Shensu IV maintains the integrity of the glomerular filtration barrier and exerts renal protective effects by regulating endogenous hydrogen sulfide levels DOI Creative Commons

Shuhui Zhou,

Liping Zheng, Tiantian Zheng

et al.

Frontiers in Pharmacology, Journal Year: 2024, Volume and Issue: 15

Published: Dec. 9, 2024

Nephrotic syndrome has a significant impact on global health, often leading to cardiovascular disease and high mortality due limited effective treatments. This study investigates the efficacy of Shensu IV in puromycin aminonucleoside (PAN)-induced rat model nephropathy.

Language: Английский

Role of Uremic Toxins, Oxidative Stress, and Renal Fibrosis in Chronic Kidney Disease DOI Creative Commons
Weronika Frąk, Bartłomiej Dąbek,

Marta Balcerczyk-Lis

et al.

Antioxidants, Journal Year: 2024, Volume and Issue: 13(6), P. 687 - 687

Published: June 3, 2024

Affecting millions of people worldwide, chronic kidney disease is a serious medical problem. It results in decrease glomerular filtration rate below 60 mL/min/1.73 m, albuminuria, abnormalities urine sediment and pathologies detected by imaging studies lasting minimum 3 months. Patients with CKD develop uremia, as result the accumulation uremic toxins body, patients can be expected to suffer from number consequences such progression renal fibrosis, development atherosclerosis or increased incidence cardiovascular events. Another key element pathogenesis oxidative stress, resulting an imbalance between production antioxidants reactive oxygen species. Oxidative stress contributes damage cellular proteins, lipids DNA increases inflammation, perpetuating dysfunction. Additionally, fibrogenesis involving fibrous tissue kidneys occurs. In our review, we also included examples forms therapy for CKD. To improve condition patients, pharmacotherapy used, described review. Among drugs that prognosis CKD, include: GLP-1 analogues, SGLT2 inhibitors, Finerenone monoclonal antibody—Canakinumab Sacubitril/Valsartan.

Language: Английский

Citations

11

The Association Between the Triglyceride–Glucose Index, Its Combination with the Body Roundness Index, and Chronic Kidney Disease in Patients with Type 2 Diabetes in Eastern China: A Preliminary Study DOI Open Access
Xiangyu Chen,

Xiaofu Du,

Feng Lü

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(3), P. 492 - 492

Published: Jan. 29, 2025

Objectives: This study aimed to investigate the relationship between triglyceride–glucose (TyG) index, its combination with body roundness index (BRI), and chronic kidney disease (CKD) in patients type 2 diabetes mellitus (T2DM) based on a cross-sectional analysis conducted Eastern China. Methods: The research originates from performed Zhejiang Province, China, March November 2018. TyG-BRI was calculated triglyceride, fasting blood glucose, BRI. correlation risk of CKD assessed using restricted cubic spline model. A multivariate logistic regression model used association CKD. Receiver operating characteristic (ROC) analyses evaluate optimal cut-off value for predicting Results: total 1756 T2DM participants were enrolled this study. significantly higher than those without In fully adjusted model, odds ratios second, third, fourth quartiles 0.93 (95% CI: 0.65–1.33), 1.33 0.94–1.88), 1.57 1.10–2.25), respectively, compared first quartile. RCS confirmed linear dose–response (all p nonlinearity > 0.05). ROC curve revealed that had moderate predictive CKD, an area under 0.626 0.597–0.656, < 0.001). 42.46, sensitivity 68.2% specificity 52.2%. Conclusions: positively associated population, demonstrating value. It may serve as valuable tool identifying high-risk individuals informing targeted interventions prevent or delay progression population.

Language: Английский

Citations

1

Effects of carnosine combined with Lactobacillus on the antioxidant capacity of liver and kidney in normal or stressed mice DOI
Qin Jian,

Yue Ma,

Conghui Wang

et al.

Food Bioscience, Journal Year: 2024, Volume and Issue: 59, P. 103904 - 103904

Published: March 14, 2024

Language: Английский

Citations

6

Targeting Diabetic Atherosclerosis: The Role of GLP-1 Receptor Agonists, SGLT2 Inhibitors, and Nonsteroidal Mineralocorticoid Receptor Antagonists in Vascular Protection and Disease Modulation DOI Creative Commons
Merita Rroji, Nereida Spahia, Andreja Figurek

et al.

Biomedicines, Journal Year: 2025, Volume and Issue: 13(3), P. 728 - 728

Published: March 17, 2025

Atherosclerosis is a closely related complication of diabetes mellitus (DM), driven by endothelial dysfunction, inflammation, and oxidative stress. The progression atherosclerosis accelerated hyperglycemia, insulin resistance, hyperlipidemia. Novel antidiabetic agents, SGLT2 inhibitors, GLP-1 agonists improve glycemic control offer cardiovascular protection, reducing the risk major adverse events (MACEs) heart failure hospitalization. These along with nonsteroidal mineralocorticoid receptor antagonists (nsMRAs), promise to mitigate metabolic disorders their impact on function, stress, inflammation. This review explores potential molecular mechanisms through which these drugs may prevent development disease (CVD), supported summary preclinical clinical evidence.

Language: Английский

Citations

0

Comparative efficacy and safety of SGLT2is and ns-MRAs in patients with diabetic kidney disease: a systematic review and network meta-analysis DOI Creative Commons
Siqi Yang, Xi Zhao, Jing Zhang

et al.

Frontiers in Endocrinology, Journal Year: 2024, Volume and Issue: 15

Published: July 4, 2024

Objectives To evaluate the efficacy and safety of non-steroid mineralocorticoid receptor antagonists (ns-MRAs) sodium-glucose cotransporter 2 inhibitors (SGLT2is) in patients with diabetic kidney disease (DKD). Methods Systematic literature searches were performed using PubMed, Embase Web Science encompassing inception until January 20, 2024. Randomized control trials (RCTs) comparing ns-MRAs SGLT2is DKD selected. The outcomes interest included kidney-specific composite outcome, cardiovascular (CV)-specific end-stage (ESKD), overall mortality. We also investigated outcomes, including acute injury (AKI) hyperkalemia. Results A total 10 randomized clinical 35,786 applying various treatments included. (SUCRA 99.84%) have potential superiority protection. (RR 1.41, 95%CI 1.26 to 1.57) 1.17, 95% CI 1.08 1.27) associated significantly lower outcome than placebo. Regarding reduction CV-specific ESKD, 91.61%; 91.38%) playing cardiorenal Concerning 1.27, 1.09 1.43) ESKD 1.43, 1.20 1.72), reduced risks compared mortality, 83.03%) postponing comparable effects placebo reduce risk mortality For AKI reduction, 63.58%) superiority. 1.24, 1.05 1.46) AKI. hyperkalemia 93.12%) nsMRAs 1.24 0.39 3.72) 1.01 0.40 3.02) did not show significant benefit Conclusion may be recommended as a treatment regimen for maximizing protection, minimal DKD. review registration https://www.crd.york.ac.uk/prospero/ , identifier CRD42023458613.

Language: Английский

Citations

3

Sanqi oral solution ameliorates renal fibrosis by suppressing fibroblast activation via HIF-1α/PKM2/glycolysis pathway in chronic kidney disease DOI Creative Commons

Dongmei Hu,

Lixin Wang,

Yuanyuan Zhang

et al.

Journal of Ethnopharmacology, Journal Year: 2024, Volume and Issue: 335, P. 118679 - 118679

Published: Aug. 8, 2024

Sanqi oral solution (SQ) is a traditional Chinese patent medicine, widely used to treat chronic kidney diseases (CKD) in the clinic China. Previous studies have confirmed its anti-renal fibrosis effect, but specific pharmacological mechanism still unclear.

Language: Английский

Citations

3

Decoding Kidney Pathophysiology: Omics-Driven Approaches in Precision Medicine DOI Open Access
Charlotte Delrue, Marijn M. Speeckaert

Journal of Personalized Medicine, Journal Year: 2024, Volume and Issue: 14(12), P. 1157 - 1157

Published: Dec. 19, 2024

Chronic kidney disease (CKD) is a major worldwide health concern because of its progressive nature and complex biology. Traditional diagnostic therapeutic approaches usually fail to account for heterogeneity, resulting in low efficacy. Precision medicine offers novel approach studying by combining omics technologies such as genomics, transcriptomics, proteomics, metabolomics, epigenomics. By identifying discrete subtypes, molecular biomarkers, targets, these pave the way personalized treatment approaches. Multi-omics integration has enhanced our understanding CKD revealing intricate linkages pathways that contribute resistance progression. While pharmacogenomics insights into expected responses treatments, single-cell spatial transcriptomics can be utilized investigate biological heterogeneity. Despite significant development, challenges persist, including data concerns, high costs, ethical quandaries. Standardized protocols, collaborative data-sharing frameworks, advanced computational tools machine learning causal inference models are required address challenges. With advancement technology, nephrology may benefit from improved accuracy, risk assessment, care. overcoming barriers, precision potential develop techniques improving patient outcomes treatment.

Language: Английский

Citations

2

Redox Imbalance and Mitochondrial Abnormalities in Kidney Disease—Volume II DOI Creative Commons

Tram N. Diep,

Haoxin Liu, Ying Wang

et al.

Biomolecules, Journal Year: 2024, Volume and Issue: 14(8), P. 973 - 973

Published: Aug. 9, 2024

The kidney performs fundamental functions by eliminating metabolic waste and reabsorbing essential nutrients electrolytes such as glucose, proteins, ions, anions [...].

Language: Английский

Citations

1

Chlorogenic acid alleviate kidney fibrosis through regulating TLR4/NF-қB mediated oxidative stress and inflammation DOI

Hao Jiao,

Meijuan Zhang, Wuqin Xu

et al.

Journal of Ethnopharmacology, Journal Year: 2024, Volume and Issue: 335, P. 118693 - 118693

Published: Aug. 12, 2024

Language: Английский

Citations

1

A novel role of ADAMTS16 in renal fibrosis through activating TGF-β/Smad signaling DOI

Juan Zhao,

Tongtong Tian,

Jing Huang

et al.

Cellular Signalling, Journal Year: 2024, Volume and Issue: 122, P. 111347 - 111347

Published: Aug. 13, 2024

Language: Английский

Citations

1