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January 1, 2014Frontiers in PharmacologyOpen Access

Angiopoietin-like 4 based therapeutics for proteinuria and kidney disease

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Key result

Oral N-acetyl-D-mannosamine reduces proteinuria by over 40%, and intravenous recombinant mutated human Angptl4 reduces proteinuria by up to 65% in experimental models of glomerular disease.

Why the study?

Do Angptl4-based therapeutics (ManNAc or recombinant mutant Angptl4) reduce proteinuria in experimental models of glomerular disease?

Population

Experimental models of glomerular disease and human minimal change disease/nephrotic syndrome

Design

Review

Authors

SCSumant S. ChughCMCamille MacéLCLionel C. Clément

Discussion

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Overview

Hypothesis-generating for Angptl4-based agents in glomerular disease; prospective human trials needed before clinical adoption.

Structured PICO

Do Angptl4-based therapeutics (ManNAc or recombinant mutant Angptl4) reduce proteinuria in experimental models of glomerular disease?

P
Population
Experimental models of glomerular disease (Buffalo Mna rats, Zucker Diabetic Fatty rats) and human minimal change disease/nephrotic syndrome
I
Intervention
N-acetyl-D-mannosamine (ManNAc) or recombinant mutant human Angptl4
O
Outcome
Reduction in proteinuriasurrogate

Angptl4-based therapeutics, including ManNAc and recombinant mutant Angptl4, represent promising novel, mechanism-based treatments for reducing proteinuria in chronic kidney disease.

Limitations

  • Potential for developing an antibody response to mutated recombinant proteins in some patients that may limit long term usage

Cite This Study

Chugh et al. (2014) conducted a review in Proteinuria and kidney disease. Angiopoietin-like 4 based therapeutics (N-acetyl-D-mannosamine and recombinant Angptl4 mutants) was evaluated. Oral N-acetyl-D-mannosamine reduces proteinuria by over 40%, and intravenous recombinant mutated human Angptl4 reduces proteinuria by up to 65% in experimental models of glomerular disease.

synapsesocial.com/papers/6a7a4f261b9920df6d893fadhttps://doi.org/10.3389/fphar.2014.00023
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