SID/SIEDP expert consensus on optimizing clinical strategies for early detection and management of wolfram syndrome DOI Creative Commons
Giulio Frontino, Maurizio Delvecchio, Sabrina Prudente

и другие.

Journal of Endocrinological Investigation, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 11, 2024

Wolfram Syndrome (WFS) is a rare, multisystemic, degenerative disease leading to premature death. Clinical and genetic heterogeneity makes WFS diagnosis management challenging. The Italian Society of Diabetes (SID) the for Pediatric Endocrinology Diabetology (SIEDP) convened an expert panel professional healthcare practitioners provide up-to-date knowledge about pathophysiology, clinical presentation treatment WFS, recommendations earlydetection optimal management. consensus recommends revision diagnostic protocols include testing comprehensive multidisciplinary evaluations ensure accurate advocates personalized plans tailored unique needs each patient, with emphasis on exploring new potential drug therapies. A holistic care model that addresses medical, psychological, social challenges faced by patients their families strongly endorsed. opinion underscores importance educating professionals enhance early intervention, aiming improve outcomes through practical evidence-based strategies.

Язык: Английский

GIP/GLP-1 DUAL AGONIST TIRZEPATIDE AMELIORATES RENAL ISCHEMIA/REPERFUSION DAMAGE IN RATS DOI Open Access

Ghada A. Alkhafaji,

Ali M. Janabi

International Journal of Applied Pharmaceutics, Год журнала: 2025, Номер unknown, С. 165 - 173

Опубликована: Март 7, 2025

Objective: Renal Ischemia/Reperfusion Injury (RIRI) initiates a cascade of deleterious events resulting in acute kidney injury with high mortality rates. Tirzepatide has anti-inflammatory, anti-apoptotic and antioxidant as well activation both autophagy Protein Kinase B (PKB or Akt) signaling pathway. This study examines the potential nephroprotective effect tirzepatide against RIRI rats. Methods: Twenty-eight male rats (Sprague Dawley) were split into four groups: sham, (IRI), Distilled Water (D. W) tirzepatide. The Sham group underwent identical procedures without bilateral renal pedicle clamping, whereas IRI was exposed to 30 min ischemia followed by 24 h reperfusion. vehicle received distilled water intraperitoneally 2 before ischemia, 3 mg/kg ischemia. Study parameters including urea, creatinine, Kidney Molecule-1 (KIM-1), interleukin-6 (IL-6), caspase-3, Akt, autophagic protein microtubule-associated 1 light chain 3-B (LC3-B) glutathione (GSH), histopathological changes examined. Results: resulted significant elevation serum creatinine levels KIM-1, IL-6, LC3-B while concurrently reduction GSH level. treatment diminished severity damage alleviating inflammatory apoptotic markers, augmenting activity improving consequences. Conclusion: elucidates effects RIRI, via its antioxidant, antiapoptotic properties Akt

Язык: Английский

Процитировано

0

SID/SIEDP expert consensus on optimizing clinical strategies for early detection and management of wolfram syndrome DOI Creative Commons
Giulio Frontino, Maurizio Delvecchio, Sabrina Prudente

и другие.

Journal of Endocrinological Investigation, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 11, 2024

Wolfram Syndrome (WFS) is a rare, multisystemic, degenerative disease leading to premature death. Clinical and genetic heterogeneity makes WFS diagnosis management challenging. The Italian Society of Diabetes (SID) the for Pediatric Endocrinology Diabetology (SIEDP) convened an expert panel professional healthcare practitioners provide up-to-date knowledge about pathophysiology, clinical presentation treatment WFS, recommendations earlydetection optimal management. consensus recommends revision diagnostic protocols include testing comprehensive multidisciplinary evaluations ensure accurate advocates personalized plans tailored unique needs each patient, with emphasis on exploring new potential drug therapies. A holistic care model that addresses medical, psychological, social challenges faced by patients their families strongly endorsed. opinion underscores importance educating professionals enhance early intervention, aiming improve outcomes through practical evidence-based strategies.

Язык: Английский

Процитировано

1