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June 2, 2022Kidney InternationalOpen Access

Molecular mechanisms and therapeutic targets for diabetic kidney disease

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Authors

KTKatherine R. TuttleProvidence Regional Medical Center EverettRARajiv AgarwalRutgers, The State University of New JerseyCharles E. AlpersCharles E. AlpersUniversity of Washington

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Implication

Review reveals inflammatory and fibrotic drivers of diabetic kidney disease, highlighting novel drug and dietary targets to reduce residual renal and cardiovascular risk.

Key Points

  • To review the molecular mechanisms initiating and driving diabetic kidney disease, focusing on inflammatory and fibrotic mediators as well as emerging therapeutic strategies.
  • Synthesized biomedical literature examining glucose metabolism disturbances and subsequent metabolic, hemodynamic, inflammatory, and fibrotic signaling cascades.
  • Evaluated emerging data from recent clinical trials investigating novel pharmacological therapies and dietary interventions for disease management.
  • Disturbances in glucose metabolism trigger secondary hemodynamic changes, persistent inflammation, and fibrotic tissue remodeling that drive progressive renal failure.
  • Inflammatory and fibrotic mediators constitute critical drivers of kidney disease progression that remain largely unaddressed by conventional standard-of-care treatments.
  • Recent clinical trial evidence demonstrates that emerging targeted pharmacological agents and dietary approaches show efficacy in mitigating progression and cardiovascular risk.

Cite This Study

Tuttle et al. (2022) studied this question.

synapsesocial.com/papers/6aa4ce0d4093a38aba2bca4chttps://doi.org/10.1016/j.kint.2022.05.012
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