment of diabetic kidney disease. As will appear from the present review, enhanced understanding of the cellular mechanisms responsible for the development of diabetic kidney disease has already allowed the design of specific antagonists of pathophysiologically increased growth factors. Recent studies have shown that treating experimental diabetic models with such antagonists is followed by renoprotection.
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The mechanisms underlying the development of diabetic kidney disease are extremely complex and yet not completely understood. Among many potential pathogenic mechanisms responsible for the development of diabetic kidney disease, various growth factors have been suggested to be important players. In particular, growth hormone (GH)/insulin-like growth factors (IGFs), transforming growth factor beta (TGF-beta), vascular endothelial growth factor (VEGF) and epidermal growth factor (EGF) have measurable effects on the development of experimental diabetic kidney disease through complex intra-renal systems. Recent findings that these growth factors might initiate the early diabetic renal changes have provided insight into processes that might be relevant for future development of new drugs useful in the treatment of diabetic kidney disease. 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The mechanisms underlying the development of diabetic kidney disease are extremely complex and yet not completely understood. Among many potential pathogenic mechanisms responsible for the development of diabetic kidney disease, various growth factors have been suggested to be important players. In particular, growth hormone (GH)/insulin-like growth factors (IGFs), transforming growth factor beta (TGF-beta), vascular endothelial growth factor (VEGF) and epidermal growth factor (EGF) have measurable effects on the development of experimental diabetic kidney disease through complex intra-renal systems. Recent findings that these growth factors might initiate the early diabetic renal changes have provided insight into processes that might be relevant for future development of new drugs useful in the treatment of diabetic kidney disease. As will appear from the present review, enhanced understanding of the cellular mechanisms responsible for the development of diabetic kidney disease has already allowed the design of specific antagonists of pathophysiologically increased growth factors. Recent studies have shown that treating experimental diabetic models with such antagonists is followed by renoprotection.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11079738</pmid><doi>10.1007/s001250051515</doi><tpages>19</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Associated diseases and complications
Biological and medical sciences
Cytokines
Cytokines - physiology
Diabetes
Diabetes. Impaired glucose tolerance
Diabetic Nephropathies - physiopathology
Diabetic nephropathy
Endocrine pancreas. Apud cells (diseases)
Endocrinology
Endocrinopathies
Endothelial Growth Factors - physiology
Enzymes
Epidermal growth factor
Epidermal Growth Factor - physiology
Extracellular matrix
Growth Hormone - physiology
Growth hormones
Growth Substances - physiology
Humans
Insulin
Insulin-like growth factors
Kidney diseases
Kinases
Lymphokines - physiology
Medical research
Medical sciences
Metabolism
Pathogenesis
Proteins
Somatomedins - physiology
Transforming Growth Factor beta - physiology
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A
Vascular Endothelial Growth Factors
title Putative pathophysiological role of growth factors and cytokines in experimental diabetic kidney disease
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