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14 "Diabetic nephropathies"
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Original Article
Diabetes, obesity and metabolism
Reduced Sphingosine-1-Phosphate Levels Exacerbate Type 2 Diabetes Mellitus and Associated Complications in a High-Fat Diet Mouse Model
Shih-Chang Hsu, Ching-Lu Chen, Chung Te Liu, Hung-Chieh Lo, Ying-Kuo Liu, Pei-Song Gao, Shau-Ku Huang, Chin-Wang Hsu
Endocrinol Metab. 2026;41(1):108-120.   Published online August 5, 2025
DOI: https://doi.org/10.3803/EnM.2025.2360
  • 4,261 View
  • 111 Download
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Type 2 diabetes mellitus (T2DM) is increasingly prevalent and frequently associated with obesity, insulin resistance, nonalcoholic fatty liver disease, and chronic kidney disease. Emerging evidence suggests sphingosine-1-phosphate (S1P), a bioactive sphingolipid, plays a significant role in the pathogenesis of T2DM. This study aimed to investigate how reduced S1P levels impact T2DM development.
Methods
S1P lyase knock-in (S1PLC317A KI) mice, characterized by reduced S1P levels due to impaired S1P degradation, were compared with wild-type (WT) mice. Both groups were fed a high-fat diet (HFD) to induce T2DM. Parameters including body weight, insulin resistance, blood glucose levels, hepatic fat accumulation, and kidney pathology were evaluated. Next-generation sequencing was employed to identify differentially expressed genes.
Results
S1PLC317A KI mice exhibited greater body weight, more pronounced insulin resistance, and higher blood glucose levels compared to WT mice on an HFD. Increased hepatic fat deposition and worsened diabetic kidney disease were also observed in KI mice. Sequencing analysis identified 4,656 differentially expressed genes, notably enriched in mitochondrial and bioenergetic pathways, including 133 diabetes-related genes.
Conclusion
Reduced S1P levels exacerbate T2DM symptoms, indicating that therapeutic targeting of S1P pathways may offer promising strategies for treating T2DM and its related complications.
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Brief Report
Diabetes, obesity and metabolism
Causal Associations of Cardiovascular Proteins and Diabetic Nephropathy Revealed by Mediation and Phenome-Wide Mendelian Randomization
Lei Chen, Yongdi Zuo, Manrong He, Jingxue Du, Wanxin Tang
Endocrinol Metab. 2025;40(5):781-786.   Published online May 19, 2025
DOI: https://doi.org/10.3803/EnM.2024.2207
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  • 49 Download
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Cardiovascular factors play a critical role in the progression of diabetic nephropathy (DN). This study utilized Mendelian randomization analysis to explore the causal relationships among cardiovascular proteins, risk factors, and DN. Using cis-protein quantitative trait loci (cis-pQTL) data for 90 cardiovascular proteins, we identified C-X3-C motif chemokine ligand 1 (CX3CL1) and colony-stimulating factor-1 (CSF-1) as potential therapeutic targets for DN. CX3CL1 was found to increase DN risk through mechanisms involving body mass index, fasting insulin, and hypertension. Conversely, CSF-1 appeared to protect against DN by reducing the number of monocytes expressing high levels of human leukocyte antigen. Additionally, targeting CX3CL1 could lower the risk of DN as well as other conditions, including acute renal injury, pituitary disorders, and necrotizing vasculopathies. These results highlight CX3CL1 and CSF-1 as promising novel therapeutic targets for DN.
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Review Articles
Diabetes, Obesity and Metabolism
Renal Protection of Mineralocorticoid Receptor Antagonist, Finerenone, in Diabetic Kidney Disease
Dong-Lim Kim, Seung-Eun Lee, Nan Hee Kim
Endocrinol Metab. 2023;38(1):43-55.   Published online February 27, 2023
DOI: https://doi.org/10.3803/EnM.2022.1629
  • 26,259 View
  • 1,471 Download
  • 41 Web of Science
  • 44 Crossref
AbstractAbstract PDFPubReader   ePub   
Chronic kidney disease (CKD) is the most common cause of end-stage renal disease in patients with type 2 diabetes mellitus (T2DM). CKD increases the risk of cardiovascular diseases; therefore, its prevention and treatment are important. The prevention of diabetic kidney disease (DKD) can be achieved through intensive glycemic control and blood pressure management. Additionally, DKD treatment aims to reduce albuminuria and improve kidney function. In patients with T2DM, renin-angiotensin-aldosterone system inhibitors, sodium glucose cotransporter 2 inhibitors, and glucagon-like peptide-1 receptor agonists can delay the progression of DKD. Hence, there is a need for novel treatments that can effectively suppress DKD progression. Finerenone is a first-in-class nonsteroidal mineralocorticoid receptor antagonist with clinically proven efficacy in improving albuminuria, estimated glomerular filtration rate, and risk of cardiovascular events in early and advanced DKD. Therefore, finerenone is a promising treatment option to delay DKD progression. This article reviews the mechanism of renal effects and major clinical outcomes of finerenone in DKD.

Citations

Citations to this article as recorded by  
  • Meta-analysis of the efficacy and safety of Finerenone in diabetic kidney disease
    Kai Chen, Wei Shao, Huaxiong Zhang
    Medicine.2026; 105(4): e47098.     CrossRef
  • Efficacy and Safety of Finerenone in Patients with Idiopathic Membranous Nephropathy: A Multicentre, Prospective-Retrospective Real-World Study
    Jia-Yi Li, Yu-Lin Zhu, Jian-Peng Zhang, Jia-Mei Lu, Xiao-Yong Yu, Jing E, Yang Wei, Dan-Na Ma, Akhmedova Nilufar Sharipovna, Jason Choo, Chieh Suai Tan, Min Qi, Yan Li, Xiao-tao Ma, Zhe Kang, Zhao Chen, Xiang-hui Chen, Rong-Guo Fu
    American Journal of Nephrology.2026; : 1.     CrossRef
  • Finrenone and sodium-glucose cotransporter 2 inhibitor polypill: how “CONFIDENT” are we?
    Gerry George Mathew
    Kidney Research and Clinical Practice.2026; 45(2): 286.     CrossRef
  • Effect of finerenone on renal function in patients with type 2 diabetic nephropathy: a retrospective cohort study
    Xu-Ying Liu, Ya-Min Zhao, Ya-Guang Zhang, Yi Liu, Bo-Ya Wang, Zhen-Zhen Hao, Man-Hui Hu
    Frontiers in Endocrinology.2026;[Epub]     CrossRef
  • Kidney and Cardiovascular Protection in Diabetes: Beyond Diabetes Typology
    Amy K. Mottl, Deirdre L. Sawinski, Petter Bjornstad
    American Journal of Kidney Diseases.2026; 87(5): 730.     CrossRef
  • Mineralocorticoid receptor antagonists: Efficacy and safety in chronic kidney disease
    Amy K. Mottl, Kamlesh Khunti, Chantal Mathieu
    Diabetes, Obesity and Metabolism.2026; 28(5): 3568.     CrossRef
  • Cardiovascular risk in primary aldosteronism: inflammatory drivers, residual risk, and emerging combination strategies
    Haoze Liu, Zejun Wu, Xinzhe Liu, Yuyuan Hu, Kaixuan Zhang, Jiwen Shang
    Frontiers in Endocrinology.2026;[Epub]     CrossRef
  • Kidney Effects of Finerenone Added to Sodium‐Glucose Cotransporter 2 Inhibitors in Patients With Diabetic Kidney Disease
    Qing Yang, Lijun Zhao, Jing Ma, Shuming Ji, Duolao Wang, Jing Li, Sheyu Li, Fang Liu
    Diabetes, Obesity and Metabolism.2026; 28(7): 6225.     CrossRef
  • Finerenone: features of action, current evidence base and examples of clinical application
    A. D. Erlikh, E. V. Bublik, A. V. Zilov, O. S. Lebedeva, A. G. Farmanov, D. Y. Shchekochikhin
    Diabetes mellitus.2026; 29(2): 215.     CrossRef
  • Finerenone exposure and ischaemic stroke in patients with type 2 diabetes and chronic kidney disease: A propensity score-matched cohort study
    Wu-Lung Chuang, Ruey-Hwang Chou, Yuan-Hung Wang, I-Ju Tsai, Cheng-Li Lin, Der-Yang Cho, Kuang-Hsi Chang
    Clinical Medicine.2026; 26(5): 100617.     CrossRef
  • Hyperkalemia risk with finerenone in diabetic kidney disease: a real-world analysis from the FINE-TURK cohort
    Murat Özdede, Serap Yadigar, Alper Tuna Güven, Suat Akgür, Felemez Arslan, Mehmet Sezen, Büşra Özcan, Elif Yıldırım Ayaz, Betül Doğantekin, İlker Atay, Serpil Müge Değer, Mustafa Demir, Sümeyra Koyuncu, Üstün Yılmaz, Ayça İnci, Hülya Çolak, Bülent Demirel
    Clinical Kidney Journal.2026;[Epub]     CrossRef
  • Efficacy and safety of finerenone in adults with IgA nephropathy: a 12-month real-world study
    Juan Pei, Xuejuan Sun, Xiuhua Xu, Peijin Bai, Ruihong Huang, Jun Zhang, Xing Chen, Lijing Yao, Leping Shao, Yinan Li
    Renal Failure.2026;[Epub]     CrossRef
  • Omics Studies in CKD: Diagnostic Opportunities and Therapeutic Potential
    Merita Rroji, Goce Spasovski
    PROTEOMICS.2025;[Epub]     CrossRef
  • Finerenona no Tratamento da Nefropatia Diabética: Perspectivas Atuais e Evidências Clínicas
    Rosana Maciel Schmidt, Luis Alberto Batista Peres, Alfredo Casagrande Laude
    Cuadernos de Educación y Desarrollo.2025; 17(3): e7760.     CrossRef
  • Role and application prospective of non-steroidal MRA in the treatment of diabetic kidney disease
    Yu Sun, Mingzhu Wang
    International Urology and Nephrology.2025; 57(8): 2567.     CrossRef
  • Distinct Roles of Common Genetic Variants and Their Contributions to Diabetes: MODY and Uncontrolled T2DM
    Shadi Bazzazzadehgan, Zia Shariat-Madar, Fakhri Mahdi
    Biomolecules.2025; 15(3): 414.     CrossRef
  • Renal function trajectories of Japanese adults with diabetic kidney disease on different diet therapies including energy-restricted and low-carbohydrate diets: a retrospective cohort study
    Tomomi Shirai, Sakiko Inaba, Miyu Maemura, Maki Saho, Miyu Sato, Mariko Sanada, Yoko Tsukamoto, Gaku Inoue, Taichi Nagahisa, Shinichi Tanaka, Hajime Tanaka, Hideaki Kurata, Takeshi Katsuki, Toshihide Kawai, Satoru Yamada
    Diabetology International.2025; 16(3): 493.     CrossRef
  • Immune-mediated renal injury in diabetic kidney disease: from mechanisms to therapy
    Lingli Ma, Dianyuan Liu, Yue Yu, Zimeng Li, Qing Wang
    Frontiers in Immunology.2025;[Epub]     CrossRef
  • Finerenone’s safety and efficacy in membranous nephropathy: an emerging perspective
    Aqsa Afzal, Ayesha Fatima, Ayesha Abdul Razzaq
    International Urology and Nephrology.2025; 57(10): 3479.     CrossRef
  • A Novel Therapy of Finerenone and Dapagliflozin for Lipoprotein Glomerulopathy
    Haowen Lin, Yuhe Yin, Jianchao Ma, Shuangxin Liu
    Kidney International Reports.2025; 10(10): 3696.     CrossRef
  • Intensive glycemic control and kidney disease risk: insights on hierarchical composite endpoint from a randomized clinical trial
    Zhaojie Song, Haibao Xu, Jiaheng Zhang, Yezhou Liu, Chao Li, Tao Chen, Sujuan Guo, Ni Zhu
    Frontiers in Medicine.2025;[Epub]     CrossRef
  • Role of nuclear receptors, lipid metabolism, and mitochondrial function in the pathogenesis of diabetic kidney disease
    Eleni Hughes, Xiaoxin X. Wang, Lily Sabol, Keely Barton, Sujit Hegde, Komuraiah Myakala, Ewa Krawczyk, Avi Rosenberg, Moshe Levi
    American Journal of Physiology-Renal Physiology.2025; 329(4): F510.     CrossRef
  • Tubular Injury in Diabetic Kidney Disease: Early Diagnosis and Intervention Strategies
    Yi Lv, Chen Ye, Zixi Li, Jiajia Ye, Huanhuan Cao, Chun Zhang, Huajun Jiang, Yumei Wang
    Diabetes/Metabolism Research and Reviews.2025;[Epub]     CrossRef
  • Nephroprotective activity of naringenin in gentamicin-induced nephrotoxicity in male Wistar rats: In-vivo and in-silico evaluation
    William Bwambale, Victor Otu Oka, Ekom Monday Etukudo, Daniel Udofia Owu, Etah Etah Nkanu, Idara Asuquo Okon, Saali Dembe Emmanuel, Umar Uthman Shehu, Ntoni Wilber, Allan Kambere, Richard Arinaitwe, Venesio Bwambale
    Pharmacological Research - Natural Products.2025; 9: 100406.     CrossRef
  • The nonsteroidal MR antagonist finerenone reverses Western diet-induced kidney disease by regulating mitochondrial and lipid metabolism and inflammation
    Komuraiah Myakala, Xiaoxin X. Wang, Nataliia Shults, Eleni P. Hughes, Patricia de Carvalho Ribeiro, Rozhin Penjweini, Katie Link, Keely Barton, Ewa Krawczyk, Cheryl Clarkson Paredes, Anastas Popratiloff, Jay R. Knutson, Ashley L. Cowart, Moshe Levi
    American Journal of Physiology-Renal Physiology.2025; 329(5): F724.     CrossRef
  • Comparison of three types of drugs for cardiovascular and renal benefits in type 2 diabetes mellitus
    Xue-Dong An, Xin-Qin Li, He Zhang, Qian-You Jia, Yue-Hong Zhang, Gui-Gui Yang
    World Journal of Diabetes.2025;[Epub]     CrossRef
  • Neue Antihypertensiva im Renin-Angiotensin-Aldosteron-System
    Markus van der Giet
    CardioVasc.2024; 24(1): 33.     CrossRef
  • Chicoric acid advanced PAQR3 ubiquitination to ameliorate ferroptosis in diabetes nephropathy through the relieving of the interaction between PAQR3 and P110α pathway
    Weiwei Zhang, Yong Liu, Jiajun Zhou, Teng Qiu, Haitang Xie, Zhichen Pu
    Clinical and Experimental Hypertension.2024;[Epub]     CrossRef
  • Endothelial CXCR2 deficiency attenuates renal inflammation and glycocalyx shedding through NF-κB signaling in diabetic kidney disease
    Siyuan Cui, Xin Chen, Jiayu Li, Wei Wang, Deqi Meng, Shenglong Zhu, Shiwei Shen
    Cell Communication and Signaling.2024;[Epub]     CrossRef
  • Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection
    Alessio Mazzieri, Francesca Porcellati, Francesca Timio, Gianpaolo Reboldi
    International Journal of Molecular Sciences.2024; 25(7): 3969.     CrossRef
  • Rediscovery of the Implication of Albuminuria in Heart Failure: Emerging Classic Index for Cardiorenal Interaction
    Kyung-Duk Min, Yuki Matsumoto, Masanori Asakura, Masaharu Ishihara
    ESC Heart Failure.2024; 11(6): 3470.     CrossRef
  • Decoding the role of aldosterone in glycation-induced diabetic complications
    Mayura Apte, Saee Zambre, Pratiksha Pisar, Bishnudeo Roy, Rashmi Tupe
    Biochemical and Biophysical Research Communications.2024; 721: 150107.     CrossRef
  • Exploring the potential of finerenone in non-diabetic chronic kidney disease: a promising frontier
    Ayesha Maryam, Muhammad Salman Nadeem, Ayesha Fatima, Kashaf Noor Asmat
    International Urology and Nephrology.2024; 57(1): 295.     CrossRef
  • A new perspective on proteinuria and drug therapy for diabetic kidney disease
    Ruimin Zhang, Qian Wang, Yaqing Li, Qihu Li, Xuefeng Zhou, Xiangmei Chen, Zheyi Dong
    Frontiers in Pharmacology.2024;[Epub]     CrossRef
  • Molecular Therapeutics for Diabetic Kidney Disease: An Update
    Man Guo, Fangfang He, Chun Zhang
    International Journal of Molecular Sciences.2024; 25(18): 10051.     CrossRef
  • Pharmacokinetic and Pharmacodynamic Interaction of Finerenone with Diltiazem, Fluconazole, and Ritonavir in Rats
    Tham Thi Bui, So-Hyeon Kim, Woojin Jung, Sung-yoon Yang, Quyen Thi Tran, Hyunjung Lee, Seongwon Park, Lien Thi Ngo, Hwi-yeol Yun, Jung-woo CHAE
    European Journal of Drug Metabolism and Pharmacokinetics.2024; 49(6): 701.     CrossRef
  • A comprehensive review of finerenone—a third-generation non-steroidal mineralocorticoid receptor antagonist
    Shuhui Zhai, Baisheng Ma, Weiwei Chen, Qini Zhao
    Frontiers in Cardiovascular Medicine.2024;[Epub]     CrossRef
  • Exercise as a therapeutic approach to alleviate diabetic kidney disease: mechanisms, clinical evidence and potential exercise prescriptions
    Rao Fan, Jianda Kong, Jiahao Zhang, Lei Zhu
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Aldosterone Synthase Inhibitors for Cardiorenal Protection: Ready for Prime Time?
    Alessio Mazzieri, Francesca Timio, Francesco Patera, Francesco Trepiccione, Mario Bonomini, Gianpaolo Reboldi
    Kidney and Blood Pressure Research.2024; 49(1): 1041.     CrossRef
  • Finerenone: a breakthrough mineralocorticoid receptor antagonist for heart failure, diabetes and chronic kidney disease
    Akshyaya Pradhan, Umesh Chandra Tripathi
    The Egyptian Heart Journal.2024;[Epub]     CrossRef
  • The Impact of Finerenone on Changes in Pulse Wave Velocity, Arterial Pressure and Heart Related Deaths in Hemodialysis Patients—Study Perspective
    Ljiljana Fodor Duric, Bozidar Vujicic, Tonko Gulin, Matko Gulin
    Open Journal of Nephrology.2024; 14(02): 216.     CrossRef
  • Epigenetic modification in diabetic kidney disease
    Zhe Liu, Jiahui Liu, Wanning Wang, Xingna An, Ling Luo, Dehai Yu, Weixia Sun
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
  • Novel Approaches in Chronic Renal Failure without Renal Replacement Therapy: A Review
    Sandra Martínez-Hernández, Martín Muñoz-Ortega, Manuel Ávila-Blanco, Mariana Medina-Pizaño, Javier Ventura-Juárez
    Biomedicines.2023; 11(10): 2828.     CrossRef
  • Finerenone and other future therapeutic options for Alport syndrome
    Helen Pearce, Holly Mabillard
    Journal of Rare Diseases.2023;[Epub]     CrossRef
Close layer
Diabetes, Obesity and Metabolism
Extra-Glycemic Effects of Anti-Diabetic Medications: Two Birds with One Stone?
Eun-Jung Rhee
Endocrinol Metab. 2022;37(3):415-429.   Published online June 29, 2022
DOI: https://doi.org/10.3803/EnM.2022.304
  • 11,395 View
  • 359 Download
  • 5 Web of Science
  • 5 Crossref
AbstractAbstract PDFPubReader   ePub   
The world is suffering from a rapid increase in the number of people with diabetes due to the increased prevalence of obesity and lengthened life span. Since the development of insulin thanks to the efforts of Prof. Banting and Dr. Best in 1922, for which they won the Nobel Prize, remarkable developments in anti-diabetic medications have dramatically lengthened the lifespan of patients with diabetes. However, the control rate of hyperglycemia in patients with diabetes remains unsatisfactory, since glycemic control requires both medication and lifestyle modifications to slow the deterioration of pancreatic beta-cell function and prevent diabetic complications. From the initial “triumvirate” to the “ominous octet,” and now the “egregious eleven,” the number of organs recognized as being involved in hyperglycemia and diabetes has increased with the development of anti-diabetic medications. Recent unexpected results from outcome trials of anti-diabetic medications have enabled anti-diabetic medications to be indicated for the prevention of chronic kidney disease and heart failure, even in patients without diabetes. In this review, I would like to summarize the extra-glycemic effects of anti-diabetic medications.

Citations

Citations to this article as recorded by  
  • Antidiabetic Agents as Antioxidant and Anti-Inflammatory Therapies in Neurological and Cardiovascular Diseases
    Snehal Raut, Luca Cucullo
    Antioxidants.2025; 14(12): 1490.     CrossRef
  • Spectrum of effects of dipeptidyl peptidase-4 inhibitors: within and beyond glycemic control (part 2)
    L. A. Ruyatkina, D. S. Ruyatkin
    Diabetes mellitus.2025; 28(5): 451.     CrossRef
  • Association between underweight and risk of heart failure in diabetes patients
    Tae Kyung Yoo, Kyung‐Do Han, Eun‐Jung Rhee, Won‐Young Lee
    Journal of Cachexia, Sarcopenia and Muscle.2024; 15(2): 671.     CrossRef
  • Glucagon-Like Peptide Receptor Agonist Inhibits Angiotensin II-Induced Proliferation and Migration in Vascular Smooth Muscle Cells and Ameliorates Phosphate-Induced Vascular Smooth Muscle Cells Calcification
    Jinmi Lee, Seok-Woo Hong, Min-Jeong Kim, Sun Joon Moon, Hyemi Kwon, Se Eun Park, Eun-Jung Rhee, Won-Young Lee
    Diabetes & Metabolism Journal.2024; 48(1): 83.     CrossRef
  • To do one and to get more: Part I. Diabetes and bone
    Wen-Ling Lee, Peng-Hui Wang, Szu-Ting Yang, Chia-Hao Liu, Wen-Hsun Chang, Fa-Kung Lee
    Journal of the Chinese Medical Association.2022; 85(10): 965.     CrossRef
Close layer
Original Articles
Diabetes, Obesity and Metabolism
Short-Chain Fatty Acids Attenuate Renal Fibrosis and Enhance Autophagy of Renal Tubular Cells in Diabetic Mice Through the HDAC2/ULK1 Axis
Xiaoying Ma, Qiong Wang
Endocrinol Metab. 2022;37(3):432-443.   Published online May 16, 2022
DOI: https://doi.org/10.3803/EnM.2021.1336
  • 13,405 View
  • 203 Download
  • 35 Web of Science
  • 37 Crossref
AbstractAbstract PDFPubReader   ePub   
Background
This study investigated the effect of short-chain fatty acids (SCFAs) on diabetes in a mouse model.
Methods
Autophagy in Akita mice and streptozocin (STZ)-induced diabetic C57BL/6 mice was determined by Western blots and immunohistochemistry (IHC). Western blots, IHC, hematoxylin and eosin staining, Masson staining, periodic acid-Schiff staining, and picrosirius red staining were conducted to detect whether autophagy and renal function improved in Akita mice and STZ-induced diabetic C57BL/6 mice after treatment of SCFAs. Western blots, IHC, and chromatin immunoprecipitation were performed to determine whether SCFAs affected diabetic mice via the histone deacetylase (HDAC2)/unc-51 like autophagy activating kinase 1 (ULK1) axis. Diabetic mice with kidney-specific knockout of HDAC2 were constructed, and IHC, Masson staining, and Western blots were carried out to detect whether the deletion of endogenous HDAC2 contributed to the improvement of autophagy and renal fibrosis in diabetic mice.
Results
Reduced autophagy and severe fibrosis were observed in Akita mice and STZ-induced diabetic C57BL/6 mice. Increased autophagy and reduced renal cell fibrosis were found in SCFA-treated Akita diabetic mice and STZ-induced diabetic C57BL/6 mice. Diabetic mice treated with SCFAs had lower HDAC2 expression and more enriched binding of ULK1 promoter sequences to H3K27Ac. Endogenous knockout of HDAC2 caused enhanced autophagy and decreased renal fibrosis in diabetic mice treated with SCFAs.
Conclusion
SCFAs enhanced autophagy of renal tubular cells and attenuated renal fibrosis in diabetic mice through the HDAC2/ULK1 axis.

Citations

Citations to this article as recorded by  
  • Microbiome dynamics in attention-deficit hyperactivity disorder: A systematic review and meta-analysis decoding the role of gut dysbiosis and potential dietary interventions
    Sourav Ghosh, Shelly Singh
    European Child & Adolescent Psychiatry.2026; 35(1): 31.     CrossRef
  • Weizmannia coagulans BC99 alleviates pediatric allergic rhinitis via the gut microbiota-SCFAs- immunomodulatory axis: A randomized, double-blind, placebo-controlled trial
    Zhidong Han, Huanhuan Zhu, Yuna Yang, Yibo Wang, Xuan Li, Jianguo Zhu, Ying Wu, Shuguang Fang, Shaobin Gu
    International Immunopharmacology.2026; 168: 115787.     CrossRef
  • Bridging gut microbiota and renal health: Klotho as a promising therapeutic agent in DKD
    Pratik Shankar Rakshe, Anil Bhanudas Gaikwad
    Naunyn-Schmiedeberg's Archives of Pharmacology.2026; 399(5): 6325.     CrossRef
  • USP47 stabilizes HDAC2 to ameliorate cigarette smoke-induced skeletal muscle atrophy by suppressing CYP1A1/ROS-mediated autophagy
    Chao Li, MingZhi Ou, GuiXian Zheng, Gang Jiang, Xiao Hu, YongLiang Jiang
    Free Radical Biology and Medicine.2026; 246: 107.     CrossRef
  • Butirat Supplementation and Epigenetic Modulation via Histon Deacetylase Inhibition in Type 2 Diabetes: A Narrative Review with Perspectives for Indonesia
    Aliza Salsabila Ainaputri , Ahsanal Kasasiah, Jekmal Malau , Cantika Aprillia , Dewi Pratiwi Purba Siboro , Endeh Apriyanti , Afif Tri Nugraha
    Journal of Pharmaceutical and Sciences.2026; : 407.     CrossRef
  • Beyond hyperglycemia: histone modification-mediated epigenetic dysregulation in diabetic retinopathy and nephropathy
    Minxuan Tang, Hongyu Zhu, Suyan Li, Lei Qiao
    Diabetology & Metabolic Syndrome.2026;[Epub]     CrossRef
  • Research Progress on the Mechanisms of Gut Microbiota-Derived Metabolites Mediating the Progression of Chronic Kidney Disease and Therapeutic Strategies
    毓轲 徐
    Advances in Clinical Medicine.2026; 16(03): 1069.     CrossRef
  • Shenqinlong Qingfei Peiyuan Keli alleviates inflammation, macrophage autophagy and M1 polarization via inhibiting HDAC2-mediated ULK1 deacetylation in pneumococcal pneumonia
    Xiyuan Song, Pengfei Meng, Runze Guo, Xiuxia Ma, Feng Sang, Liran Xu
    Letters in Drug Design & Discovery.2026; 23(3): 100369.     CrossRef
  • The gut-kidney axis revisited: Integrating gut microbiota, autophagy and metabolomics in chronic kidney disease
    Khemender Lidoo, Rupinder Kaur, Ravinder Singh, Sarita Jangra, Thakur Gurjeet Singh, Pratima Kumari
    International Immunopharmacology.2026; 187: 117238.     CrossRef
  • Propionic Acid Remodels Mitochondrial Metabolism in SH-SY5Y Cells
    Caitlyn Mahony, Erin Buchanan, Colleen O’Ryan
    Biology.2026; 15(16): 1424.     CrossRef
  • Microbiota-associated metabolic networks in gut-kidney communication and renal immune regulation: mechanisms and therapeutic potential
    Hongkun Zhang, Tao Zhang, Zhengchao Pan, Yue Zhang, Tingting Liang, Haijian Liu, Baisen Wang, Yongduo Yu, Shengzhi Wang
    Frontiers in Microbiology.2026;[Epub]     CrossRef
  • Histone deacetylases and their inhibitors in kidney diseases
    Yue Zheng, Tie-Ning Zhang, Peng-Hui Hao, Ni Yang, Yue Du
    Molecular Therapy.2025; 33(8): 3485.     CrossRef
  • Chidamide, a novel histone deacetylase inhibitor, alleviates renal fibrosis by suppressing the PI3K/AKT signaling pathway
    Yumei Liu, Liwen Mao, Yanbing Tang, Xiaowen Huang, Cunjin Su, Ye Zhu, Qianqian Duan, Kai Song, Jie Pan, Zhanhong Hu
    Biochemical Pharmacology.2025; 240: 117098.     CrossRef
  • Contribution of histone deacetylases (HDACs) to the regulation of histone and non-histone proteins: implications for fibrotic diseases
    Sunyoung Jang, Nayun Choi, Jong Hoon Park, Kyung Hyun Yoo
    BMB Reports.2025; 58(8): 313.     CrossRef
  • Gut Microbiota and Its Metabolites Modulate Pregnancy Outcomes by Regulating Placental Autophagy and Ferroptosis
    Xingyu Du, Mabrouk Elsabagh, Feiyang He, Huisi Wu, Bei Zhang, Kewei Fan, Mengzhi Wang, Hao Zhang
    Antioxidants.2025; 14(8): 970.     CrossRef
  • Sea Cucumber Egg Oligopeptides Ameliorate Cognitive Impairments and Pathology of Alzheimer’s Disease Through Regulating HDAC3 and BDNF/NT3 via the Microbiota–Gut–Brain Axis
    Guifeng Zhang, Yanjie Dou, Huiwen Xie, Dan Pu, Longxing Wang, Renjun Wang, Xiaofei Han
    Nutrients.2025; 17(14): 2312.     CrossRef
  • Programmed Cell Death in Diabetic Kidney Disease: Mechanisms and Therapeutic Targeting
    Shanshan Tang, Yuting Sun, Wenjie Sun, Xiaomin Kang, Xuefei Zhao, Linlin Jiang, Qing Gao, Xuedong An, Hangyu Ji, Fengmei Lian
    Journal of Inflammation Research.2025; Volume 18: 13001.     CrossRef
  • Analysis of the potential mechanism of stem cells in the treatment of diabetic nephropathy based on 16S, metabolome and transcriptome
    Xing-na Liao, Li-lan Huang, Ji Yang, Yue-yuan Hou, Yi-xiao Quan, Yi-hua Bai
    Genomics.2025; 117(6): 111113.     CrossRef
  • The Gut–Kidney Dialogue: Unraveling the Microbial Symphony in Renal Fibrosis
    Zi‐Hui Mao, Yong Liu, Shaokang Pan, Qing Zhang, Yingjin Qiao, Xiaoya Zhang, Duopin Li, Jingfang Chen, Dongwei Liu, Qi Feng, Zhangsuo Liu
    The FASEB Journal.2025;[Epub]     CrossRef
  • Crosstalk between acetylation modification and autophagy in cancer: roles, mechanisms, and therapeutic potential
    Yingnan Liu, Ziwei Yan, Zhanqi Fu, Xiaoyang Wu, Fang Wang, Yuan Yuan
    Cell Death Discovery.2025;[Epub]     CrossRef
  • Microbial short chain fatty acids: Effective histone deacetylase inhibitors in immune regulation (Review)
    Jing Wang, Qin Zhao, Shuwan Zhang, Jia Liu, Xingyue Fan, Bin Han, Yaqin Hou, Xiaopeng Ai
    International Journal of Molecular Medicine.2025; 57(1): 1.     CrossRef
  • Recent advances and potentiality of postbiotics in the food industry: Composition, inactivation methods, current applications in metabolic syndrome, and future trends
    Yujie Zhong, Tao Wang, Ruilin Luo, Jiayu Liu, Ruyi Jin, Xiaoli Peng
    Critical Reviews in Food Science and Nutrition.2024; 64(17): 5768.     CrossRef
  • NSD1 supports cell growth and regulates autophagy in HPV-negative head and neck squamous cell carcinoma
    Iuliia Topchu, Igor Bychkov, Demirkan Gursel, Petr Makhov, Yanis Boumber
    Cell Death Discovery.2024;[Epub]     CrossRef
  • Dietary fiber intake and its association with diabetic kidney disease in American adults with diabetes: A cross-sectional study
    Xin-Hua Jia, Sheng-Yan Wang, Ai-Qin Sun
    World Journal of Diabetes.2024; 15(3): 475.     CrossRef
  • Role of Histone Modifications in Kidney Fibrosis
    Shengyu Pan, Tianhui Yuan, Yuqi Xia, Weimin Yu, Xiangjun Zhou, Fan Cheng
    Medicina.2024; 60(6): 888.     CrossRef
  • ULK1 as a therapeutic target in kidney diseases: Current perspective
    Shruti Shreya, Neha Dagar, Vishwadeep Shelke, Bhupendra Puri, Anil Bhanudas Gaikwad
    Expert Opinion on Therapeutic Targets.2024; 28(10): 911.     CrossRef
  • Role of Epigenetic Changes in the Pathophysiology of Diabetic Kidney Disease
    Marita Liebisch, Gunter Wolf
    Glomerular Diseases.2024; 4(1): 211.     CrossRef
  • N-acetyltransferase 10 regulates UNC-51-like kinase 1 to reduce tubular cell injury and kidney stone formation
    Le Wang, Jinjing Huang, Lei Song, Ben Ke
    Cytojournal.2024; 21: 68.     CrossRef
  • Epigenetic and post-translational modifications in autophagy: biological functions and therapeutic targets
    Feng Shu, Han Xiao, Qiu-Nuo Li, Xiao-Shuai Ren, Zhi-Gang Liu, Bo-Wen Hu, Hong-Sheng Wang, Hao Wang, Guan-Min Jiang
    Signal Transduction and Targeted Therapy.2023;[Epub]     CrossRef
  • Mechanisms of Blood–Brain Barrier Protection by Microbiota-Derived Short-Chain Fatty Acids
    Ekaterina Fock, Rimma Parnova
    Cells.2023; 12(4): 657.     CrossRef
  • The Role of Histone Modifications in the Pathogenesis of Diabetic Kidney Disease
    Christodoula Kourtidou, Konstantinos Tziomalos
    International Journal of Molecular Sciences.2023; 24(6): 6007.     CrossRef
  • Mechanism of histone deacetylase HDAC2 in FOXO3-mediated trophoblast pyroptosis in preeclampsia
    Jia Liu, Weihui Yang
    Functional & Integrative Genomics.2023;[Epub]     CrossRef
  • Macrophage polarization induces endothelium-to-myofibroblast transition in chronic allograft dysfunction
    Zeping Gui, Xiang Zhang, Qianguang Han, Zhou Hang, Ruoyun Tan, Min Gu, Zijie Wang
    Renal Failure.2023;[Epub]     CrossRef
  • Periodic acid–Schiff staining in oral exfoliative cytology of diabetic patients: The odyssey for noninvasive screening – A systematic review and meta-analysis
    K. Yesoda Aniyan, Krithika Chandrasekar Lakshmi, Anuradha Ganesan
    Dental Research Journal.2023;[Epub]     CrossRef
  • Luteolin alleviates renal ischemia-reperfusion injury in streptozotocin induced diabetic rats by inhibiting metalloenzymes expression
    Rakesh B. Daude, Jigna S. Shah
    Current Issues in Pharmacy and Medical Sciences.2023; 36(4): 199.     CrossRef
  • Molecular mechanisms of histone deacetylases and inhibitors in renal fibrosis progression
    Jiayu Wang, Jiaxing Li, Xin Zhang, Min Zhang, Xiaopeng Hu, Hang Yin
    Frontiers in Molecular Biosciences.2022;[Epub]     CrossRef
  • Sacubitril/Valsartan contributes to improving the diabetic kidney disease and regulating the gut microbiota in mice
    Peipei Wang, Ruixue Guo, Xiwen Bai, Wen Cui, Yiding Zhang, Huangmin Li, Jin Shang, Zhanzheng Zhao
    Frontiers in Endocrinology.2022;[Epub]     CrossRef
Close layer
Mineral, Bone & Muscle
Big Data Articles (National Health Insurance Service Database)
Hip Fracture Risk According to Diabetic Kidney Disease Phenotype in a Korean Population
Seung Eun Lee, Juhwan Yoo, Kyoung-Ah Kim, Kyungdo Han, Han Seok Choi
Endocrinol Metab. 2022;37(1):148-158.   Published online February 28, 2022
DOI: https://doi.org/10.3803/EnM.2021.1315
  • 8,870 View
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  • 9 Web of Science
  • 10 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Diabetic kidney disease (DKD) is associated with an elevated risk of fractures. However, little is known about the association between proteinuric or non-proteinuric DKD and the risk of hip fracture. Thus, we investigated the incidence of hip fractures among Korean adults with type 2 diabetes mellitus (T2DM) stratified by DKD phenotype.
Methods
In this retrospective cohort study using the Korean National Health Insurance Service database, patients with T2DM who received at least one general health checkup between 2009 and 2012 were followed until the date of hip fracture, death, or December 31, 2018. We classified the DKD phenotype by proteinuria and estimated glomerular filtration rate (eGFR), as follows: no DKD (PUGFR), proteinuric DKD with normal eGFR (PU+GFR), non-proteinuric DKD with reduced eGFR (PUGFR+), and proteinuric DKD with reduced eGFR (PU+GFR+)
Results
The cumulative incidence of hip fractures was highest in the PU+GFR+ group, followed by the PUGFR+ group and the PU+GFR group. After adjustment for confounding factors, the hazard ratio (HR) for hip fracture was still highest in the PU+GFR+ group. However, the PU+GFR group had a higher HR for hip fracture than the PUGFR+ group (PU+GFR+ : HR, 1.69; 95% confidence interval [CI], 1.57 to 1.81; PU+GFR : HR, 1.37; 95% CI, 1.30 to 1.46; PUGFR+ : HR, 1.20; 95% CI, 1.16 to 1.24 using the PUGFR group as the reference category).
Conclusion
The present study demonstrated that DKD was significantly associated with a higher risk of hip fracture, with proteinuria as a major determinant.

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  • Bone Mineral Density and the Risk of Fracture According to eGFR in Postmenopausal Women
    Minsang Kim, Kyungdo Han, Jin Kyung Kwon, Jae-ik Oh, Jinsun Lee, Jung Hun Koh, Min Woo Kang, Jeong Min Cho, Semin Cho, Seong Geun Kim, Sehyun Jung, Hyuk Huh, Soojin Lee, Eunjeong Kang, Yaerim Kim, Kwon Wook Joo, Dong Ki Kim, Sehoon Park
    Journal of the American Society of Nephrology.2026; 37(5): 984.     CrossRef
  • Diabetes progression and its association with fracture risk in type 2 diabetes
    Bongsung Kim, Kyu-Na Lee, Kyungdo Han, Mee Kyoung Kim
    Osteoporosis International.2026;[Epub]     CrossRef
  • Real‐world risk factors and clinical implications of early estimated glomerular filtration rate decline after sodium‐glucose cotransporter‐2 inhibitor therapy
    Jangwook Lee, Dayoung Kang, Kyoung‐Ah Kim, Han Seok Choi, Soomin Jo, Joeun Kim, Jae Yoon Park, Seung Eun Lee
    Journal of Diabetes Investigation.2026;[Epub]     CrossRef
  • Associations Between Renal Dysfunction Subtypes and Vertebral Fracture in Patients with Type 2 Diabetes: A Longitudinal Study
    Nandong Hu, Yiping Zhang, Zicheng Wei, Rui Yu, Yingying Zhang, Xiao Chen
    Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 1915.     CrossRef
  • Risk of fracture with sodium-glucose cotransporter-2 inhibitors in patients with type 2 diabetes: an updated meta-analysis of randomized controlled trials
    Mahdieh Khoshzaban Banisi
    International Journal of Physiology, Pathophysiology and Pharmacology.2025; 17(3): 61.     CrossRef
  • Proteinuria screening and risk of bone fracture: a retrospective cohort study using a nationwide population-based database
    Akira Okada, Akira Honda, Hideaki Watanabe, Yusuke Sasabuchi, Shotaro Aso, Kayo Ikeda Kurakawa, Masaomi Nangaku, Toshimasa Yamauchi, Hideo Yasunaga, Hirotaka Chikuda, Takashi Kadowaki, Satoko Yamaguchi
    Clinical Kidney Journal.2024;[Epub]     CrossRef
  • Fracture risks associated with sodium-glucose cotransporter-2 inhibitors in type 2 diabetes patients across eGFR and albuminuria categories: A population-based study in Hong Kong
    David Tak Wai Lui, Tingting Wu, Eric Ho Man Tang, Ivan Chi Ho Au, Chi Ho Lee, Yu Cho Woo, Kathryn Choon Beng Tan, Carlos King Ho Wong
    Diabetes Research and Clinical Practice.2023; 197: 110576.     CrossRef
  • Diagnose und Management der Osteoporose bei Diabetes mellitus (Update 2023)
    Christian Muschitz, Alexandra Kautzky-Willer, Yvonne Winhofer, Martina Rauner, Judith Haschka, Daniel Cejka, Robert Wakolbinger-Habel, Peter Pietschmann
    Wiener klinische Wochenschrift.2023; 135(S1): 207.     CrossRef
  • Association between exercise and risk of fractures in new-onset type 2 diabetes: a retrospective cohort study
    Seung Eun Lee, Juhwan Yoo, Bong-Seong Kim, Kyoung-Ah Kim, Kyungdo Han, Han Seok Choi
    Archives of Osteoporosis.2023;[Epub]     CrossRef
  • Two-Year Changes in Diabetic Kidney Disease Phenotype and the Risk of Heart Failure: A Nationwide Population-Based Study in Korea
    Seung Eun Lee, Juhwan Yoo, Han Seok Choi, Kyungdo Han, Kyoung-Ah Kim
    Diabetes & Metabolism Journal.2023; 47(4): 523.     CrossRef
Close layer
Diabetes, Obesity and Metabolism
EW-7197 Attenuates the Progression of Diabetic Nephropathy in db/db Mice through Suppression of Fibrogenesis and Inflammation
Kyung Bong Ha, Weerapon Sangartit, Ah Reum Jeong, Eun Soo Lee, Hong Min Kim, Soyeon Shim, Upa Kukongviriyapan, Dae-Kee Kim, Eun Young Lee, Choon Hee Chung
Endocrinol Metab. 2022;37(1):96-111.   Published online February 28, 2022
DOI: https://doi.org/10.3803/EnM.2021.1305
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AbstractAbstract PDFPubReader   ePub   
Background
Diabetic nephropathy (DN) is characterized by albuminuria and accumulation of extracellular matrix (ECM) in kidney. Transforming growth factor-β (TGF-β) plays a central role in promoting ECM accumulation. We aimed to examine the effects of EW-7197, an inhibitor of TGF-β type 1 receptor kinase (ALK5), in retarding the progression of DN, both in vivo, using a diabetic mouse model (db/db mice), and in vitro, in podocytes and mesangial cells.
Methods
In vivo study: 8-week-old db/db mice were orally administered EW-7197 at a dose of 5 or 20 mg/kg/day for 10 weeks. Metabolic parameters and renal function were monitored. Glomerular histomorphology and renal protein expression were evaluated by histochemical staining and Western blot analyses, respectively. In vitro study: DN was induced by high glucose (30 mM) in podocytes and TGF-β (2 ng/mL) in mesangial cells. Cells were treated with EW-7197 (500 nM) for 24 hours and the mechanism associated with the attenuation of DN was investigated.
Results
Enhanced albuminuria and glomerular morphohistological changes were observed in db/db compared to that of the nondiabetic (db/m) mice. These alterations were associated with the activation of the TGF-β signaling pathway. Treatment with EW-7197 significantly inhibited TGF-β signaling, inflammation, apoptosis, reactive oxygen species, and endoplasmic reticulum stress in diabetic mice and renal cells.
Conclusion
EW-7197 exhibits renoprotective effect in DN. EW-7197 alleviates renal fibrosis and inflammation in diabetes by inhibiting downstream TGF-β signaling, thereby retarding the progression of DN. Our study supports EW-7197 as a therapeutically beneficial compound to treat DN.

Citations

Citations to this article as recorded by  
  • Mosla chinensis Maxim extracts exert anti-inflammatory, antioxidant, and antifibrotic effects in silicosis
    Shao-Tung Wu, Cheng-Wei Huang, Tsung-Han Lee, Hui-Chun Ku
    Journal of Ethnopharmacology.2026; 358: 121047.     CrossRef
  • Abrine targets ERK to suppress EMT and lung metastasis model via MAPKs and Nrf2/Keap-1/HO-1 signaling
    Yufang Shen, Linyu Xiao, Lina Liu, Lianting Liao, Xianmin Zou, Pengfei Shen, Jinlong Zhao, Renyikun Yuan, Hongwei Gao, Chun Yao
    Frontiers in Immunology.2026;[Epub]     CrossRef
  • Endoplasmic reticulum stress as a driver and therapeutic target for kidney disease
    Jae Hyun Byun, Paul F. Lebeau, Jackie Trink, Nikhil Uppal, Matthew B. Lanktree, Joan C. Krepinsky, Richard C. Austin
    Nature Reviews Nephrology.2025; 21(5): 299.     CrossRef
  • Targeting endoplasmic reticulum stress: an innovative therapeutic strategy for podocyte-related kidney diseases
    Jiao Lv, Honghai Yu, Sasa Du, Pengyu Xu, Yunyun Zhao, Wenxiu Qi, Xiuge Wang
    Journal of Translational Medicine.2025;[Epub]     CrossRef
  • Evaluation of the novel ALK5 inhibitor EW-7197 on therapeutic efficacy in renal fibrosis using a three-dimensional chip model
    So Young Jang, Seong-Hye Hwang, Yunyeong Choi, Wan-Young Kim, Sung Hyuk Park, Won Mook Kim, Eun-Jeong Kwon, Sejoong Kim
    Kidney Research and Clinical Practice.2025; 44(4): 612.     CrossRef
  • Combination of THU/ALK-5i exhibits profound anti-MASH activity through suppression of lipogenesis and fibrogenesis
    Kampeebhorn Boonloh, Eun Soo Lee, Su Ho Jo, Na Won Park, So Bin Lee, Choon Hee Chung
    Scientific Reports.2025;[Epub]     CrossRef
  • CD163 and TYROBP Are Two Therapeutic Targets for Hyperglycemia‐Induced Mesangial Cell Stress
    Zhang Ran, Zhang Guiling, Fan Yanna, Luo Laimin
    Chemical Biology & Drug Design.2025;[Epub]     CrossRef
  • TGF-β signaling in health, disease and therapeutics
    Ziqin Deng, Tao Fan, Chu Xiao, He Tian, Yujia Zheng, Chunxiang Li, Jie He
    Signal Transduction and Targeted Therapy.2024;[Epub]     CrossRef
  • Endoplasmic Reticulum Stress-Mediated Cell Death in Renal Fibrosis
    Shangze Guo, Yinghao Tong, Ting Li, Kexin Yang, Wei Gao, Fujun Peng, Xiangyu Zou
    Biomolecules.2024; 14(8): 919.     CrossRef
  • Oxidative stress and inflammation in diabetic nephropathy: role of polyphenols
    Qi Jin, Tongtong Liu, Yuan Qiao, Donghai Liu, Liping Yang, Huimin Mao, Fang Ma, Yuyang Wang, Liang Peng, Yongli Zhan
    Frontiers in Immunology.2023;[Epub]     CrossRef
  • Beneficial Effects of a Curcumin Derivative and Transforming Growth Factor-β Receptor I Inhibitor Combination on Nonalcoholic Steatohepatitis
    Kyung Bong Ha, Eun Soo Lee, Na Won Park, Su Ho Jo, Soyeon Shim, Dae-Kee Kim, Chan Mug Ahn, Choon Hee Chung
    Diabetes & Metabolism Journal.2023; 47(4): 500.     CrossRef
Close layer
Diabetes, Obesity and Metabolism
Tetrahydrocurcumin Ameliorates Kidney Injury and High Systolic Blood Pressure in High-Fat Diet-Induced Type 2 Diabetic Mice
Weerapon Sangartit, Kyung Bong Ha, Eun Soo Lee, Hong Min Kim, Upa Kukongviriyapan, Eun Young Lee, Choon Hee Chung
Endocrinol Metab. 2021;36(4):810-822.   Published online August 27, 2021
DOI: https://doi.org/10.3803/EnM.2021.988
  • 9,374 View
  • 200 Download
  • 15 Web of Science
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AbstractAbstract PDFPubReader   ePub   
Background
Activation of the intrarenal renin-angiotensin system (RAS) is implicated in the pathogenesis of kidney injury and hypertension. We aimed to investigate the protective effect of tetrahydrocurcumin (THU) on intrarenal RAS expression, kidney injury, and systolic blood pressure (SBP) in high-fat diet (HFD)-induced type 2 diabetic mice.
Methods
Eight-week-old male mice were fed a regular diet (RD) or HFD for 12 weeks, and THU (50 or 100 mg/kg/day) was intragastrically administered with HFD. Physiological and metabolic changes were monitored and the expression of RAS components and markers of kidney injury were assessed.
Results
HFD-fed mice exhibited hyperglycemia, insulin resistance, and dyslipidemia compared to those in the RD group (P<0.05). Kidney injury in these mice was indicated by an increase in the ratio of albumin to creatinine, glomerular hypertrophy, and the effacement of podocyte foot processes. Expression of intrarenal angiotensin-converting enzyme, angiotensin II type I receptor, nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-4, and monocyte chemoattractant protein-1 was also markedly increased in HFD-fed mice. HFD-fed mice exhibited elevated SBP that was accompanied by an increase in the wall thickness and vascular cross-sectional area (P<0.05), 12 weeks post-HFD consumption. Treatment with THU (100 mg/kg/day) suppressed intrarenal RAS activation, improved insulin sensitivity, and reduced SBP, thus, attenuating kidney injury in these mice.
Conclusion
THU alleviated kidney injury in mice with HFD-induced type 2 diabetes, possibly by blunting the activation of the intrarenal RAS/nicotinamide adenine dinucleotide phosphate oxidase IV (NOX4)/monocyte chemoattractant protein 1 (MCP-1) axis and by lowering the high SBP.

Citations

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  • Synthetic curcumin analogs in nephrotoxicity: Mechanisms and therapeutic advances
    Farzaneh Hayati, Sahar Ghoflchi, Asie Sadeghi, Prashant Kesharwani, Amirhossein Sahebkar, Hossein Hosseini
    Food and Chemical Toxicology.2026; 209: 115921.     CrossRef
  • NOX4-mediated oxidative stress in diabetic complications: Potential of natural products
    Sachin Sharma, Ashwani Mittal, Manjusha Choudhary
    Pharmacological Research - Natural Products.2026; 10: 100515.     CrossRef
  • Potential Protective Effects of Curcumin on Aspirin-Induced Toxicity Kidney in Rats
    Batrisyia Balqis Mohd Asri, Elysha Nur Ismail, Reezal Ishak
    Malaysian Journal of Medicine and Health Sciences.2026; : 1.     CrossRef
  • Tetrahydrocurcumin alleviates di-(2-ethylhexyl) phthalate-induced adipose tissue dysfunction and testicular toxicity in adult mice: possible involvement of adiponectin-adipoR signaling in the testis
    Choirul Anwar, Yu-Chi Chu, Mei-Ling Tsai, Chi-Tang Ho, Ching-Shu Lai
    Food & Function.2025; 16(2): 583.     CrossRef
  • Repurposing Nano Curcumin: Unveiling its Therapeutic Potential in Diabetic Nephropathy
    Rarchita Sharma, Yogesh Mali, Yogeeta. O. Agrawal, Vinit V. Agnihotri, Sameer N. Goyal
    Current Drug Targets.2025; 26(5): 298.     CrossRef
  • Research Progress on the Antioxidant Activity of Natural Diarylheptanoids: Mechanisms and Structure–activity Relationships
    An-Na Ma, Tie Yao, Ya-Jing Guo, Chong-Yan Zhao, Bing-jie Wang, Gen Li, Feng Qiu
    Current Medicinal Chemistry.2025; 32(13): 2494.     CrossRef
  • Research and advances in mouse models of diabetic nephropathy: a narrative review
    Kang Xie, Yan Ma, Jingjing Din, Yujie Jin, Siwen Zhang, Shiqiang Liu, Cui Yu, Xu Wu, Chunyan Xing, Lizhuo Wang, Jialin Gao
    BMC Nephrology.2025;[Epub]     CrossRef
  • Topical Application of miR-200b-3p by Poloxamer 407-Based Hydrogel Accelerates Diabetic Wound Healing
    Wan-Yu Lo, Cian-Huei Sin, Huang-Joe Wang
    Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 3845.     CrossRef
  • Combination of THU/ALK-5i exhibits profound anti-MASH activity through suppression of lipogenesis and fibrogenesis
    Kampeebhorn Boonloh, Eun Soo Lee, Su Ho Jo, Na Won Park, So Bin Lee, Choon Hee Chung
    Scientific Reports.2025;[Epub]     CrossRef
  • The role of tetrahydrocurcumin in disease prevention and treatment
    Mengting Zhou, Rui Li, Hua Hua, Ying Dai, Zhujun Yin, Li Li, Jin Zeng, Mengni Yang, Junning Zhao, Ruirong Tan
    Food & Function.2024; 15(13): 6798.     CrossRef
  • The Development of Dyslipidemia in Chronic Kidney Disease and Associated Cardiovascular Damage, and the Protective Effects of Curcuminoids
    Zeltzin Alejandra Ceja-Galicia, Ana Karina Aranda-Rivera, Isabel Amador-Martínez, Omar Emiliano Aparicio-Trejo, Edilia Tapia, Joyce Trujillo, Victoria Ramírez, José Pedraza-Chaverri
    Foods.2023; 12(5): 921.     CrossRef
  • Translation Animal Models of Diabetic Kidney Disease: Biochemical and Histological Phenotypes, Advantages and Limitations
    Wenting Luo, Shiyun Tang, Xiang Xiao, Simin Luo, Zixuan Yang, Wei Huang, Songqi Tang
    Diabetes, Metabolic Syndrome and Obesity.2023; Volume 16: 1297.     CrossRef
  • Curcumin ameliorates focal segmental glomerulosclerosis by inhibiting apoptosis and oxidative stress in podocytes
    Hui Zhang, Qing-Qing Dong, Hua-Pan Shu, Yu-Chi Tu, Qian-Qian Liao, Li-Jun Yao
    Archives of Biochemistry and Biophysics.2023; 746: 109728.     CrossRef
  • An examination of the protective effects and molecular mechanisms of curcumin, a polyphenol curcuminoid in diabetic nephropathy
    Xiaoyu Zhu, Xingli Xu, Chigang Du, Yanping Su, Lixue Yin, Xiaoqiu Tan, Hui Liu, Yiru Wang, Lei Xu, Xinghua Xu
    Biomedicine & Pharmacotherapy.2022; 153: 113438.     CrossRef
  • An integrated bioinformatics analysis and experimental study identified key biomarkers CD300A or CXCL1, pathways and immune infiltration in diabetic nephropathy mice
    WEI LIANG, QIANG LUO, ZONGWEI ZHANG, KEJU YANG, ANKANG YANG, QINGJIA CHI, HUAN HU
    BIOCELL.2022; 46(8): 1989.     CrossRef
Close layer
Review Article
Diabetes, Obesity and Metabolism
Cardiorenal Protection in Diabetic Kidney Disease
Jason F. Lee, Ecaterina Berzan, Vikas S. Sridhar, Ayodele Odutayo, David Z.I. Cherney
Endocrinol Metab. 2021;36(2):256-269.   Published online April 19, 2021
DOI: https://doi.org/10.3803/EnM.2021.987
  • 13,220 View
  • 342 Download
  • 16 Web of Science
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AbstractAbstract PDFPubReader   ePub   
Over the last 5 years there have been many new developments in the management of diabetic kidney disease. Glucagon-like peptide-1 receptor agonists (GLP-1 RA) and sodium-glucose cotransporter-2 (SGLT2) inhibitors were initially used for glycemic control, but more recent studies have now shown that their benefits extend to cardiovascular and kidney outcomes. The recent addition of data on the novel mineralocorticoid receptor antagonist (MRA) gives us another approach to further decrease the residual risk of diabetic kidney disease progression. In this review we describe the mechanism of action, key studies, and possible adverse effects related to these three classes of medications. The management of type 2 diabetes now includes an increasing number of medications for the management of comorbidities in a patient population at significant risk of cardiovascular disease and progression of chronic kidney disease. It is from this perspective that we seek to outline the rationale for the sequential and/or combined use of SGLT2 inhibitors, GLP-1 RA and MRAs in patients with type 2 diabetes for heart and kidney protection.

Citations

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  • Construction, evaluation, and applications of renal barrier-on-a-chip system
    Tuya Naren, Weikang Lv, Abdellah Aazmi, Yujun Wang, Haoran Yu, Jie Ying Lee, Huixiang Yang, Mengfei Yu, Xiuxiu Jiang, Huayong Yang, Liang Ma
    Bioactive Materials.2026; 59: 421.     CrossRef
  • Sodium‐glucose cotransporter 2 inhibitor ameliorates thiazolidinedione‐induced fluid retention through vascular leakage reduction in white adipose tissue
    Ji Yoon Kim, Hye‐Min Jang, Hye‐Jin Lee, Ah Hyeon Lee, Dong‐Hoon Kim, Sin Gon Kim, Nam Hoon Kim
    Diabetes, Obesity and Metabolism.2026; 28(3): 1764.     CrossRef
  • Association Between the 2022 AHA/ACC/HFSA Heart Failure Staging and Cardiovascular and Kidney Outcomes in Patients With Diabetes and Kidney Disease: A Post Hoc Analysis of the SCORED Randomized Controlled Trial
    Ayodele Odutayo, Deepak L. Bhatt, Vikas S. Sridhar, Michael Szarek, Christopher P. Cannon, Lawrence A. Leiter, Darren K. McGuire, Julia B. Lewis, Renato D. Lopes, Benjamin M. Scirica, Kausik K. Ray, Michael J. Davies, Phillip Banks, Manon Girard, Subodh V
    Circulation: Heart Failure.2026;[Epub]     CrossRef
  • Effects of proANP31–67 in a preclinical model of uninephrectomy and cardiac ischemia/reperfusion injury: cardiac remodeling and tissue biochemical profiling
    Gustavo Jose Justo Silva, Sara Stefani, Reza Parvan, Michael Frisk, Xin Shen, Martina Alunni Cardinali, Mari E. Strand, Karoline Bjarnesdatter Rypdal, Mathis Korseberg Stokke, Håvard Attramadal, Ida G. Lunde, Jan Magnus Aronsen, Kåre-Olav Stensløkken, Wil
    American Journal of Physiology-Cell Physiology.2026; 330(5): C1246.     CrossRef
  • Combination treatment for the management of chronic kidney disease and type 2 diabetes: a review and practical guidance
    Mai Mohsen, Tae Won Yi, Labib Faruque, Calvin Ke, Joseph A Cafazzo, Quynh Pham, Vikas S Sridhar, Adeera Levin, Husam Abdel-Qadir, Frederik Persson, Christoph Wanner, Peter Jüni, Javed Butler, Nikolaus Marx, David Z I Cherney, Ayodele Odutayo
    The Journal of Clinical Endocrinology & Metabolism.2026; 111(7): e1726.     CrossRef
  • Personalizing Cardio-Kidney-Metabolic Therapy
    Qandeel H. Soomro, David M. Charytan
    Journal of the American Society of Nephrology.2026; 37(8): 1619.     CrossRef
  • The Role of GLP-1 Receptor Agonists in Diabetic Kidney Disease: Recent Evidence
    Jin Hwa Kim
    The Journal of Korean Diabetes.2025; 26(1): 5.     CrossRef
  • Expert Opinion on Fixed Dose Combination of Dapagliflozin Plus Sitagliptin for Unmet Cardiovascular Benefits in Type 2 Diabetes Mellitus
    Soumitra Ray, J Ezhilan, Rajiv Karnik, Ashish Prasad, Rajashree Dhar
    Journal of Diabetology.2024; 15(2): 131.     CrossRef
  • The significance of finerenone as a novel therapeutic option in diabetic kidney disease: a scoping review with emphasis on cardiorenal outcomes of the finerenone phase 3 trials
    Mustafa Arici, Bulent Altun, Mustafa Araz, Aysegul Atmaca, Tevfik Demir, Tevfik Ecder, Galip Guz, Dilek Gogas Yavuz, Alaattin Yildiz, Temel Yilmaz
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Relative and Absolute Risks of Adverse Events with Real-World Use of SGLT2 Inhibitors in CKD
    Ayodele Odutayo, Adeera Levin
    Clinical Journal of the American Society of Nephrology.2023; 18(5): 557.     CrossRef
  • Renal Protection of Mineralocorticoid Receptor Antagonist, Finerenone, in Diabetic Kidney Disease
    Dong-Lim Kim, Seung-Eun Lee, Nan Hee Kim
    Endocrinology and Metabolism.2023; 38(1): 43.     CrossRef
  • Intrarenal Mechanisms of Sodium-Glucose Cotransporter-2 Inhibitors on Tubuloglomerular Feedback and Natriuresis
    Eun Sil Koh, Gheun-Ho Kim, Sungjin Chung
    Endocrinology and Metabolism.2023; 38(4): 359.     CrossRef
  • SGLT2 and DPP4 inhibitors improve Alzheimer’s disease–like pathology and cognitive function through distinct mechanisms in a T2D–AD mouse model
    A Young Sim, Da Hyun Choi, Jong Youl Kim, Eun Ran Kim, A-ra Goh, Yong-ho Lee, Jong Eun Lee
    Biomedicine & Pharmacotherapy.2023; 168: 115755.     CrossRef
  • Narrative review investigating the nephroprotective mechanisms of sodium glucose cotransporter type 2 inhibitors in diabetic and nondiabetic patients with chronic kidney disease
    Emma S. Speedtsberg, Martin Tepel
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
  • Management of CKD
    Nimrit Goraya, Jennifer D. Moran
    Nephrology Self-Assessment Program.2022; 21(2): 146.     CrossRef
  • Nonsteroidal mineralocorticoid receptor antagonism for cardiovascular and renal disorders − New perspectives for combination therapy
    Peter Kolkhof, Amer Joseph, Ulrich Kintscher
    Pharmacological Research.2021; 172: 105859.     CrossRef
  • Sodium‐Glucose Cotransporter 2 Inhibitors, All‐Cause Mortality, and Cardiovascular Outcomes in Adults with Type 2 Diabetes: A Bayesian Meta‐Analysis and Meta‐Regression
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    Journal of the American Heart Association.2021;[Epub]     CrossRef
  • Finerenone: A Potential Treatment for Patients with Chronic Kidney Disease and Type 2 Diabetes Mellitus
    Luis D’Marco, María Jesús Puchades, Lorena Gandía, Claudia Forquet, Elena Giménez-Civera, Nayara Panizo, Javier Reque, Isabel Juan-García, Valmore Bermúdez, José Luis Gorriz
    touchREVIEWS in Endocrinology.2021; 17(2): 84.     CrossRef
  • Sodium-Glucose Cotransporter 2 Inhibitors Mechanisms of Action: A Review
    Jorge I. Fonseca-Correa, Ricardo Correa-Rotter
    Frontiers in Medicine.2021;[Epub]     CrossRef
Close layer
Original Articles
Clinical Study
Comparative Renal Effects of Dipeptidyl Peptidase-4 Inhibitors and Sodium-Glucose Cotransporter 2 Inhibitors on Individual Outcomes in Patients with Type 2 Diabetes: A Systematic Review and Network Meta-Analysis
Jae Hyun Bae, Eun-Gee Park, Sunhee Kim, Sin Gon Kim, Seokyung Hahn, Nam Hoon Kim
Endocrinol Metab. 2021;36(2):388-400.   Published online March 31, 2021
DOI: https://doi.org/10.3803/EnM.2020.912
  • 14,273 View
  • 432 Download
  • 18 Web of Science
  • 22 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
To compare the renal effects of dipeptidyl peptidase-4 (DPP-4) inhibitors and sodium-glucose cotransporter 2 (SGLT2) inhibitors on individual outcomes in patients with type 2 diabetes.
Methods
We searched electronic databases (MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials) from inception to June 2019 to identity eligible randomized controlled trials of DPP-4 inhibitors or SGLT2 inhibitors that reported at least one kidney outcome in patients with type 2 diabetes. Outcomes of interest were microalbuminuria, macroalbuminuria, worsening nephropathy, and end-stage kidney disease (ESKD). We performed an arm-based network meta-analysis using Bayesian methods and calculated absolute risks and rank probabilities of each treatment for the outcomes.
Results
Seventeen studies with 87,263 patients were included. SGLT2 inhibitors significantly lowered the risks of individual kidney outcomes, including microalbuminuria (odds ratio [OR], 0.64; 95% credible interval [CrI], 0.41 to 0.93), macroalbuminuria (OR, 0.48; 95% CrI, 0.24 to 0.72), worsening nephropathy (OR, 0.65; 95% CrI, 0.44 to 0.91), and ESKD (OR, 0.65; 95% CrI, 0.46 to 0.98) as compared with placebo. However, DPP-4 inhibitors did not lower the risks. SGLT2 inhibitors were considerably associated with higher absolute risk reductions in all kidney outcomes than DPP-4 inhibitors, although the benefits were statistically insignificant. The rank probabilities showed that SGLT2 inhibitors were better treatments for lowering the risk of albuminuria and ESKD than placebo or DPP-4 inhibitors.
Conclusion
SGLT2 inhibitors were superior to DPP-4 inhibitors in reducing the risk of albuminuria and ESKD in patients with type 2 diabetes.

Citations

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  • Evolving strategies for nephroprotection in diabetic kidney disease: From established therapies to novel interventions
    Guido Gembillo, Luca Visconti, Valeria Tranchida, Chiara Nardi, Sebastiano Calimeri, Maria Elsa Gambuzza, Maria Princiotto, Chiara Chinigo, Luca Soraci, Domenico Santoro
    World Journal of Diabetes.2026;[Epub]     CrossRef
  • Omarigliptin ameliorates cisplatin-induced renal damage: Cross-talk between glucagon-like peptide-1, HMGB1/RAGE/TLR4 signaling, and TXNIP/NLRP3 inflammasome/gasdermin D axis
    Shuruq E. Alsufyani, Hany H. Arab, Azza A.K. El-Sheikh, El-Shaimaa A. Arafa, Ahmed Fouad Hussein Hashad, Reham M. Goda, Tamer M. Naguib, Maaly A. Abd Elmaaboud, Mennatallah A. Elkady, Ahmed M. Kabel
    Life Sciences.2025; 376: 123758.     CrossRef
  • Expert consensus on solutions to improve implementation of NICE type 2 diabetes guideline (NG28) by health systems in England: a Delphi panel by the INNOVATE-28 Working Group
    Waqas Tahir, Hannah Beba, Gail Fortes-Mayer, Partha Kar, Nazish Khan, Nicola Milne, Jim Moore, Sharvanu Saha, Marc Atkin
    BMJ Open.2025; 15(6): e093955.     CrossRef
  • Association between sodium‐glucose cotransporter 2 inhibitor use and clinical outcomes in patients with type 2 diabetes after urinary tract infection
    Hsiao‐Wei Wang, Ming‐Hsien Tsai, Yu‐Wei Fang, Kuo‐Cheng Lu, Joshua Wang, Chien‐Lin Lu
    Diabetes, Obesity and Metabolism.2025; 27(11): 6188.     CrossRef
  • Dipeptidyl peptidase 4 (DPP-4) inhibitors for people with chronic kidney disease and diabetes
    Patrizia Natale, Suetonia C Green, David J Tunnicliffe, Giovanni Pellegrino, Tadashi Toyama, Giovanni FM Strippoli
    Cochrane Database of Systematic Reviews.2025;[Epub]     CrossRef
  • Therapie des Typ-2-Diabetes
    Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald H. Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel
    Die Diabetologie.2024; 20(2): 212.     CrossRef
  • Ipragliflozin and sitagliptin differentially affect lipid and apolipoprotein profiles in type 2 diabetes: the SUCRE study
    Mototsugu Nagao, Jun Sasaki, Kyoko Tanimura-Inagaki, Ichiro Sakuma, Hitoshi Sugihara, Shinichi Oikawa
    Cardiovascular Diabetology.2024;[Epub]     CrossRef
  • Comparative Effect of Glucose-Lowering Drugs for Type 2 Diabetes Mellitus on Stroke Prevention: A Systematic Review and Network Meta-Analysis
    Ji Soo Kim, Gyeongsil Lee, Kyung-Il Park, Seung-Won Oh
    Diabetes & Metabolism Journal.2024; 48(2): 312.     CrossRef
  • Therapy of Type 2 Diabetes
    Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald H. Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel
    Experimental and Clinical Endocrinology & Diabetes.2024; 132(07): 340.     CrossRef
  • Clinical Management of Type II DM in patients Showing Progressive Increase in the Creatinine Level – A Cross-sectional Study
    Prabhudatta Mohapatra, Durga Madhab Kar, Karmajeet Rath, Abhisek Pal
    Research Journal of Pharmacy and Technology.2024; : 2719.     CrossRef
  • Therapie des Typ-2-Diabetes
    Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald H. Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel
    Die Diabetologie.2023; 19(5): 658.     CrossRef
  • Renoprotective Effect of Thai Patients with Type 2 Diabetes Mellitus Treated with SGLT-2 Inhibitors versus DPP-4 Inhibitors: A Real-World Observational Study
    Apichaya Chanawong, Suriyon Uitrakul, Supatcha Incomenoy, Natnicha Poonchuay, Rizky Abdulah
    Advances in Pharmacological and Pharmaceutical Sciences.2023; 2023: 1.     CrossRef
  • Different nursing interventions on sleep quality among critically ill patients: A systematic review and network meta-analysis
    Daijin Huang, Yumei Li, Jing Ye, Chang Liu, Dongyan Shen, Yunhui Lv
    Medicine.2023; 102(52): e36298.     CrossRef
  • New trends in the approach to the treatment of type 2 diabetes - observations and benefits in the outpatient practice of a diabetologist
    Pavel Weber, Hana Meluzínová, Dana Weberová
    Klinická farmakologie a farmacie.2022; 35(4): 118.     CrossRef
  • Comparative efficacy of novel antidiabetic drugs on cardiovascular and renal outcomes in patients with diabetic kidney disease: A systematic review and network meta‐analysis
    Hongwei Cao, Tao Liu, Li Wang, Qiuhe Ji
    Diabetes, Obesity and Metabolism.2022; 24(8): 1448.     CrossRef
  • Therapie des Typ-2-Diabetes
    Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald H. Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel
    Die Diabetologie.2022; 18(5): 623.     CrossRef
  • Significant reduction in chronic kidney disease progression with sodium‐glucose cotransporter‐2 inhibitors compared to dipeptidyl peptidase‐4 inhibitors in adults with type 2 diabetes in a UK clinical setting: An observational outcomes study based on inte
    Iskandar Idris, Ruiqi Zhang, Jil B. Mamza, Mike Ford, Tamsin Morris, Amitava Banerjee, Kamlesh Khunti
    Diabetes, Obesity and Metabolism.2022; 24(11): 2138.     CrossRef
  • Therapy of Type 2 Diabetes
    Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel
    Experimental and Clinical Endocrinology & Diabetes.2022; 130(S 01): S80.     CrossRef
  • Molecular Mechanistic Pathways Targeted by Natural Compounds in the Prevention and Treatment of Diabetic Kidney Disease
    Kaixuan Zhou, Xue Zi, Jiayu Song, Qiulu Zhao, Jia Liu, Huiwei Bao, Lijing Li
    Molecules.2022; 27(19): 6221.     CrossRef
  • Lower risk of gout in sodium glucose cotransporter 2 (SGLT2) inhibitors versus dipeptidyl peptidase-4 (DPP4) inhibitors in type-2 diabetes
    Jiandong Zhou, Xuejin Liu, Oscar Hou-In Chou, Lifang Li, Sharen Lee, Wing Tak Wong, Qingpeng Zhang, Carlin Chang, Tong Liu, Gary Tse, Fengshi Jing, Bernard Man Yung Cheung
    Rheumatology.2022;[Epub]     CrossRef
  • New Era for Renal-Protective Therapy in Type 2 Diabetes: Better Renal Outcomes in Patients with Type 2 Diabetes Taking Sodium-Glucose Cotransporter 2 Inhibitors versus Dipeptidyl Peptidase-4 Inhibitors
    Chan-Hee Jung
    Endocrinology and Metabolism.2021; 36(2): 339.     CrossRef
  • Efficacy / safety balance of DPP-4 inhibitors versus SGLT2 inhibitors in elderly patients with type 2 diabetes
    André J. Scheen
    Diabetes & Metabolism.2021; 47(6): 101275.     CrossRef
Close layer
Clinical Study
Association of Vitamin D Deficiency with Diabetic Nephropathy
So-hyeon Hong, Young Bin Kim, Hoon Sung Choi, Tae-Dong Jeong, Jin Taek Kim, Yeon Ah Sung
Endocrinol Metab. 2021;36(1):106-113.   Published online February 24, 2021
DOI: https://doi.org/10.3803/EnM.2020.826
  • 14,603 View
  • 279 Download
  • 43 Web of Science
  • 50 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Low 25-hydroxyvitamin D (25OHD) levels are associated with the incidence of type 2 diabetes mellitus (T2DM). However, the association between 25OHD and metabolic health status or diabetic complications is inconclusive. We evaluated this relationship between vitamin D status and metabolic parameters and complications of T2DM.
Methods
This study included 1,392 patients with T2DM who visited Eulji and Ewha Diabetes Center between January 2011 and August 2016. Anthropometric parameters and laboratory tests including glycated hemoglobin (HbA1c), lipid profile, liver and kidney function, and urinary albumin-to-creatinine ratio (UACR) were evaluated. Diabetic macro- and microvascular complications were determined through a medical record review. Serum 25OHD concentrations were measured by chemiluminescent immunoassay.
Results
The mean 25OHD level was 16.8±9.6 ng/mL. Vitamin D deficiency (<20 ng/mL) and severe deficiency (<10 ng/mL) were observed in 990 (71.1%) and 351 (25.2%) participants, respectively. 25OHD level was positively correlated with age and highdensity lipoprotein cholesterol (HDL-C) level and negatively correlated with HbA1c, triglyceride level, and UACR. HDL-C and UACR were significantly associated with 25OHD after adjusting for other variables. Vitamin D deficiency was independently related to nephropathy after adjusting for confounding variables.
Conclusion
Vitamin D deficiency was common among Korean T2DM patients; it was independently associated with microalbuminuria and HDL level, and positively related to diabetic nephropathy.

Citations

Citations to this article as recorded by  
  • Impact of Vitamin D deficiency and VDR FokI polymorphism on diabetic nephropathy risk in type 2 diabetes
    Addisu Melake, Misganaw Asmamaw Mengstie
    Journal of the National Medical Association.2026; 118(1): 83.     CrossRef
  • Association between triglyceride-glucose index and diabetic kidney disease in adults with type 1 diabetes
    Jie Xiang, Wei Gao, Yao Yao, Chan Lu
    BMC Endocrine Disorders.2026;[Epub]     CrossRef
  • Prevalence of Hypovitaminosis D Among Patients With Type 2 Diabetes Mellitus: Evidence From a Diabetes Clinic in Durgapur, West Bengal
    Sutanuka Saha, Piush Pandey, Indradeep Ganguly, Rakesh Kumar, Soumit Roy, Raghunath Misra, Sayanti Bandyopadhyay, Ankita Banerjee, Anirban Mondal, Subarna Sinha Mahapatra
    Cureus.2026;[Epub]     CrossRef
  • Association of 25(OH)D status with calcium metabolism, inflammation, and thyroid autoimmunity in patients with type 2 diabetes mellitus
    Nannan Lv, Jianjian Xiang, Jinsong Kuang, Fei Liu, Lan Cheng, Shanyu Yin
    Frontiers in Endocrinology.2026;[Epub]     CrossRef
  • Endolymphatic hydrops and its association with Magnetic Resonance Imaging and serum vitamin D levels
    Tao Lin, Xiaoting Wang, Luguang Zhang, Jing Li, Ling Ding
    Brazilian Journal of Otorhinolaryngology.2026; 92(5): 101858.     CrossRef
  • Vitamin D deficiency and metabolic disorders increase albuminuria risk in type 2 diabetes (ACR 0.1–300 mg/g): a nomogram-based stratification
    Yanmei Lin, Chenru Zhao, Kang Du, Jianqing Tian
    Frontiers in Endocrinology.2026;[Epub]     CrossRef
  • Construction and validation of a risk prediction model for vitamin D deficiency in patients with type 2 diabetes mellitus
    Ying Zhao, Jieru Chen, Fan Feng, Lixing Yang, Peng Zhang, Xia Cui
    Frontiers in Nutrition.2026;[Epub]     CrossRef
  • Association of vitamin D deficiency and chronic kidney disease in comorbid patients with type 2 diabetes mellitus
    V. A. Dugusheva, Yu. A. Kotova
    Meditsinskiy sovet = Medical Council.2026;[Epub]     CrossRef
  • Pathophysiological mechanisms, potential biomarkers, and therapeutic interventions in diabetic nephropathy
    Kuldip Vyas, Abu Sufiyan Chhipa, Ayush chauhan, Snehal S. Patel
    Discover Molecules.2026;[Epub]     CrossRef
  • Role of vitamin D3 in lipid metabolism and chronic pain in advanced diabetic kidney disease and its rehabilitation
    Ning-Ning Zhuang, Hao-Jun You
    Healthcare and Rehabilitation.2025; 1(1): 100005.     CrossRef
  • Role of platelet indices and vitamin D in forecasting deterioration of glycemic control and vascular complications in type 2 diabetes
    Maryam Ahmed Obaid Al Ali, Khalid Abdelsamea Mohamedahmed, Asaad Ma Babker
    Italian Journal of Medicine.2025;[Epub]     CrossRef
  • Vitamin D Status and Its Association With Sun Exposure in Patients With Type 2 Diabetes Mellitus in Southern Malaysia
    Norizzati Amsah, Zaleha Md Isa, Norfazilah Ahmad, Zaid Kassim, Siti Nor Athirah Mohamad
    Cureus.2025;[Epub]     CrossRef
  • Impact of dioxins and polychlorinated biphenyls on kidney parameters: The modulatory role of vitamin D
    Dongdong Zhang, Xixi Qiao, Juan Peng, Jingjing Quan, Zhijun Huang, Bin Yi
    Ecotoxicology and Environmental Safety.2025; 294: 118062.     CrossRef
  • Vitamin D deficiency and VDR TaqI polymorphism on diabetic nephropathy risk among type 2 diabetes patients
    Addisu Melake, Misganaw Asmamaw Mengstie
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • Role of vitamin D in the development and progression of diabetic kidney disease: an overview of meta-analyses
    Ashna Chackochan, Muhammed Rashid, Swetha R. Reghunath, Pooja Gopal Poojari, Girish Thunga, Shivashankara Kaniyoor Nagri, Vasudeva Guddattu, Revathi P. Shenoy, Vishnu Prasad Shenoy, Leelavathi D. Acharya
    Therapeutic Advances in Endocrinology and Metabolism.2025;[Epub]     CrossRef
  • Association Between Vitamin D Receptor Gene Polymorphism and Diabetic Nephropathy in Patients with Type 2 Diabetes Mellitus
    Nardin S. Soliman, Dina Adam El-Shahat, Hala Mohammed Nagy, Gihan Farouk Attia, Amal Abd Elmoniem Selim
    Indian Journal of Clinical Biochemistry.2025;[Epub]     CrossRef
  • 25-(OH)D Deficiency and the Risk of Minor Amputation in Patients with Diabetes Foot Ulcers: A Chinese Cohort Study
    Zhikai Qian, Yongyang Sun, Jinyu Bai, Bo Jiang, Jiaju Zhao
    International Journal of General Medicine.2025; Volume 18: 3837.     CrossRef
  • Associations between serum JAML, nesfatin-1, and 25(OH)D and the risk of diabetic kidney disease in patients with type 2 diabetes
    Qizhuo Hou, Kangkang Huang, Yunlai Liang, Wenze Yu, Lu Long, Kun Wang, Bin Yi
    Scientific Reports.2025;[Epub]     CrossRef
  • Vitamin D Deficiency Is Associated with an Increased Risk of Macroalbuminuria in Chinese Patients with Type 2 Diabetes
    Xiulin WANG, Wenjin XIAO
    Journal of Nutritional Science and Vitaminology.2025; 71(4): 283.     CrossRef
  • Association of Vitamin D Deficiency with Diabetic Nephropathy in Type 2 Diabetes: A Hospital-Based Cross-Sectional Study
    Shafia Bashir, Geer Mohammad Ishaq, Insha Mushtaq, Mohammad Ashraf Ganie, Imtiyaz Wani, Muteb Alanazi, Ibrahim Asiri, Arshad Hussain, Kashif Ullah Khan, Sirajudheen Anwar
    Diseases.2025; 13(12): 405.     CrossRef
  • Association Between Vitamin D and Diabetic Kidney Disease
    Feride Pınar Altay, Özlem Turhan İyidir, Sevim Güllü
    Journal of Clinical Medicine.2025; 15(1): 153.     CrossRef
  • Evaluation the Levels of Pentosidine and Vitamin D3 in Diabetic Nephropathy
    Maryam Hiyder Kadum, Khawla A. Shemran, Yasameen AL Saffar
    Medical Journal of Babylon.2025; 22(4): 995.     CrossRef
  • Deficiency of 25-Hydroxy Vitamin D in Type 2 Diabetic Patients in Parakou in 2023: Prevalence and Associated Factors
    Moutawakilou Gomina, Adébayo Alassani, Diane Naissem Guidimbaye, Sékossounon Sanni, Romaric Basson, Jean-Baptiste Aidjinou, Lassane Zoungrana, Abdou-Badiou Djibril, Jules Gninkoun
    Open Journal of Endocrine and Metabolic Diseases.2025; 15(10): 217.     CrossRef
  • ED-71 ameliorates bone regeneration in type 2 diabetes by reducing ferroptosis in osteoblasts via the HIF1α pathway
    Maoshan Wang, Yingxue Liu, Houda Gui, Gaoqiang Ma, Binyang Li, Zhanwei Zhang, Gyeonghwi Yu, Ailin Wu, Xin Xu, Dongjiao Zhang
    European Journal of Pharmacology.2024; 969: 176303.     CrossRef
  • Vitamin D metabolism in diabetic nephropathy
    Z. V. Abilov, R. Kh. Salimkhanov, A. A. Povaliaeva, A. Yu. Zhukov, E. A. Pigarova, L. K. Dzeranova, L. Ya. Rozhinskaya
    Obesity and metabolism.2024; 20(4): 283.     CrossRef
  • Telmisartan ameliorates nephropathy and restores the hippo pathway in rats with metabolic syndrome
    Badria Mohamed, Salah A. Ghareib, Amira Ebrahim Alsemeh, Shaimaa S. El-Sayed
    European Journal of Pharmacology.2024; 973: 176605.     CrossRef
  • The impact of vitamin D on the etiopathogenesis and the progression of type 1 and type 2 diabetes in children and adults
    Candong Li, Jiaowen Fu, Yipeng Ye, Junsen Li, Yangli He, Tuanyu Fang
    Frontiers in Endocrinology.2024;[Epub]     CrossRef
  • 25(OH)D level and vascular lesion scores in kidney histopathology as risk-stratification tool for predicting renal progression in people with type 2 diabetes
    Suyan Duan, Fang Lu, Rui Sun, Chen Chen, Si Chen, Luhan Geng, Li Qian, Ying Pan, Chengning Zhang, Ming Zeng, Bin Sun, Huijuan Mao, Bo Zhang, Changying Xing, Yanggang Yuan
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2024; 18(5): 103037.     CrossRef
  • Relationship between bone turnover markers and renal disease in elderly patients with type 2 diabetes: a cross-sectional study
    Shuwu Wei, Xinyu Pan, Junping Wei
    BMC Endocrine Disorders.2024;[Epub]     CrossRef
  • COVID-19 infection and metabolic comorbidities: Mitigating role of nutritional sufficiency and drug – nutraceutical combinations of vitamin D
    Sumit Kumar Mandal, Meghana Tare, P.R. Deepa
    Human Nutrition & Metabolism.2023; 31: 200179.     CrossRef
  • Effects of Vitamin D Supplementation in Diabetic Kidney Disease: A Systematic Review
    Thais de Oliveira e Silva Ullmann, Beatrys Juliani Ramalho, Lucas Fornari Laurindo, Ricardo José Tofano, Claudio José Rubira, Elen Landgraf Guiguer, Sandra Maria Barbalho, Uri Adrian Prync Flato, Katia Portero Sloan, Adriano Cressoni Araujo
    Journal of Renal Nutrition.2023; 33(5): 618.     CrossRef
  • Diabetic Nephropathy: Significance of Determining Oxidative Stress and Opportunities for Antioxidant Therapies
    Marina Darenskaya, Sergey Kolesnikov, Natalya Semenova, Lyubov Kolesnikova
    International Journal of Molecular Sciences.2023; 24(15): 12378.     CrossRef
  • Association between serum 25- hydroxyvitamin D and albuminuiria in middle-aged and older Chinese patients with type 2 diabetes
    Luyan Zhang, Qian Guo, Yanjia Xu, Wenzhen Wei, Yu Wang
    BMC Endocrine Disorders.2023;[Epub]     CrossRef
  • Vitamin D deficiency and its associated factors among patients with type 2 diabetes mellitus: a systematic review and meta-analysis
    Mitku Mammo Taderegew, Gashaw Garedew Woldeamanuel, Alemayehu Wondie, Atsede Getawey, Abera Nesiru Abegaz, Fentahun Adane
    BMJ Open.2023; 13(10): e075607.     CrossRef
  • Progression of diabetic nephropathy and vitamin D serum levels: A pooled analysis of 7722 patients
    Yomna E. Dean, Sameh Samir Elawady, Wangpan Shi, Ahmed A. Salem, Arinnan Chotwatanapong, Haya Ashraf, Tharun Reddi, Prashant Obed Reddy Dundi, Waleed Yasser Habash, Mohamed Yasser Habash, Safaa Ahmed, Hana M. Samir, Ahmed Elsayed, Aryan Arora, Abhinav Aro
    Endocrinology, Diabetes & Metabolism.2023;[Epub]     CrossRef
  • Incidence of Vitamin D Deficiency and Its Association With Microalbuminuria in Patients With Type 2 Diabetes Mellitus
    Muhammad Hamza Riaz, Ammar Jamil, Hira Yousaf, Muhammad Hassan, Muhammad Ahmer Sohaib, Sharjeel Babar, Muhammad Hassan Ahmad, Ibtesam Allahi, Muhammad Zeshan Mehmood, Tayyab Mumtaz Khan
    Cureus.2023;[Epub]     CrossRef
  • The Role of Vitamin D in Diabetic Nephropathy: A Translational Approach
    Charlotte Delrue, Reinhart Speeckaert, Joris R. Delanghe, Marijn M. Speeckaert
    International Journal of Molecular Sciences.2022; 23(2): 807.     CrossRef
  • Associations of serum amyloid A and 25‐hydroxyvitamin D with diabetic nephropathy: A cross‐sectional study
    Qian Liu, Jin Sun, Tongdao Xu, Guangrong Bian, Fumeng Yang
    Journal of Clinical Laboratory Analysis.2022;[Epub]     CrossRef
  • Formulation Strategies for Improving the Stability and Bioavailability of Vitamin D-Fortified Beverages: A Review
    Elsa F. Vieira, Suene Souza
    Foods.2022; 11(6): 847.     CrossRef
  • Association between Vitamin D Status and Mortality among Adults with Diabetic Kidney Disease
    Feng Xu, Hongyu Lu, Tianwen Lai, Ling Lin, Yongsong Chen, Pratibha V. Nerurkar
    Journal of Diabetes Research.2022; 2022: 1.     CrossRef
  • Assessment of the relationship between 25-hydroxyvitamin D and albuminuria in type 2 diabetes mellitus
    Seyed Alireza Zomorodian, Maryam Shafiee, Zeinab Karimi, Fatemeh Masjedi, Amirhossein Roshanshad
    BMC Endocrine Disorders.2022;[Epub]     CrossRef
  • Association of Serum 25 (OH) Vitamin D With Chronic Kidney Disease Progression in Type 2 Diabetes
    Suyan Duan, Fang Lu, Buyun Wu, Chengning Zhang, Guangyan Nie, Lianqin Sun, Zhimin Huang, Honglei Guo, Bo Zhang, Changying Xing, Yanggang Yuan
    Frontiers in Endocrinology.2022;[Epub]     CrossRef
  • The Influence of Dietary Supplementations on Neuropathic Pain
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    Life.2022; 12(8): 1125.     CrossRef
  • Emergence of Ectopic Adrenal Tissues-What are the Probable Mechanisms?
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    Journal of Clinical Research in Pediatric Endocrinology.2022; 14(3): 258.     CrossRef
  • Anti-proteinuria effect of active vitamin D in patients with type 2 diabetic nephropathy
    Asieh Aref, Mina Khodhal, Homeira Rashidi, Zahra Farhangiyan, Saeid Bitaraf
    Journal of Family Medicine and Primary Care.2022; 11(12): 7735.     CrossRef
  • Nutritional Supplements for the Treatment of Neuropathic Pain
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    Biomedicines.2021; 9(6): 674.     CrossRef
  • Vitamin D Deficiency as a Predictor of a High Prevalence of Coronary Artery Disease in Pancreas Transplant Candidates With Type 1 Diabetes
    Małgorzata Buksińska-Lisik, Przemysław J. Kwasiborski, Robert Ryczek, Wojciech Lisik, Artur Mamcarz
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Serum 25-hydroxyvitamin D and Metabolic Parameters in Healthy Korean Adults: Korean National Health and Nutrition Examination Survey VI
    Jeonghoon Ha, Hansang Baek, Chaiho Jeong, Hyunsam Kim, Ki-Hyun Baek, Moo Il Kang, Dong-Jun Lim
    International Journal of General Medicine.2021; Volume 14: 5233.     CrossRef
  • Association Between 25(OH)Vitamin D, HbA1c and Albuminuria in Diabetes Mellitus: Data From a Population-Based Study (VIDAMAZON)
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    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Vitamin D Analogs Can Retard the Onset or Progression of Diabetic Kidney Disease: A Systematic Review
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    Frontiers in Clinical Diabetes and Healthcare.2021;[Epub]     CrossRef
Close layer
Clinical Study
Short-Term Effects of Beraprost Sodium on the Markers for Cardiovascular Risk Prediction in Type 2 Diabetic Patients with Microalbuminuria
Yun Mi Choi, Hyuk-Sang Kwon, Kyung Mook Choi, Won-Young Lee, Eun-Gyoung Hong
Endocrinol Metab. 2019;34(4):398-405.   Published online December 23, 2019
DOI: https://doi.org/10.3803/EnM.2019.34.4.398
  • 10,792 View
  • 69 Download
  • 9 Web of Science
  • 10 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background

To evaluate the changes in cardiovascular risk markers including pulse wave velocity (PWV), microalbuminuria, inflammatory cytokines, and adhesion molecules after treatment with beraprost sodium (BPS) in patients with diabetic nephropathy.

Methods

This was a multicenter, prospective, randomized, double-blind, placebo-controlled trial. Type 2 diabetes mellitus patients with microalbuminuria were included. The primary endpoints were changes in microalbuminuria in spot urine and PWV after BPS or placebo (PCB) treatment for 24 weeks. The secondary endpoints were changes in clinical and metabolic parameters.

Results

A total of 52 patients completed the 24-week trial. Changes in PWV were not different significantly in the BPS and PCB groups (right, P=0.16; left, P=0.11). Changes in microalbuminuria were 14.2±157.0 and 34.5±146.6 (µg/mg Cr) in the BPS and PCB groups, respectively (P=0.63). Subgroup analysis in the high blood pressure (BP) group (baseline systolic BP >120 mm Hg and diastolic BP >80 mm Hg), showed that microalbuminuria decreased by −47.6 in the BPS group compared with an increase by 116.4 (µg/mg Cr) in the PCB group (P=0.04). Also, in the large waist circumference group (>95 cm), microalbuminuria decreased significantly in the BPS group (P=0.04).

Conclusion

Short-term treatment of BPS for patients with diabetic nephropathy did not show significant improvement in various cardiovascular risk factors. However, BPS significantly decreased microalbuminuria in study subjects with higher cardiovascular risk such as high BP or large waist circumference.

Citations

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  • A meta-analysis examining the impact of prostaglandins on diabetic nephropathy
    Xiafei Guo
    International Urology and Nephrology.2025; 57(7): 2301.     CrossRef
  • Development of Predictive Models for Progression from Diabetic Kidney Disease to End-Stage Renal Disease in Type 2 Diabetes Mellitus: A Retrospective Cohort Study
    Huiyue Hu, Xiaodie Mu, Shuya Zhao, Min Yang, Hua Zhou
    Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 383.     CrossRef
  • Clinical efficacy of beraprost sodium in treating chronic kidney disease: A six-month prospective study
    Chen Sun, Xin Wu, Xin Zhang, Shulin Li, Ruoyu Jia, Dong Sun
    Heliyon.2024; 10(2): e24156.     CrossRef
  • Clinical efficacy and safety of beraprost sodium in the treatment of nephrotic syndrome: A meta-analysis
    Peng Yan, Ben Ke, Xiangdong Fang
    Medicine.2023; 102(42): e34958.     CrossRef
  • Dysregulated coagulation system links to inflammation in diabetic kidney disease
    Mengyun Xiao, Donge Tang, Shaodong Luan, Bo Hu, Wenyu Gong, Wolfgang Pommer, Yong Dai, Lianghong Yin
    Frontiers in Clinical Diabetes and Healthcare.2023;[Epub]     CrossRef
  • Plasma plasminogen activator inhibitor-1 as a predictive marker of type 2 diabetic nephropathy in Egyptian patients
    El-Saeid M.E.-S. El-Bawab, Mostafa M.M. Alomairi, Ashraf M. El- Kabeer, Sayed F.A. Abd-Allah
    Al-Azhar Assiut Medical Journal.2023; 21(3): 178.     CrossRef
  • The effects of beraprost sodium on renal function and cardiometabolic profile in patients with diabetes mellitus: a systematic review and meta-analysis of clinical trials
    Peyman Nowrouzi-Sohrabi, Reza Tabrizi, Kamran Hessami, Mojtaba Shabani-Borujeni, Mahnaz Hosseini-Bensenjan, Shahla Rezaei, Mohammad Jalali, Pedram Keshavarz, Fariba Ahmadizar
    International Urology and Nephrology.2022; 54(1): 111.     CrossRef
  • Thrombocytopenia in COVID‑19 and vaccine‑induced thrombotic thrombocytopenia
    Styliani Geronikolou, Işil Takan, Athanasia Pavlopoulou, Marina Mantzourani, George Chrousos
    International Journal of Molecular Medicine.2022;[Epub]     CrossRef
  • The Role of Platelets in Diabetic Kidney Disease
    Ukhti Jamil Rustiasari, Joris J. Roelofs
    International Journal of Molecular Sciences.2022; 23(15): 8270.     CrossRef
  • Comparative Efficacy of Lobeglitazone Versus Pioglitazone on Albuminuria in Patients with Type 2 Diabetes Mellitus
    Kyung-Soo Kim, Sangmo Hong, Hong-Yup Ahn, Cheol-Young Park
    Diabetes Therapy.2021; 12(1): 171.     CrossRef
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Diabetes, Obesity and Metabolism
Effects of Dipeptidyl Peptidase-4 Inhibitors on Renal Outcomes in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis
Jae Hyun Bae, Sunhee Kim, Eun-Gee Park, Sin Gon Kim, Seokyung Hahn, Nam Hoon Kim
Endocrinol Metab. 2019;34(1):80-92.   Published online March 21, 2019
DOI: https://doi.org/10.3803/EnM.2019.34.1.80
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AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background

To investigate the effects of dipeptidyl peptidase-4 (DPP-4) inhibitors on renal outcomes in patients with type 2 diabetes.

Methods

MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials were searched to identify randomized controlled trials (RCTs) of DPP-4 inhibitors from inception to September 2017. We selected eligible RCTs comparing DPP-4 inhibitors with placebo or other antidiabetic agents and reporting at least one renal outcome. A meta-analysis was conducted to calculate standardized mean differences, weighted mean differences (WMDs), relative risks (RRs), and 95% confidence intervals (CIs) for each renal outcome.

Results

We included 23 RCTs with 19 publications involving 41,359 patients. Overall changes in urine albumin-to-creatinine ratio were comparable between DPP-4 inhibitors and controls (P=0.150). However, DPP-4 inhibitors were associated with significantly lower risk of incident microalbuminuria (RR, 0.89; 95% CI, 0.80 to 0.98; P=0.022) and macroalbuminuria (RR, 0.77; 95% CI, 0.61 to 0.97; P=0.027), as well as higher rates of regression of albuminuria (RR, 1.22; 95% CI, 1.10 to 1.35; P<0.001) compared with controls. Although DPP-4 inhibitors were associated with small but significantly lower estimated glomerular filtration rate (WMD, −1.11 mL/min/1.73 m2; 95% CI, −1.78 to −0.44; P=0.001), there was no difference in the risk of end-stage renal disease between two groups (RR, 0.93; 95% CI, 0.76 to 1.14; P=0.475).

Conclusion

DPP-4 inhibitors had beneficial renal effects mainly by reducing the risk of development or progression of albuminuria compared with placebo or other antidiabetic agents.

Citations

Citations to this article as recorded by  
  • Real-World Evidence for Metformin Use in Solid Organ Transplant Recipients Living With Diabetes
    Idit Dotan, Shiri Kushnir, Tzippy Shochat, Talia Diker Cohen
    Endocrine Practice.2026; 32(3): 360.     CrossRef
  • Gene Expression as a Guide for the Development of Novel Therapies in Hypertensive and Diabetic Kidney Disease
    Maria Zaimi, Georgios Zagkotsis, Athanasios Kammenos, Eirini Grapsa, Smaragdi Marinaki, Eleni Frangou
    Journal of Clinical Medicine.2026; 15(2): 696.     CrossRef
  • Efficacy and safety of adding a fourth oral antidiabetic drug versus metformin dose escalation in patients with type 2 diabetes inadequately controlled on triple oral combination therapy (EFFORT): A 24‐week, randomized, open‐label, multicenter trial
    So Ra Kim, Jun Hwa Hong, Sin Gon Kim, Soo‐Kyung Kim, Hyuk‐Sang Kwon, Jun Sung Moon, Jung Hwan Park, Jae Myung Yu, Bong‐Soo Cha, Byung‐Wan Lee
    Diabetes, Obesity and Metabolism.2026; 28(4): 3305.     CrossRef
  • Early potential safety signals for gliptins and gliflozins using real-world pharmacy data compared to spontaneous reporting
    Maria-Isabel Jimenez-Serrania, Sara-Maria Martinez-Gonzalez, Javier Herradon-Muñoz, Carlos Treceño-Lobato, Marwan Salih Al-Nimer
    PLOS One.2026; 21(6): e0352399.     CrossRef
  • Positive impact of DPP-4 or SGLT2 inhibitors on mild cognitive impairment in type 2 diabetes patients on metformin therapy: A metabolomic mechanistic insight
    Shams T. Osman, Waziha Purba, Oluwatosin Daramola, Md Mostofa Al Amin Bhuiyan, Judith Nwaiwu, Mojibola Fowowe, Junyao Wang, Noha A. Hamdy, Mahmoud A. Agami, Amr Y. El-Feky, Labiba K. El-Khordagui, Yehia S. Mechref, Ahmed F. El-Yazbi
    Biomedicine & Pharmacotherapy.2025; 182: 117771.     CrossRef
  • Use of dipeptidyl peptidase‐4 inhibitors is associated with lower risk of severe renal outcomes in pre‐dialysis patients with Type 2 diabetes
    Tung‐Ying Hung, Tzu‐Chieh Lin, Ying‐Jay Liou, Tzu‐Han Lin, Yu‐Juei Hsu, Liang‐Yu Lin, Meng‐Ting Wang
    Journal of Internal Medicine.2025; 298(3): 214.     CrossRef
  • Ipragliflozin and sitagliptin differentially affect lipid and apolipoprotein profiles in type 2 diabetes: the SUCRE study
    Mototsugu Nagao, Jun Sasaki, Kyoko Tanimura-Inagaki, Ichiro Sakuma, Hitoshi Sugihara, Shinichi Oikawa
    Cardiovascular Diabetology.2024;[Epub]     CrossRef
  • Repurposing DPP-4 Inhibitors as a Novel Intervention in COVID-19: In Silico Analysis for SARS-CoV-2 Spike Glycoprotein Inhibition
    Chhanda Charan Danta, Manoj Kumar Mahapatra
    Proceedings of the National Academy of Sciences, India Section B: Biological Sciences.2024; 94(3): 635.     CrossRef
  • Effect of DPP-4i inhibitors on renal function in patients with type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials
    Yong Gong, Xueyan Bai, Donglei Zhang, Xingsheng Yang, Zheng Qin, Yu Yang, Yilun Zhou, Jie Meng, Xin Liu
    Lipids in Health and Disease.2024;[Epub]     CrossRef
  • Comparison of renal prognosis between dipeptidyl peptidase‐4 inhibitor users and non‐users
    Hideaki Hashimoto, Michihiro Satoh, Shingo Nakayama, Maya Toyama, Takahisa Murakami, Taku Obara, Naoki Nakaya, Takefumi Mori, Atushi Hozawa, Hirohito Metoki
    Diabetes, Obesity and Metabolism.2024; 26(10): 4460.     CrossRef
  • Safety and Efficiency of Dipeptidyl Peptidase IV Inhibitors in Patients with Diabetic Kidney Disease: A Systematic Review and Meta-Analysis
    Adili Tuersun, Munire Mohetaer, Guanxin Hou, Gang Cheng
    Current Therapeutic Research.2024; 101: 100763.     CrossRef
  • Transforming Diabetes Care: The Expanding Role of DPP-4 Inhibitors in Cardiovascular and Renal Protection
    Francisco Epelde
    Medicina.2024; 60(11): 1793.     CrossRef
  • Dulaglutide and Dapagliflozin Combination Concurrently Improves the Endothelial Glycocalyx and Vascular and Myocardial Function in Patients with T2DM and Albuminuria vs. DPP-4i
    Emmanouil Korakas, John Thymis, Evangelos Oikonomou, Konstantinos Mourouzis, Aikaterini Kountouri, Loukia Pliouta, Sotirios Pililis, George Pavlidis, Stamatios Lampsas, Konstantinos Katogiannis, Lina Palaiodimou, Georgios Tsivgoulis, Gerasimos Siasos, Ign
    Journal of Clinical Medicine.2024; 13(24): 7497.     CrossRef
  • Effects of glucose‐lowering agents on cardiovascular and renal outcomes in subjects with type 2 diabetes: An updated meta‐analysis of randomized controlled trials with external adjudication of events
    Edoardo Mannucci, Marco Gallo, Andrea Giaccari, Riccardo Candido, Basilio Pintaudi, Giovanni Targher, Matteo Monami
    Diabetes, Obesity and Metabolism.2023; 25(2): 444.     CrossRef
  • Sitagliptin Mitigates Diabetic Nephropathy in a Rat Model of Streptozotocin-Induced Type 2 Diabetes: Possible Role of PTP1B/JAK-STAT Pathway
    Sarah M. AL-Qabbaa, Samaher I. Qaboli, Tahani K. Alshammari, Maha A. Alamin, Haya M. Alrajeh, Lama A. Almuthnabi, Rana R. Alotaibi, Asma S. Alonazi, Anfal F. Bin Dayel, Nawal M. Alrasheed, Nouf M. Alrasheed
    International Journal of Molecular Sciences.2023; 24(7): 6532.     CrossRef
  • Take an individualized and multipronged approach when managing older adults with type 2 diabetes
    Sheridan M. Hoy
    Drugs & Therapy Perspectives.2023; 39(5): 171.     CrossRef
  • Cardiovascular and Renal Outcomes With Sodium-Glucose Cotransporter-2 Inhibitors and Dipeptidyl Peptidase-4 Inhibitors Combination Therapy: A Meta-Analysis of Randomized Cardiovascular Outcome Trials
    Awadhesh Kumar Singh, Akriti Singh, Ritu Singh
    Endocrine Practice.2023; 29(7): 509.     CrossRef
  • Sodium‐glucose cotransporter 2 inhibitors versus dipeptidyl peptidase 4 inhibitors on new‐onset overall cancer in Type 2 diabetes mellitus: A population‐based study
    Cheuk To Chung, Ishan Lakhani, Oscar Hou In Chou, Teddy Tai Loy Lee, Edward Christopher Dee, Kenrick Ng, Wing Tak Wong, Tong Liu, Sharen Lee, Qingpeng Zhang, Bernard Man Yung Cheung, Gary Tse, Jiandong Zhou
    Cancer Medicine.2023; 12(11): 12299.     CrossRef
  • Comparative Effects of Glucose-Lowering Medications on Kidney Outcomes in Type 2 Diabetes
    Deborah J. Wexler, Ian H. de Boer, Alokananda Ghosh, Naji Younes, Ionut Bebu, Silvio E. Inzucchi, Janet B. McGill, Sunder Mudaliar, David Schade, Michael W. Steffes, William V. Tamborlane, Meng H. Tan, Faramarz Ismail-Beigi, Jill P. Crandall, Melissa Dian
    JAMA Internal Medicine.2023; 183(7): 705.     CrossRef
  • SAFETY PROFILE OF DIPEPTIDYL PEPTIDASE-4 INHIBITORS
    M. Ganeva
    Trakia Journal of Sciences.2023; 21(1): 54.     CrossRef
  • Chronic Kidney Disease and SGLT2 Inhibitors: A Review of the Evolving Treatment Landscape
    Christian W. Mende
    Advances in Therapy.2022; 39(1): 148.     CrossRef
  • Management of Hyperglycemia in Older Adults with Type 2 Diabetes
    Gunjan Y. Gandhi, Arshag D. Mooradian
    Drugs & Aging.2022; 39(1): 39.     CrossRef
  • Pharmacoeconomic evaluation of dipeptidyl peptidase-4 inhibitors for the treatment of type 2 diabetes mellitus: a systematic literature review
    Zhen Ruan, Huimin Zou, Qing Lei, Carolina Oi Lam Ung, Honghao Shi, Hao Hu
    Expert Review of Pharmacoeconomics & Outcomes Research.2022; 22(4): 555.     CrossRef
  • Effect of Anagliptin versus Sitagliptin on Renal Function: Subanalyzes from the REASON Trial
    Hiroki Teragawa, Takeshi Morimoto, Yuichi Fujii, Tomohiro Ueda, Mio Sakuma, Michio Shimabukuro, Osamu Arasaki, Koichi Node, Takashi Nomiyama, Shinichiro Ueda
    Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2022; Volume 15: 685.     CrossRef
  • Glomerular filtration rate as a kidney outcome of diabetic kidney disease: a focus on new antidiabetic drugs
    Hyo Jin Kim, Sang Soo Kim, Sang Heon Song
    The Korean Journal of Internal Medicine.2022; 37(3): 502.     CrossRef
  • The Effects of Dipeptidyl Peptidase 4 Inhibitors on Renal Function in Patients with Type 2 Diabetes Mellitus
    Wan-Chia Hsu, Chun-Sheng Lin, Jung-Fu Chen, Chih-Min Chang
    Journal of Clinical Medicine.2022; 11(9): 2653.     CrossRef
  • Treatment of diabetes mellitus has borne much fruit in the prevention of cardiovascular disease
    Hiroaki Yagyu, Hitoshi Shimano
    Journal of Diabetes Investigation.2022; 13(9): 1472.     CrossRef
  • Finerenone, a Novel and Safer Approach toward Management of Diabetic Kidney Disease with Heart Failure
    Ayesha Abdul Qadir Memon, Sarmad Iqbal
    Global Journal of Medical, Pharmaceutical, and Biomedical Update.2022; 17: 12.     CrossRef
  • The effects of dipeptidyl peptidase‐4 inhibitors on kidney outcomes
    Daniel V. O'Hara, Thomas R. Parkhill, Sunil V. Badve, Min Jun, Meg J. Jardine, Vlado Perkovic
    Diabetes, Obesity and Metabolism.2021; 23(3): 763.     CrossRef
  • Urinary DPP4 correlates with renal dysfunction, and DPP4 inhibition protects against the reduction in megalin and podocin expression in experimental CKD
    Acaris Benetti, Flavia Letícia Martins, Letícia Barros Sene, Maria Heloisa M. Shimizu, Antonio C. Seguro, Weverton M. Luchi, Adriana C. C. Girardi
    American Journal of Physiology-Renal Physiology.2021; 320(3): F285.     CrossRef
  • Incretin-based drugs and the kidney in type 2 diabetes: choosing between DPP-4 inhibitors and GLP-1 receptor agonists
    Johannes F.E. Mann, Marcel H.A. Muskiet
    Kidney International.2021; 99(2): 314.     CrossRef
  • Renoprotective Effects of DPP-4 Inhibitors
    Daiji Kawanami, Yuichi Takashi, Hiroyuki Takahashi, Ryoko Motonaga, Makito Tanabe
    Antioxidants.2021; 10(2): 246.     CrossRef
  • Danegaptide Prevents TGFβ1-Induced Damage in Human Proximal Tubule Epithelial Cells of the Kidney
    Paul E. Squires, Gareth W. Price, Ulrik Mouritzen, Joe A. Potter, Bethany M. Williams, Claire E. Hills
    International Journal of Molecular Sciences.2021; 22(6): 2809.     CrossRef
  • Comparative Renal Effects of Dipeptidyl Peptidase-4 Inhibitors and Sodium-Glucose Cotransporter 2 Inhibitors on Individual Outcomes in Patients with Type 2 Diabetes: A Systematic Review and Network Meta-Analysis
    Jae Hyun Bae, Eun-Gee Park, Sunhee Kim, Sin Gon Kim, Seokyung Hahn, Nam Hoon Kim
    Endocrinology and Metabolism.2021; 36(2): 388.     CrossRef
  • Consensus Recommendations by the Asian Pacific Society of Cardiology: Optimising Cardiovascular Outcomes in Patients with Type 2 Diabetes
    Jack Wei Chieh Tan, David Sim, Junya Ako, Wael Almahmeed, Mark E Cooper, Jamshed J Dalal, Chaicharn Deerochanawong, David Wei Chun Huang, Sofian Johar, Upendra Kaul, Sin Gon Kim, Natalie Koh, Alice Pik-Shan Kong, Rungroj Krittayaphong, Bernard Kwok, Bien
    European Cardiology Review.2021;[Epub]     CrossRef
  • Diabetes and kidney disease: emphasis on treatment with SGLT-2 inhibitors and GLP-1 receptor agonists
    Francesco Prattichizzo, Paola de Candia, Antonio Ceriello
    Metabolism.2021; 120: 154799.     CrossRef
  • SGLT2 Inhibitors and Other Novel Therapeutics in the Management of Diabetic Kidney Disease
    Robert C. Stanton
    Seminars in Nephrology.2021; 41(2): 85.     CrossRef
  • Mineralocorticoid Receptor Antagonists in Diabetic Kidney Disease
    Nina Vodošek Hojs, Sebastjan Bevc, Robert Ekart, Nejc Piko, Tadej Petreski, Radovan Hojs
    Pharmaceuticals.2021; 14(6): 561.     CrossRef
  • Podocyte Glucocorticoid Receptors Are Essential for Glomerular Endothelial Cell Homeostasis in Diabetes Mellitus
    Swayam Prakash Srivastava, Han Zhou, Ocean Setia, Alan Dardik, Carlos Fernandez‐Hernando, Julie Goodwin
    Journal of the American Heart Association.2021;[Epub]     CrossRef
  • Coronavirus Disease (COVID)-19 and Diabetic Kidney Disease
    Swayam Prakash Srivastava, Rohit Srivastava, Subhash Chand, Julie E. Goodwin
    Pharmaceuticals.2021; 14(8): 751.     CrossRef
  • Effects of DPP4 inhibitors on renal outcomes in diabetes mellitus: A systematic review and meta-analysis
    SaikatK Dalui, Raja Chakraverty, Nafisha Yasmin, Smita Pattanaik, Kaushik Pandit, Suparna Chatterjee
    Indian Journal of Endocrinology and Metabolism.2021; 25(4): 283.     CrossRef
  • Comparison of Adverse Kidney Outcomes With Empagliflozin and Linagliptin Use in Patients With Type 2 Diabetic Patients in a Real-World Setting
    Yueh-Ting Lee, Chien-Ning Hsu, Chung-Ming Fu, Shih-Wei Wang, Chiang-Chi Huang, Lung-Chih Li
    Frontiers in Pharmacology.2021;[Epub]     CrossRef
  • The Role of DPP-4 Inhibitors in Type-2 Diabetes Patients with Chronic Kidney Disease
    Mishal Yousef Alqurashi, Khalid Faisal Alharthi, Abdulaziz Abdulrahman Alshehri, Yazeed Khalid Alharbi, Mohammad Abdulmunem Sanousi, Anas Abdullah Almazyed, Khulud Saeed Alghamdi, Sarah Musaad Alrashidi, Waad Abdullah Qaeed, Amjad Aedh Alasmari
    Pharmacophore.2021; 12(3): 91.     CrossRef
  • Type 2 diabetes mellitus management in patients with chronic kidney disease: an update
    Zoi Kleinaki, Stella Kapnisi, Sofia-Andriani Theodorelou-Charitou, Ilias P. Nikas, Stavroula A. Paschou
    Hormones.2020; 19(4): 467.     CrossRef
  • Renal Outcomes in Type 2 Diabetes: A Review of Cardiovascular and Renal Outcome Trials
    David M. Williams, Asif Nawaz, Marc Evans
    Diabetes Therapy.2020; 11(2): 369.     CrossRef
  • Favorable pleiotropic effects of sodium glucose cotransporter 2 inhibitors: head-to-head comparisons with dipeptidyl peptidase-4 inhibitors in type 2 diabetes patients
    Shih-Chieh Shao, Kai-Cheng Chang, Swu-Jane Lin, Rong-Nan Chien, Ming-Jui Hung, Yuk-Ying Chan, Yea-Huei Kao Yang, Edward Chia-Cheng Lai
    Cardiovascular Diabetology.2020;[Epub]     CrossRef
  • Novel therapeutic agents for the treatment of diabetic kidney disease
    Rachel E. Hartman, P.S.S. Rao, Mariann D. Churchwell, Susan J. Lewis
    Expert Opinion on Investigational Drugs.2020; 29(11): 1277.     CrossRef
  • Renal protection with glucagon-like peptide-1 receptor agonists
    Martina Vitale, Jonida Haxhi, Tiziana Cirrito, Giuseppe Pugliese
    Current Opinion in Pharmacology.2020; 54: 91.     CrossRef
  • Loss of Mitochondrial Control Impacts Renal Health
    Swayam Prakash Srivastava, Keizo Kanasaki, Julie E. Goodwin
    Frontiers in Pharmacology.2020;[Epub]     CrossRef
  • Effects of Sodium-Glucose Cotransporter 2 Inhibitors on Renal Outcomes in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Jae Hyun Bae, Eun-Gee Park, Sunhee Kim, Sin Gon Kim, Seokyung Hahn, Nam Hoon Kim
    Scientific Reports.2019;[Epub]     CrossRef
Close layer
Review Article
Diabetes, Obesity and Metabolism
Current Challenges in Diabetic Nephropathy: Early Diagnosis and Ways to Improve Outcomes
Sang Soo Kim, Jong Ho Kim, In Joo Kim
Endocrinol Metab. 2016;31(2):245-253.   Published online May 27, 2016
DOI: https://doi.org/10.3803/EnM.2016.31.2.245
  • 16,323 View
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AbstractAbstract PDFPubReader   

Diabetes is often associated with chronic kidney disease (CKD) and is the primary cause of kidney failure in half of patients who receive dialysis therapy. Given the increasing prevalence of diabetes and its high morbidity and mortality, diabetic nephropathy is a serious drawback in individual patients and a tremendous socioeconomic burden on society. Despite growing concern for the management of diabetic nephropathy, the prevalence of CKD with diabetes is the same today as it was 20 years ago. The current strategy to manage diabetic nephropathy, including the control of hyperglycemia, dyslipidemia, and blood pressure and the wide-spread use of renin-angiotensin-aldosterone system inhibitors, is well established to be beneficial in the early stages of diabetic nephropathy. However, the effects are uncertain in patients with relatively progressed CKD. Therefore, early diagnosis or risk verification is extremely important in order to reduce the individual and socioeconomic burdens associated with diabetic nephropathy by providing appropriate management to prevent the development and progression of this condition. This review focuses on recent research and guidelines regarding risk assessment, advances in medical treatment, and challenges of and future treatments for diabetic nephropathy.

Citations

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  • Translational advances in diabetic nephropathy management: integrating nanoformulation-based drug delivery systems
    Mohd Danish Ansari, Ashish Vishwakarma, Md Quamuddin, Mansi Aggarwal, Hashim Khan, Muhammad Fauzi Abd Jalil, Syed Mahmood, Adil Farooq Wali, Sirajunisa Talath, Mohamed El-Tanani
    Frontiers in Medical Technology.2026;[Epub]     CrossRef
  • Effect of Probiotic Supplementation on Azotemia and Proteinuria in Patients with Diabetic Kidney Disease: A Randomized Controlled Trial
    Ni Ni Aung
    Myanmar Medical Journal.2026;[Epub]     CrossRef
  • Implementing novel complete blood count-derived inflammatory indices in the diabetic kidney diseases diagnostic models
    Ali Hassanzadeh, Mehdi Allahdadi, Sepehr Nayebirad, Nazli Namazi, Ensieh Nasli-Esfahani
    Journal of Diabetes & Metabolic Disorders.2025;[Epub]     CrossRef
  • Role of shearing wave elastography in detecting early diabetic nephropathy
    Amr M. Shaker, Shaza Y. Sleem, Mayssa I. Aly, Asmaa H. Habib, Mona G. Hassan
    Irish Journal of Medical Science (1971 -).2025; 194(2): 529.     CrossRef
  • Initial Evaluation of Patients with Diabetes Mellitus according to Clinical Guidelines
    Dughyun Choi
    The Journal of Korean Diabetes.2025; 26(2): 69.     CrossRef
  • U-TXM: a novel biomarker for early detection of diabetic kidney disease
    Yujie Jin, Jiahao Xu, Yan Ma, Chunchen Ni, Yan Yao, Shujuan Shang, Mengru Wang, Chunyan Xing, Song Dong, Chaoqun Xiong, Kang Xie, Ruixi Zhang, Wenjun Pei, Shiqiang Liu, Jinhan Cheng, Fan Liu, Siwen Zhang, Dong Li, Lizhuo Wang, Liuming Yu, Jialin Gao
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • The Role of Angiotensin-Converting Enzyme (ACE) Polymorphisms in the Risk of Development and Treatment of Diabetic Nephropathy
    Magdalena Król-Kulikowska, Nikita Abramenko, Milan Jakubek, Mirosław Banasik, Marta Kepinska
    Journal of Clinical Medicine.2024; 13(4): 995.     CrossRef
  • Diagnostic utility of renal shear wave elastography and renal Doppler findings in diabetic nephropathy: a case–control study
    Ahmed Abdelrahman Baz, Eman Muhammad Abdeen, Mona Yousry Helmy, Abo El-Magd Al-Bohy
    Egyptian Journal of Radiology and Nuclear Medicine.2024;[Epub]     CrossRef
  • Schisandrin A Attenuates Diabetic Nephropathy via EGFR/AKT/GSK3β Signaling Pathway Based on Network Pharmacology and Experimental Validation
    Pengyu Wang, Qing Lan, Qi Huang, Ruyi Zhang, Shuo Zhang, Leiming Yang, Yan Song, Tong Wang, Guandi Ma, Xiufen Liu, Xiying Guo, Youzhi Zhang, Chao Liu
    Biology.2024; 13(8): 597.     CrossRef
  • Network Pharmacology and Experimental Analysis to Explore the Effect and Mechanism of Modified Buyang Huanwu Decoction in the Treatment of Diabetic Nephropathy
    Fan Yang, Limin Pan, Xiaoyun Zhang, Jiaan Huang, Yan Liu, Peixuan Li, Yuehua Wang
    Diabetes, Metabolic Syndrome and Obesity.2024; Volume 17: 3249.     CrossRef
  • Le diabétique en périopératoire
    M. Raucoules-Aimé, T.N. Ouattara
    EMC - Endocrinologie - Nutrition.2024; 35(4): 1.     CrossRef
  • Gestione perioperatoria del paziente diabetico adulto
    M. Raucoules-Aimé, T. Thierry Nessan Ouattara
    EMC - Anestesia-Rianimazione.2023; 28(1): 1.     CrossRef
  • Pyruvate Kinase M2: A New Biomarker for the Early Detection of Diabetes-Induced Nephropathy
    Yeon Su Park, Joo Hee Han, Jae Hyeon Park, Ji Soo Choi, Seung Hyeon Kim, Hyung Sik Kim
    International Journal of Molecular Sciences.2023; 24(3): 2683.     CrossRef
  • Tratamiento perioperatorio del paciente diabético adulto
    M. Raucoules-Aimé, T. Thierry Nessan Ouattara
    EMC - Anestesia-Reanimación.2023; 49(1): 1.     CrossRef
  • Renal Protection of Mineralocorticoid Receptor Antagonist, Finerenone, in Diabetic Kidney Disease
    Dong-Lim Kim, Seung-Eun Lee, Nan Hee Kim
    Endocrinology and Metabolism.2023; 38(1): 43.     CrossRef
  • The role of tubulointerstitial markers in differential diagnosis and prognosis in patients with type 2 diabetes and biopsy proven diabetic kidney disease
    Xijian Wang, Liang Ren, Ying Huang, Zhengang Feng, Guangdi Zhang, Houyong Dai
    Clinica Chimica Acta.2023; 547: 117448.     CrossRef
  • Network pharmacology and molecular docking technology-based predictive study of the active ingredients and potential targets of rhubarb for the treatment of diabetic nephropathy
    Shaojie Fu, Yena Zhou, Cong Hu, Zhonggao Xu, Jie Hou
    BMC Complementary Medicine and Therapies.2022;[Epub]     CrossRef
  • Acrolein plays a culprit role in the pathogenesis of diabetic nephropathy in vitro and in vivo
    Zhen-Jie Tong, Chin-Wei Kuo, Po-Cheng Yen, Chih-Ching Lin, Ming-Tsun Tsai, Shing-Hwa Lu, Yi-Ping Chang, Wen-Sheng Liu, Han-Hsing Tsou, Hsiao-Wei Cheng, Hsiang-Tsui Wang
    European Journal of Endocrinology.2022; 187(4): 579.     CrossRef
  • Prise en charge périopératoire du patient diabétique adulte
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    EMC - Anesthésie-Réanimation.2022; 42(4): 1.     CrossRef
  • Probiotics ameliorates glycemic control of patients with diabetic nephropathy: A randomized clinical study
    Hongyang Jiang, Yan Zhang, Dongyan Xu, Qing Wang
    Journal of Clinical Laboratory Analysis.2021;[Epub]     CrossRef
  • Blood Oxygen Level-Dependent (BOLD) MRI in Glomerular Disease
    Daniel R. Nemirovsky, Puneet Gupta, Sophia Hu, Raymond Wong, Avnesh S. Thakor
    Transplantology.2021; 2(2): 109.     CrossRef
  • Amelioration of STZ-induced nephropathy in diabetic rats by saffron hydro alcoholic extract
    Jamal Amri, Mona Alaee, Seyed Amirhossein Latifi, Abbas Alimoradian, Mehdi Salehi
    Hormone Molecular Biology and Clinical Investigation.2021; 42(4): 411.     CrossRef
  • Exosomes: Biomarkers and Therapeutic Targets of Diabetic Vascular Complications
    Anqi Chen, Hailing Wang, Ying Su, Chunlin Zhang, Yanmei Qiu, Yifan Zhou, Yan Wan, Bo Hu, Yanan Li
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Sodium-glucose cotransporter 2 inhibitors benefit to kidney and cardiovascular outcomes for patients with type 2 diabetes mellitus and chronic kidney disease 3b-4: A systematic review and meta-analysis of randomized clinical trials
    Haiyan Cao, Youxia Liu, Zhixia Tian, Yuhang Lian, Junya Jia, Ming Liu, Dong Li
    Diabetes Research and Clinical Practice.2021; 180: 109033.     CrossRef
  • Proteinuria as a significant predictive factor for the progression of carotid artery atherosclerosis in non-albuminuric type 2 diabetes
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    Diabetes Research and Clinical Practice.2021; 181: 109082.     CrossRef
  • The Role of Mesenchymal Stromal Cells-Derived Small Extracellular Vesicles in Diabetes and Its Chronic Complications
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    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Preparation of Ergosterol-Loaded Nanostructured Lipid Carriers for Enhancing Oral Bioavailability and Antidiabetic Nephropathy Effects
    Zhonghua Dong, Sajid Iqbal, Zhongxi Zhao
    AAPS PharmSciTech.2020;[Epub]     CrossRef
  • Carbon dots as fluorescent nanoprobe for the determination of N-acetyl-β-d-glucosaminidase activity
    Jimei Ma, Heng Zhang, Fangfang Peng, Xiaoqing Yang, Zi-Long Li, Linhao Sun, Hong Jiang
    Analytica Chimica Acta.2020; 1101: 129.     CrossRef
  • Coffee Consumption is Associated with a Decreased Risk of Incident Chronic Kidney Disease: A Systematic Review and Meta-analysis of Cohort Studies
    Thatsaphan Srithongkul, Patompong Ungprasert
    European Journal of Internal Medicine.2020; 77: 111.     CrossRef
  • Understanding molecular upsets in diabetic nephropathy to identify novel targets and treatment opportunities
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    Drug Discovery Today.2020; 25(5): 862.     CrossRef
  • A meta-analysis of serum Hcy in diagnosis of diabetic nephropathy
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    Pteridines.2020; 31(1): 1.     CrossRef
  • Link between ACE I/D gene polymorphism and dyslipidemia in diabetic nephropathy: A case-control study from Hyderabad, India
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    Indian Journal of Nephrology.2020; 30(2): 77.     CrossRef
  • Assessment of urinary NGAL for differential diagnosis and progression of diabetic kidney disease
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    Journal of Diabetes and its Complications.2020; 34(10): 107665.     CrossRef
  • Urinary Proteins Detected Using Modern Proteomics Intervene in Early Type 2 Diabetic Kidney Disease – A Pilot Study
    Alina Golea-Secara, Cristian Munteanu, Mirela Sarbu, Octavian M Cretu, Silvia Velciov, Adrian Vlad, Flaviu Bob, Florica Gadalean, Cristina Gluhovschi, Oana Milas, Anca Simulescu, Maria Mogos-Stefan, Mihaela Patruica, Ligia Petrica, Alina D Zamfir
    Biomarkers in Medicine.2020; 14(16): 1521.     CrossRef
  • Efficacy and safety of Shenkang injection as adjuvant therapy in patients with diabetic nephropathy
    Yanping Wang, Mingzhu Li, Chenyun Li, Sheng Xu, Jiangfeng Wu, Gaochuan Zhang, Yuanyuan Cai
    Medicine.2020; 99(52): e23821.     CrossRef
  • A Nucleoside/Nucleobase-Rich Extract from Cordyceps Sinensis Inhibits the Epithelial–Mesenchymal Transition and Protects against Renal Fibrosis in Diabetic Nephropathy
    Zhonghua Dong, Yueyue Sun, Guangwei Wei, Siying Li, Zhongxi Zhao
    Molecules.2019; 24(22): 4119.     CrossRef
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    Nutrients.2019; 11(8): 1874.     CrossRef
  • Serum Homocysteine, cystatin C as Biomarkers for Progression of Diabetic Nephropathy
    Weihai Xu, Suhua Tang, Meijuan Xiang, Jianyun Peng
    Pteridines.2019; 30(1): 183.     CrossRef
  • Serum leptin in diabetic nephropathy male patients from Gaza Strip
    Maged M. Yassin, Ayman M. AbuMustafa, Mohamed M. Yassin
    Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2019; 13(2): 1245.     CrossRef
  • Effects of Sodium-Glucose Cotransporter 2 Inhibitors on Renal Outcomes in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
    Jae Hyun Bae, Eun-Gee Park, Sunhee Kim, Sin Gon Kim, Seokyung Hahn, Nam Hoon Kim
    Scientific Reports.2019;[Epub]     CrossRef
  • Association between nonalbumin proteinuria and renal tubular damage of N-acetyl-β-d-glucosaminidase and its clinical relevance in patients with type 2 diabetes without albuminuria
    Eugene Han, Mi-Kyung Kim, Yong-ho Lee, Hye Soon Kim, Byung-Wan Lee
    Journal of Diabetes and its Complications.2019; 33(3): 255.     CrossRef
  • Supplementation of Abelmoschus manihot Ameliorates Diabetic Nephropathy and Hepatic Steatosis by Activating Autophagy in Mice
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    Nutrients.2018; 10(11): 1703.     CrossRef
  • Perioperative management of adult diabetic patients. Preoperative period
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    Anaesthesia Critical Care & Pain Medicine.2018; 37: S9.     CrossRef
  • Practical management of diabetes patients before, during and after surgery: A joint French diabetology and anaesthesiology position statement
    E. Cosson, B. Catargi, G. Cheisson, S. Jacqueminet, C. Ichai, A.-M. Leguerrier, A. Ouattara, I. Tauveron, E. Bismuth, D. Benhamou, P. Valensi
    Diabetes & Metabolism.2018; 44(3): 200.     CrossRef
  • MicroRNA‐326‐3p ameliorates high glucose and ox‐LDL‐IC‐ induced fibrotic injury in renal mesangial cells by targeting FcγRIII
    Yiting Wang, Rui Zhang, Junlin Zhang, Fang Liu
    Nephrology.2018; 23(11): 1031.     CrossRef
  • Urinary Extracellular Vesicle
    Wei-Cheng Xu, Ge Qian, Ai-Qun Liu, Yong-Qiang Li, He-Qun Zou
    Chinese Medical Journal.2018; 131(11): 1357.     CrossRef
  • Articles inEndocrinology and Metabolismin 2016
    Won-Young Lee
    Endocrinology and Metabolism.2017; 32(1): 62.     CrossRef
  • Comparison between Atorvastatin and Rosuvastatin in Renal Function Decline among Patients with Diabetes
    Eugene Han, Gyuri Kim, Ji-Yeon Lee, Yong-ho Lee, Beom Seok Kim, Byung-Wan Lee, Bong-Soo Cha, Eun Seok Kang
    Endocrinology and Metabolism.2017; 32(2): 274.     CrossRef
  • WITHDRAWN: Salvianolate attenuates renal fibrosis in rat models of diabetic nephropathy by inhibiting inflammation and oxidative stress mechanisms
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    Biochemical and Biophysical Research Communications.2017;[Epub]     CrossRef
  • Diffusion tensor imaging of the renal cortex in diabetic patients: correlation with urinary and serum biomarkers
    Ahmed Abdel Khalek Abdel Razek, Mohammad Alsayed Abd Alhamid Al-Adlany, Alhadidy Mohammed Alhadidy, Mohammed Ali Atwa, Naglaa Elsayed Abass Abdou
    Abdominal Radiology.2017; 42(5): 1493.     CrossRef
  • Texte 2 : période préopératoire
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    Anesthésie & Réanimation.2017; 3(3): 218.     CrossRef
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    Bernadette Thomas, Kunihiro Matsushita, Kalkidan Hassen Abate, Ziyad Al-Aly, Johan Ärnlöv, Kei Asayama, Robert Atkins, Alaa Badawi, Shoshana H. Ballew, Amitava Banerjee, Lars Barregård, Elizabeth Barrett-Connor, Sanjay Basu, Aminu K. Bello, Isabela Bensen
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    The American Journal of Chinese Medicine.2017; 45(07): 1441.     CrossRef
  • Addition of nonalbumin proteinuria to albuminuria improves prediction of type 2 diabetic nephropathy progression
    Jong Ho Kim, Seo Young Oh, Eun Heui Kim, Min Jin Lee, Yun Kyung Jeon, Bo Hyun Kim, Jin Mi Kim, Yong Ki Kim, Sang Soo Kim, In Joo Kim
    Diabetology & Metabolic Syndrome.2017;[Epub]     CrossRef
  • Reversal of Early Diabetic Nephropathy by Islet Transplantation under the Kidney Capsule in a Rat Model
    Yunqiang He, Ziqiang Xu, Mingshi Zhou, Minmin Wu, Xuehai Chen, Silu Wang, Kaiyan Qiu, Yong Cai, Hongxing Fu, Bicheng Chen, Mengtao Zhou
    Journal of Diabetes Research.2016; 2016: 1.     CrossRef
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