Nephroprotective potential of glucagon-like peptide-1 receptor agonists

Patients with diabetes mellitus (DM), which is a key factor in the development of kidney diseases, are increasingly competing for limited healthcare resources. Diabetic kidney disease (DKD) remains a significant cause of end-stage renal failure in the patients of many countries and is also associate...

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Autores principales: Minara S. Shamkhalova, Igor A. Sklyanik, Marina V. Shestakova
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RU
Publicado: Endocrinology Research Centre 2020
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Acceso en línea:https://doaj.org/article/d917d0f44dee4e3b8116df39d5037ef2
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spelling oai:doaj.org-article:d917d0f44dee4e3b8116df39d5037ef22021-11-14T09:00:23ZNephroprotective potential of glucagon-like peptide-1 receptor agonists2072-03512072-037810.14341/DM12379https://doaj.org/article/d917d0f44dee4e3b8116df39d5037ef22020-04-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12379https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Patients with diabetes mellitus (DM), which is a key factor in the development of kidney diseases, are increasingly competing for limited healthcare resources. Diabetic kidney disease (DKD) remains a significant cause of end-stage renal failure in the patients of many countries and is also associated with a high risk of cardiovascular pathology and mortality. The variety of clinical phenotypes of DKD in patients with type 2 diabetes mellitus (DM2) occurring due to a variety of pathogenetic factors and the characteristics of the evolution of complications under the influence of contemporary therapeutic methods, has been a special subject of discussion in recent years. Optimal control of the level of glycaemia and hypertension and timely blockade of the renin–angiotensin–aldosterone system do not provide sufficient protection for the kidneys. Over the recent decade, the nephroprotective potential of a group of modern anti-hyperglycaemic agents, i.e., glucagon-like peptide 1 receptor agonists (GLP1 RA) has been actively discussed. GLP1 RA have proven to be quite effective in controlling glycaemia and metabolic syndrome components (weight, systolic blood pressure and lipid profile) and in significantly reducing the risk of the primary, three-component endpoint (major adverse cardiac events: cardiovascular death, nonfatal myocardial infarction and nonfatal stroke) according to large studies on cardiovascular safety. The renal effects of GLP1 RA are attributed to a wide range of direct and indirect effects of glucagon-like peptide-1 on renal structures and functions owing to their anti-inflammatory, anti-oxidant and anti-apoptotic properties.Minara S. ShamkhalovaIgor A. SklyanikMarina V. ShestakovaEndocrinology Research Centrearticlediabetes mellitusdiabetic kidney diseaseglucagon-like peptide 1 receptor agonistsNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 1, Pp 56-64 (2020)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus
diabetic kidney disease
glucagon-like peptide 1 receptor agonists
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus
diabetic kidney disease
glucagon-like peptide 1 receptor agonists
Nutritional diseases. Deficiency diseases
RC620-627
Minara S. Shamkhalova
Igor A. Sklyanik
Marina V. Shestakova
Nephroprotective potential of glucagon-like peptide-1 receptor agonists
description Patients with diabetes mellitus (DM), which is a key factor in the development of kidney diseases, are increasingly competing for limited healthcare resources. Diabetic kidney disease (DKD) remains a significant cause of end-stage renal failure in the patients of many countries and is also associated with a high risk of cardiovascular pathology and mortality. The variety of clinical phenotypes of DKD in patients with type 2 diabetes mellitus (DM2) occurring due to a variety of pathogenetic factors and the characteristics of the evolution of complications under the influence of contemporary therapeutic methods, has been a special subject of discussion in recent years. Optimal control of the level of glycaemia and hypertension and timely blockade of the renin–angiotensin–aldosterone system do not provide sufficient protection for the kidneys. Over the recent decade, the nephroprotective potential of a group of modern anti-hyperglycaemic agents, i.e., glucagon-like peptide 1 receptor agonists (GLP1 RA) has been actively discussed. GLP1 RA have proven to be quite effective in controlling glycaemia and metabolic syndrome components (weight, systolic blood pressure and lipid profile) and in significantly reducing the risk of the primary, three-component endpoint (major adverse cardiac events: cardiovascular death, nonfatal myocardial infarction and nonfatal stroke) according to large studies on cardiovascular safety. The renal effects of GLP1 RA are attributed to a wide range of direct and indirect effects of glucagon-like peptide-1 on renal structures and functions owing to their anti-inflammatory, anti-oxidant and anti-apoptotic properties.
format article
author Minara S. Shamkhalova
Igor A. Sklyanik
Marina V. Shestakova
author_facet Minara S. Shamkhalova
Igor A. Sklyanik
Marina V. Shestakova
author_sort Minara S. Shamkhalova
title Nephroprotective potential of glucagon-like peptide-1 receptor agonists
title_short Nephroprotective potential of glucagon-like peptide-1 receptor agonists
title_full Nephroprotective potential of glucagon-like peptide-1 receptor agonists
title_fullStr Nephroprotective potential of glucagon-like peptide-1 receptor agonists
title_full_unstemmed Nephroprotective potential of glucagon-like peptide-1 receptor agonists
title_sort nephroprotective potential of glucagon-like peptide-1 receptor agonists
publisher Endocrinology Research Centre
publishDate 2020
url https://doaj.org/article/d917d0f44dee4e3b8116df39d5037ef2
work_keys_str_mv AT minarasshamkhalova nephroprotectivepotentialofglucagonlikepeptide1receptoragonists
AT igorasklyanik nephroprotectivepotentialofglucagonlikepeptide1receptoragonists
AT marinavshestakova nephroprotectivepotentialofglucagonlikepeptide1receptoragonists
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