The impact of metformin in chronic kidney disease-mineral and bone disorder

Chronic kidney disease-mineral and bone disorder (CKD-MBD) is a disorder of mineral and bone metabolism due to chronic kidney disease (CKD). Bone disease and mortality are more common in patients with CKD. In addition of antidiabetic properties of metformin (MET), it possesses anti-inflammatory, ant...

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Autores principales: Rohollah Masumi, Ramin Tolouian, Audrey Tolouian, Leila Mohmoodnia
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Lenguaje:EN
Publicado: Society of Diabetic Nephropathy Prevention 2021
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Acceso en línea:https://doaj.org/article/9185892ed5da41f999553db70b8a8210
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spelling oai:doaj.org-article:9185892ed5da41f999553db70b8a82102021-11-17T08:13:57ZThe impact of metformin in chronic kidney disease-mineral and bone disorder2345-420210.34172/npj.2021.02https://doaj.org/article/9185892ed5da41f999553db70b8a82102021-01-01T00:00:00Zhttps://jnephropharmacology.com/PDF/npj-8316https://doaj.org/toc/2345-4202Chronic kidney disease-mineral and bone disorder (CKD-MBD) is a disorder of mineral and bone metabolism due to chronic kidney disease (CKD). Bone disease and mortality are more common in patients with CKD. In addition of antidiabetic properties of metformin (MET), it possesses anti-inflammatory, anti-fibrotic properties and increases the markers of osteogenic effects. Therefore, it improves bone quality and decreases the risk of fractures in patients with type 2 diabetes. Metformin can also inhibit arterial calcification, maintain calcium-phosphorus balance, decrease cellular infiltration, fibrosis, and inflammation in kidney. Based on evidence, the prevalence of lactic acidosis due to metformin in patients with type 2 diabetes (T2D) and renal dysfunction is lower compared to other oral antidiabetic agents. Metformin decreases all-cause mortality in patients with diabetic nephropathy. The administration of metformin showed no difference in the prevalence of lactic acidosis in patients with T2D who had normal, mild, moderate, or severe renal dysfunction. Therefore, metformin can be used in patients with significant CKD to inhibit CKD-MBD due to its osteogenic effects.Rohollah MasumiRamin TolouianAudrey TolouianLeila MohmoodniaSociety of Diabetic Nephropathy Prevention articlemetforminchronic kidney disease-mineral and bone disorderbone fractureTherapeutics. PharmacologyRM1-950Diseases of the genitourinary system. UrologyRC870-923ENJournal of Nephropharmacology, Vol 10, Iss 1, Pp e02-e02 (2021)
institution DOAJ
collection DOAJ
language EN
topic metformin
chronic kidney disease-mineral and bone disorder
bone fracture
Therapeutics. Pharmacology
RM1-950
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle metformin
chronic kidney disease-mineral and bone disorder
bone fracture
Therapeutics. Pharmacology
RM1-950
Diseases of the genitourinary system. Urology
RC870-923
Rohollah Masumi
Ramin Tolouian
Audrey Tolouian
Leila Mohmoodnia
The impact of metformin in chronic kidney disease-mineral and bone disorder
description Chronic kidney disease-mineral and bone disorder (CKD-MBD) is a disorder of mineral and bone metabolism due to chronic kidney disease (CKD). Bone disease and mortality are more common in patients with CKD. In addition of antidiabetic properties of metformin (MET), it possesses anti-inflammatory, anti-fibrotic properties and increases the markers of osteogenic effects. Therefore, it improves bone quality and decreases the risk of fractures in patients with type 2 diabetes. Metformin can also inhibit arterial calcification, maintain calcium-phosphorus balance, decrease cellular infiltration, fibrosis, and inflammation in kidney. Based on evidence, the prevalence of lactic acidosis due to metformin in patients with type 2 diabetes (T2D) and renal dysfunction is lower compared to other oral antidiabetic agents. Metformin decreases all-cause mortality in patients with diabetic nephropathy. The administration of metformin showed no difference in the prevalence of lactic acidosis in patients with T2D who had normal, mild, moderate, or severe renal dysfunction. Therefore, metformin can be used in patients with significant CKD to inhibit CKD-MBD due to its osteogenic effects.
format article
author Rohollah Masumi
Ramin Tolouian
Audrey Tolouian
Leila Mohmoodnia
author_facet Rohollah Masumi
Ramin Tolouian
Audrey Tolouian
Leila Mohmoodnia
author_sort Rohollah Masumi
title The impact of metformin in chronic kidney disease-mineral and bone disorder
title_short The impact of metformin in chronic kidney disease-mineral and bone disorder
title_full The impact of metformin in chronic kidney disease-mineral and bone disorder
title_fullStr The impact of metformin in chronic kidney disease-mineral and bone disorder
title_full_unstemmed The impact of metformin in chronic kidney disease-mineral and bone disorder
title_sort impact of metformin in chronic kidney disease-mineral and bone disorder
publisher Society of Diabetic Nephropathy Prevention
publishDate 2021
url https://doaj.org/article/9185892ed5da41f999553db70b8a8210
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