Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
Frontiers in Endocrinology,
Journal Year:
2025,
Volume and Issue:
16
Published: Jan. 27, 2025
Cardiovascular-kidney-metabolic
(CKM)
syndrome
is
a
systemic
clinical
condition
characterized
by
pathological
and
physiological
interactions
among
metabolic
abnormalities,
chronic
kidney
disease,
cardiovascular
diseases,
leading
to
multi-organ
dysfunction
higher
incidence
of
endpoints.
Traditional
approaches
managing
CKM
risk
are
inadequate
in
these
patients,
necessitating
strategies
targeting
specific
factors.
Increasing
evidence
suggests
that
addressing
uremic
toxins
and/or
pathways
induced
may
reduce
treat
the
disease.
This
review
explores
heart,
kidney,
context
underscores
significant
role
as
potential
therapeutic
targets
pathophysiology
diseases.
Strategies
aimed
at
regulating
offer
avenues
for
reversing
syndrome,
providing
new
insights
its
diagnosis
treatment.
Language: Английский
Mediterranean diet and diabetic microvascular complications: a systematic review and meta-analysis
Diar Zooravar,
No information about this author
Pedram Soltani,
No information about this author
Shiva Khezri
No information about this author
et al.
BMC Nutrition,
Journal Year:
2025,
Volume and Issue:
11(1)
Published: April 2, 2025
Diabetic
microvascular
complications,
including
diabetic
retinopathy
(DR),
nephropathy
(DN),
and
peripheral
neuropathy
(DPN),
contribute
significantly
to
morbidity
healthcare
burdens
among
individuals
with
diabetes.
The
Mediterranean
diet
(MD)
has
been
associated
improved
metabolic
health,
but
its
role
in
mitigating
complications
remains
unclear.
This
systematic
review
meta-analysis
aimed
assess
the
impact
of
MD
adherence
on
risk
progression
these
complications.
A
comprehensive
search
PubMed,
Web
Science,
Embase,
Scopus
was
conducted
through
February
12,
2025
identify
studies
evaluating
Meta-analysis
performed
where
possible,
effect
sizes
reported
as
odds
ratios
(ORs)
or
hazard
(HRs)
95%
confidence
intervals
(CIs).
Fourteen
studies,
encompassing
138
71,392
participants,
were
included.
indicated
a
significant
reduction
DR
adhering
(HR:
0.69,
CI:
0.49-0.97,
p
=
0.03;
OR:
0.32,
0.12-0.82,
0.02).
lower
likelihood
DN
development
observed
0.85,
0.73-0.99,
0.04;
0.49,
0.25-0.96,
0.04).
However,
results
for
inconclusive
due
study
heterogeneity.
Sensitivity
analyses
revealed
notable
heterogeneity
publication
bias
detected
some
analyses.
Adherence
is
reduced
retinopathy,
supporting
potential
dietary
intervention
diabetes
management.
evidence
inconclusive.
Future
well-controlled
randomized
trials
are
needed
strengthen
causal
inferences
refine
clinical
recommendations
MD-based
interventions
Language: Английский
Dietary therapy to halt the progression of diabetes to diabetic kidney disease
Food & Function,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Diabetic
Kidney
Disease
(DKD)
is
a
common
and
serious
complication
of
diabetes,
particularly
Type
2
Diabetes
Mellitus
(T2DM),
which
significantly
contributes
to
patient
morbidity
mortality.
The
limitations
traditional
treatments
like
ACE
inhibitors
ARBs
in
managing
DKD
progression
highlight
the
need
for
innovative
therapeutic
strategies.
This
review
examines
impact
various
dietary
patterns,
such
as
Mediterranean
diet,
ketogenic
intermittent
fasting,
DASH
vegetarian
on
management
DKD.
Evidence
suggests
these
diets
can
halt
DKD,
although
further
research
needed
confirm
their
long-term
effectiveness
safety.
Personalized
approaches
tailored
individual
needs
may
enhance
outcomes
patients.
Language: Английский
The relationship between dietary phytochemical index and novel anthropometric indices and the severity of diabetic foot ulcers in adults with type 2 diabetes: a cross-sectional study
BMC Endocrine Disorders,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Oct. 25, 2024
Research
on
the
relationship
between
dietary
phytochemical
intake
and
anthropometric
indices
as
well
diabetic
foot
ulcers
(DFUs)
remains
inconsistent.
We
aimed
to
investigate
associations
of
index
(DPI)
with
novel
severity
DFUs.
Language: Английский