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Erschienen in: Current Diabetes Reports 12/2015

01.12.2015 | Microvascular Complications—Nephropathy (T Isakova, Section Editor)

Therapies on the Horizon for Diabetic Kidney Disease

verfasst von: Sadaf S. Khan, Susan E. Quaggin

Erschienen in: Current Diabetes Reports | Ausgabe 12/2015

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Abstract

Diabetic nephropathy is rapidly becoming the major cause of end-stage renal disease and cardiovascular mortality worldwide. Standard of care therapies include strict glycemic control and blockade of the renin-angiotensin-aldosterone axis. While these treatments slow progression of diabetic nephropathy, they do not arrest or reverse it. Newer therapies targeting multiple molecular pathways involved in renal inflammation, fibrosis, and oxidative stress have shown promise in animal models. Subsequently, many of these agents have been investigated in clinical human trials with mixed results. In this review, we will discuss recent findings of novel agents used in the treatment of diabetic nephropathy.
Literatur
1.
Zurück zum Zitat Tazo Z, Shia A, Zhao J. Epidemiological perspectives of diabetes. Cell Biochem Biophys. 2015. Tazo Z, Shia A, Zhao J. Epidemiological perspectives of diabetes. Cell Biochem Biophys. 2015.
2.
Zurück zum Zitat Saran R, Li Y, Robinson B, et al. US Renal Data System 2014 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2015;66(1 suppl 1):S1–306. Saran R, Li Y, Robinson B, et al. US Renal Data System 2014 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis. 2015;66(1 suppl 1):S1–306.
3.
Zurück zum Zitat Chawla V, Bijan R. Non-proteinuric Diabetic Nephropathy. Curr Diab Rep. 2014; 14–529. Chawla V, Bijan R. Non-proteinuric Diabetic Nephropathy. Curr Diab Rep. 2014; 14–529.
4.
Zurück zum Zitat Messent JW, Elliot TG, Hill RD, et al. Prognostic significance of microalbuminuria in insulin-dependent diabetes mellitus: a twenty-three year follow-up study. Kidney Int. 1992;41:836–9.CrossRefPubMed Messent JW, Elliot TG, Hill RD, et al. Prognostic significance of microalbuminuria in insulin-dependent diabetes mellitus: a twenty-three year follow-up study. Kidney Int. 1992;41:836–9.CrossRefPubMed
5.
Zurück zum Zitat Forbes JM, Cooper ME. Mechanisms of diabetic complications. Physiol Rev. 2013;93(1):137–88.CrossRefPubMed Forbes JM, Cooper ME. Mechanisms of diabetic complications. Physiol Rev. 2013;93(1):137–88.CrossRefPubMed
6.
7.
Zurück zum Zitat The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329:977–86.CrossRef The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329:977–86.CrossRef
8.
Zurück zum Zitat UK Propspective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. (UKPDS 33). Lancet. 1998;352:837–53.CrossRef UK Propspective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. (UKPDS 33). Lancet. 1998;352:837–53.CrossRef
9.
Zurück zum Zitat National Kidney Foundation. KDOQI clinical practice guideline for diabetes and CKD: 2012 update. Am J Kidney Dis. 2012;60(5):850–86.CrossRef National Kidney Foundation. KDOQI clinical practice guideline for diabetes and CKD: 2012 update. Am J Kidney Dis. 2012;60(5):850–86.CrossRef
10.
Zurück zum Zitat Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl. 2013;3:1–150.CrossRef Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl. 2013;3:1–150.CrossRef
11.
Zurück zum Zitat American Diabetes Association. Standards of medical care in diabetes—2015. Diabetes Care. 2015;38 suppl 1:S1–93. American Diabetes Association. Standards of medical care in diabetes—2015. Diabetes Care. 2015;38 suppl 1:S1–93.
12.
Zurück zum Zitat Fried LF, Emanuele N, Zhang JH, et al. Combined angiotensin inhibition for the treatment of diabetic enphroatphy. N Engl J Med. 2013;369:1892–903.CrossRefPubMed Fried LF, Emanuele N, Zhang JH, et al. Combined angiotensin inhibition for the treatment of diabetic enphroatphy. N Engl J Med. 2013;369:1892–903.CrossRefPubMed
13.
Zurück zum Zitat Mann JF, Schmieder RE, McQueen M, et al. Renal outcomes with telmisartan, ramipril, or both in people at high vascular risk (the ONTARGET study): a multicenter, randomised, double-blind, controlled trial. Lancet. 2008;372:547–53.CrossRefPubMed Mann JF, Schmieder RE, McQueen M, et al. Renal outcomes with telmisartan, ramipril, or both in people at high vascular risk (the ONTARGET study): a multicenter, randomised, double-blind, controlled trial. Lancet. 2008;372:547–53.CrossRefPubMed
14.
Zurück zum Zitat Parving HH, Brenner BM, McMurray JJ, et al. Cardiorenal end points in a trial of aliskiren for type 2 diabetes. N Engl J Med. 2012;367(23):2204–13.CrossRefPubMed Parving HH, Brenner BM, McMurray JJ, et al. Cardiorenal end points in a trial of aliskiren for type 2 diabetes. N Engl J Med. 2012;367(23):2204–13.CrossRefPubMed
15.
Zurück zum Zitat Sato A, Hayashi K, Naruse M, et al. Effectiveness of aldosterone blockade in patients with diabetic nephropathy. Hypertension. 2003;41:64–8.CrossRefPubMed Sato A, Hayashi K, Naruse M, et al. Effectiveness of aldosterone blockade in patients with diabetic nephropathy. Hypertension. 2003;41:64–8.CrossRefPubMed
16.
Zurück zum Zitat Rossing K, Schoedt K, Smidt U, et al. Beneficial effects of adding spironolactone to recommended antihypertensive treatment in diabetic nephropathy. Diabetes Care. 2005;28:2106–211.CrossRefPubMed Rossing K, Schoedt K, Smidt U, et al. Beneficial effects of adding spironolactone to recommended antihypertensive treatment in diabetic nephropathy. Diabetes Care. 2005;28:2106–211.CrossRefPubMed
17.
Zurück zum Zitat Bianchi S, Bigazzi R, Campese V, et al. Antagonists of aldosterone and proteinuria in patients with CKD: an uncontrolled pilot study. Am J Kidney Dis. 2005;46:45–51.CrossRefPubMed Bianchi S, Bigazzi R, Campese V, et al. Antagonists of aldosterone and proteinuria in patients with CKD: an uncontrolled pilot study. Am J Kidney Dis. 2005;46:45–51.CrossRefPubMed
18.
Zurück zum Zitat Zoja C, Benigni A, Remuzzi G. The Nrf2 pathway in the progression of renal disease. Nephrol Dial Transplant. 2014;29:i19–24.CrossRefPubMed Zoja C, Benigni A, Remuzzi G. The Nrf2 pathway in the progression of renal disease. Nephrol Dial Transplant. 2014;29:i19–24.CrossRefPubMed
19.
Zurück zum Zitat Aminzadeh MA, Reisman SA, Vziri ND, et al. The synthetic triterpenoid RTA dh404 (CDDO-dhTFEA) restores Nrf2 activity and attenuate oxidative stress, inflammation, and fibrosis in rats with chronic kidney disease. Xenobiotica. 2014;44:570–8.PubMedCentralCrossRefPubMed Aminzadeh MA, Reisman SA, Vziri ND, et al. The synthetic triterpenoid RTA dh404 (CDDO-dhTFEA) restores Nrf2 activity and attenuate oxidative stress, inflammation, and fibrosis in rats with chronic kidney disease. Xenobiotica. 2014;44:570–8.PubMedCentralCrossRefPubMed
20.
Zurück zum Zitat Pergola P, Raskin P, Toto P, et al. Bardoxolone methyl and kidney function in CKD with type 2 diabetes. N Engl J Med. 2011;365:327–36.CrossRefPubMed Pergola P, Raskin P, Toto P, et al. Bardoxolone methyl and kidney function in CKD with type 2 diabetes. N Engl J Med. 2011;365:327–36.CrossRefPubMed
21.
Zurück zum Zitat Chin M, Reisman S, Bakris G, et al. Mechanisms contributing to adverse cardiovascular events in patients with type 2 diabetes and stage 4 chronic kidney disease treated with Bardoxolone Methyl. Am J Nephrol. 2014;39:499–508.CrossRefPubMed Chin M, Reisman S, Bakris G, et al. Mechanisms contributing to adverse cardiovascular events in patients with type 2 diabetes and stage 4 chronic kidney disease treated with Bardoxolone Methyl. Am J Nephrol. 2014;39:499–508.CrossRefPubMed
22.
Zurück zum Zitat McCormick B, Sydor A, Akbari A, et al. The effects of pentoxifylline on proteinuria in diabetic kidney diseaes: a meta-analysis. Am J Kidney Dis. 2008;52:454–63.CrossRefPubMed McCormick B, Sydor A, Akbari A, et al. The effects of pentoxifylline on proteinuria in diabetic kidney diseaes: a meta-analysis. Am J Kidney Dis. 2008;52:454–63.CrossRefPubMed
23.•
Zurück zum Zitat Navarro-Gonzalez J, Mora-Fernandez C, Muros de Fuentes M, et al. Effect of pentoxifylline on renal function and urinary albumin excretion in patients with diabetic kidney disease: the PREDIAN trial. J Am Soc Nephrol. 2015;26:220–9. In this study, the addition of pentoxifylline to RAS blockade demonstrated reduction in albuminuria and slowed decreased in eGFR.CrossRefPubMed Navarro-Gonzalez J, Mora-Fernandez C, Muros de Fuentes M, et al. Effect of pentoxifylline on renal function and urinary albumin excretion in patients with diabetic kidney disease: the PREDIAN trial. J Am Soc Nephrol. 2015;26:220–9. In this study, the addition of pentoxifylline to RAS blockade demonstrated reduction in albuminuria and slowed decreased in eGFR.CrossRefPubMed
24.
Zurück zum Zitat Perkins RM, Aboudara MC, Uy AL, et al. Effect of pentoxifylline on GFR decline in CKD: A pilot, double-blind, randomized, placebo-controlled trial. Am J Kidney Dis. 2009;53:606–16.CrossRefPubMed Perkins RM, Aboudara MC, Uy AL, et al. Effect of pentoxifylline on GFR decline in CKD: A pilot, double-blind, randomized, placebo-controlled trial. Am J Kidney Dis. 2009;53:606–16.CrossRefPubMed
25.
Zurück zum Zitat Evcimen ND, King GL. The role of protein kinase C activation and the vascular complications of diabetes. Pharmacol Res. 2007;55:498–510.CrossRefPubMed Evcimen ND, King GL. The role of protein kinase C activation and the vascular complications of diabetes. Pharmacol Res. 2007;55:498–510.CrossRefPubMed
26.
Zurück zum Zitat Koya D, Haneda M, Nakagawa H, et al. Amelioration of accelerated diabetic mesangial expansion by treatment with PKC beta inhibitor in diabetic db/db mice, a rodent model for type 2 diabetes. FASEB J. 2000;14(3):439–47.PubMed Koya D, Haneda M, Nakagawa H, et al. Amelioration of accelerated diabetic mesangial expansion by treatment with PKC beta inhibitor in diabetic db/db mice, a rodent model for type 2 diabetes. FASEB J. 2000;14(3):439–47.PubMed
27.
Zurück zum Zitat Tuttle KR, Bakris GL, Toto JB, et al. The effects of ruboxistaurin on nephropathy in type 2 diabetes. Diabetes Care. 2005;28:2686–90.CrossRefPubMed Tuttle KR, Bakris GL, Toto JB, et al. The effects of ruboxistaurin on nephropathy in type 2 diabetes. Diabetes Care. 2005;28:2686–90.CrossRefPubMed
28.
Zurück zum Zitat Gilbert RE, Kim SA, Tuttle GL, et al. Effects of ruboxistuarin on urinary transforming growth factor-b in patients with diabetic nephropathy and type 2 diabetes. Diabetes Care. 2007;30:995–6.CrossRefPubMed Gilbert RE, Kim SA, Tuttle GL, et al. Effects of ruboxistuarin on urinary transforming growth factor-b in patients with diabetic nephropathy and type 2 diabetes. Diabetes Care. 2007;30:995–6.CrossRefPubMed
29.
Zurück zum Zitat Tuttle KR, McGill JB, Haney DJ, et al. Kidney outcomes in long-term studies of ruboxistuarin for diabetic eye disease. Clin J Am Soc Nephrol. 2007;2:631–6.CrossRefPubMed Tuttle KR, McGill JB, Haney DJ, et al. Kidney outcomes in long-term studies of ruboxistuarin for diabetic eye disease. Clin J Am Soc Nephrol. 2007;2:631–6.CrossRefPubMed
30.
Zurück zum Zitat Tuttle KR, Bastyr III JB, McGill CL, et al. Albuminuria and kidney function in a long-term study of ruboxistaurin for diabetic neuropathy. J Am Soc Nephrol. 2007;2(4):631–6.CrossRef Tuttle KR, Bastyr III JB, McGill CL, et al. Albuminuria and kidney function in a long-term study of ruboxistaurin for diabetic neuropathy. J Am Soc Nephrol. 2007;2(4):631–6.CrossRef
31.
Zurück zum Zitat Cho ME, Smith DC, Branton MH, et al. Pirfenidone slows renal function decline in patients with focal segmental glomerulosclerosis. Clin J Am Soc Nephrol. 2007;2:906–13.CrossRefPubMed Cho ME, Smith DC, Branton MH, et al. Pirfenidone slows renal function decline in patients with focal segmental glomerulosclerosis. Clin J Am Soc Nephrol. 2007;2:906–13.CrossRefPubMed
33.
Zurück zum Zitat Kanamori H, Matsubara T, Mima A, et al. Inhibition of MCP-1/CRR2 pathway ameliorates the development of diabetic nephropathy. Biochem Biophys Res Commun. 2007;360:727–7. Kanamori H, Matsubara T, Mima A, et al. Inhibition of MCP-1/CRR2 pathway ameliorates the development of diabetic nephropathy. Biochem Biophys Res Commun. 2007;360:727–7.
34.
Zurück zum Zitat Tesch GH. MCP-1/CLL2: a new diagnostic marker and therapeutic target for progressive renal injury in diabetic nephropathy. Am J Physiol Renal Physiol. 2008;294:F697–701.CrossRefPubMed Tesch GH. MCP-1/CLL2: a new diagnostic marker and therapeutic target for progressive renal injury in diabetic nephropathy. Am J Physiol Renal Physiol. 2008;294:F697–701.CrossRefPubMed
35.
Zurück zum Zitat Ruggenenti P, Negarim M. Effects of MCP-1 inhibition by bindarit therapy in type 2 diabetes subjects with micro- or macro- albuminuria. J Am Soc Nephrol. 2010: 21. Ruggenenti P, Negarim M. Effects of MCP-1 inhibition by bindarit therapy in type 2 diabetes subjects with micro- or macro- albuminuria. J Am Soc Nephrol. 2010: 21.
36.
Zurück zum Zitat Ble A, Mosca M, Loretto GD, et al. Antiproteinuric effect of chemokine C-C motif ligand 2 inhibition in subjects with acute proliferative lupus nephritis. Am J Nephrol. 2011;34(4):367–72.CrossRefPubMed Ble A, Mosca M, Loretto GD, et al. Antiproteinuric effect of chemokine C-C motif ligand 2 inhibition in subjects with acute proliferative lupus nephritis. Am J Nephrol. 2011;34(4):367–72.CrossRefPubMed
37.
Zurück zum Zitat Gambaro G, Cavazzana AO, Luzi P, et al. Glycosasminoglycans prevent morphological renal alterations and albuminuria in diabetic rats. Kidney Int. 1992;42:285–91.CrossRefPubMed Gambaro G, Cavazzana AO, Luzi P, et al. Glycosasminoglycans prevent morphological renal alterations and albuminuria in diabetic rats. Kidney Int. 1992;42:285–91.CrossRefPubMed
38.
Zurück zum Zitat Gambaro G, Venturini AP, Noonan DM, et al. Treatment with a glycosaminoglycan formulation ameliorates experimental diabetic nephropathy. Kidney Int. 1994;46:797–806.CrossRefPubMed Gambaro G, Venturini AP, Noonan DM, et al. Treatment with a glycosaminoglycan formulation ameliorates experimental diabetic nephropathy. Kidney Int. 1994;46:797–806.CrossRefPubMed
39.•
Zurück zum Zitat Ceol M, Nerlich A, Baggio B, et al. Increased glomerular expression α1(IV) collagen expression and deposition in long-term diabetic rats is prevented by chronic glycosaminoglycan treatment. Lab Investig. 1996;74:484–95. In this study, atrasentan (a selective endothelin A receptor antagonist) with RAS inhibition successfully reduced albuminuria in type 2 diabetic nephropathy and thus may improve renal outcomes.PubMed Ceol M, Nerlich A, Baggio B, et al. Increased glomerular expression α1(IV) collagen expression and deposition in long-term diabetic rats is prevented by chronic glycosaminoglycan treatment. Lab Investig. 1996;74:484–95. In this study, atrasentan (a selective endothelin A receptor antagonist) with RAS inhibition successfully reduced albuminuria in type 2 diabetic nephropathy and thus may improve renal outcomes.PubMed
40.
Zurück zum Zitat Ceol M, Gambaro G, Sauer U, et al. Glycosaminoglycan therapy prevents TGF- β 1 overexpression and pathologic changes in renal tissue of long-term diabetic rats. J Am Soc Nephrol. 2000;11:2324–36.PubMed Ceol M, Gambaro G, Sauer U, et al. Glycosaminoglycan therapy prevents TGF- β 1 overexpression and pathologic changes in renal tissue of long-term diabetic rats. J Am Soc Nephrol. 2000;11:2324–36.PubMed
41.
Zurück zum Zitat Van den Hoven MJ, Rops AL, Bakker MA, et al. Increased expression of heparanase in overt diabetic nephropathy. Kidney Int. 2006;70:2100–8.PubMed Van den Hoven MJ, Rops AL, Bakker MA, et al. Increased expression of heparanase in overt diabetic nephropathy. Kidney Int. 2006;70:2100–8.PubMed
42.
Zurück zum Zitat Gambaro G, Kinalska I, Oksa A, et al. Oral sulodexide reduces albuminuria in microalbuminuric and macroalbuminuric type 1 and type 2 diabetic patients: the Di.N.A.S. randomized trial. J Am Soc Nephrol. 2002;13:1615–25.CrossRefPubMed Gambaro G, Kinalska I, Oksa A, et al. Oral sulodexide reduces albuminuria in microalbuminuric and macroalbuminuric type 1 and type 2 diabetic patients: the Di.N.A.S. randomized trial. J Am Soc Nephrol. 2002;13:1615–25.CrossRefPubMed
43.
Zurück zum Zitat Lewis EJ, Lewis JB, Greene T, et al. Sulodexide for kidney protection in type 2 diabetes patients with microalbuminuria: a randomized controlled trial. Am J Kidney Dis. 2011;58:729–36.CrossRefPubMed Lewis EJ, Lewis JB, Greene T, et al. Sulodexide for kidney protection in type 2 diabetes patients with microalbuminuria: a randomized controlled trial. Am J Kidney Dis. 2011;58:729–36.CrossRefPubMed
44.
Zurück zum Zitat Packham DK, Wolfe R, Reutens AT, et al. Sulodexide fails to demonstrate renoprotective in overt type 2 diabetic nephropathy. J Am Soc Nephrol. 2012;23:123–30.PubMedCentralCrossRefPubMed Packham DK, Wolfe R, Reutens AT, et al. Sulodexide fails to demonstrate renoprotective in overt type 2 diabetic nephropathy. J Am Soc Nephrol. 2012;23:123–30.PubMedCentralCrossRefPubMed
45.
Zurück zum Zitat Wenzel R, Littke T, Kuranoff S, et al. Avosentan reduces albumin excretion in diabetics with macroalbuminuria. J Am Soc Neprol. 2009;20:655–64.CrossRef Wenzel R, Littke T, Kuranoff S, et al. Avosentan reduces albumin excretion in diabetics with macroalbuminuria. J Am Soc Neprol. 2009;20:655–64.CrossRef
47.
Zurück zum Zitat Kohan DE. Addition of atrasetan to renin-angiotensin system blockade reduces albuminuria in diabetic nephropathy. J Am Soc Nephrol. 2011;58:763–72.CrossRef Kohan DE. Addition of atrasetan to renin-angiotensin system blockade reduces albuminuria in diabetic nephropathy. J Am Soc Nephrol. 2011;58:763–72.CrossRef
48.
Zurück zum Zitat Zoppini G, Targher G, Chonchol M, et al. Serum uric acid levels and incident chronic kidney disease in patients with type 2 diabetes and preserved kidney function. Diabetes Care. 2010;35:99–104.CrossRef Zoppini G, Targher G, Chonchol M, et al. Serum uric acid levels and incident chronic kidney disease in patients with type 2 diabetes and preserved kidney function. Diabetes Care. 2010;35:99–104.CrossRef
49.
Zurück zum Zitat Kang DH, Park SK, Lee IK, et al. Uric acid- induced C-reactive protein expression: implication on cell proliferation and nitric oxide production of human vascular cells. J Am Soc Nephrol. 2005;16:3553–62.CrossRefPubMed Kang DH, Park SK, Lee IK, et al. Uric acid- induced C-reactive protein expression: implication on cell proliferation and nitric oxide production of human vascular cells. J Am Soc Nephrol. 2005;16:3553–62.CrossRefPubMed
50.
Zurück zum Zitat Siu YP, Leung KT, Tong MK, et al. Use of allopurinol in slowing the progression of renal disease through its ability to lower serum uric acid level. Am J Kidney Dis. 2006;47:51–9.CrossRefPubMed Siu YP, Leung KT, Tong MK, et al. Use of allopurinol in slowing the progression of renal disease through its ability to lower serum uric acid level. Am J Kidney Dis. 2006;47:51–9.CrossRefPubMed
51.
Zurück zum Zitat Goicoechea M, de Vinuesa SG, Verdalles U, et al. Effects of allopurinol in chronic kidney disease progression and cardiovascular risk. Clin J Am Soc Nephrol. 2010;5(8):1388–93.PubMedCentralCrossRefPubMed Goicoechea M, de Vinuesa SG, Verdalles U, et al. Effects of allopurinol in chronic kidney disease progression and cardiovascular risk. Clin J Am Soc Nephrol. 2010;5(8):1388–93.PubMedCentralCrossRefPubMed
52.
Zurück zum Zitat Maahs DM, Caramori ML, Cherney DZI, et al. Uric acid lowering to prevent kidney function loss in diabetes: the preventing early renal function loss (PERL). Curr Diab Rep. 2013;13(4):550–9.PubMedCentralCrossRefPubMed Maahs DM, Caramori ML, Cherney DZI, et al. Uric acid lowering to prevent kidney function loss in diabetes: the preventing early renal function loss (PERL). Curr Diab Rep. 2013;13(4):550–9.PubMedCentralCrossRefPubMed
53.
Zurück zum Zitat Sanchez-Nino MD, Bozic M, Cordoba-Lanus E, et al. Beyond proteinuria: VDR activation reduces renal inflammation in experimental diabetic nephropathy. Am J Physiol Renal Physiol. 2012;302:F647–57.CrossRefPubMed Sanchez-Nino MD, Bozic M, Cordoba-Lanus E, et al. Beyond proteinuria: VDR activation reduces renal inflammation in experimental diabetic nephropathy. Am J Physiol Renal Physiol. 2012;302:F647–57.CrossRefPubMed
54.
Zurück zum Zitat de Zeeuw D, Agrawal R, Amdahl M, et al. Selective vitamin D receptor activation with paricalcitol for reduction of albuminuria in patients with type 2 diabetic nephropathy (VITAL study): a randomised controlled trial. Lancet. 2010;367:1543–51.CrossRef de Zeeuw D, Agrawal R, Amdahl M, et al. Selective vitamin D receptor activation with paricalcitol for reduction of albuminuria in patients with type 2 diabetic nephropathy (VITAL study): a randomised controlled trial. Lancet. 2010;367:1543–51.CrossRef
55.
Zurück zum Zitat The Diabetic Retinopathy Clinical Research Network. Aflibercept, bevacizumab, or ranibizumab for diabetic macular edema. N Engl J Med. 2015;372:1193–120.PubMedCentralCrossRef The Diabetic Retinopathy Clinical Research Network. Aflibercept, bevacizumab, or ranibizumab for diabetic macular edema. N Engl J Med. 2015;372:1193–120.PubMedCentralCrossRef
56.
Zurück zum Zitat Koh GY. Orchestral actions of angiopoeitin-1 in vascular regeneration. Trends Mol Med. 2013;19(1):31–9.CrossRefPubMed Koh GY. Orchestral actions of angiopoeitin-1 in vascular regeneration. Trends Mol Med. 2013;19(1):31–9.CrossRefPubMed
58.
Zurück zum Zitat Jeansson M, Gawlik A, Anderson G, et al. Angiopoeitin-1 is essential in mouse vasculature during development and in response to injury. J Clin Invest. 2011;121(6):2278–89.PubMedCentralCrossRefPubMed Jeansson M, Gawlik A, Anderson G, et al. Angiopoeitin-1 is essential in mouse vasculature during development and in response to injury. J Clin Invest. 2011;121(6):2278–89.PubMedCentralCrossRefPubMed
59.
Zurück zum Zitat Giacoo F, Brownlee M. Oxidative stress and diabetic complications. Circ Res. 2010;107(9):1058–70.CrossRef Giacoo F, Brownlee M. Oxidative stress and diabetic complications. Circ Res. 2010;107(9):1058–70.CrossRef
60.
Zurück zum Zitat Gray SP, Di Marco E, Okabe J, et al. NADPH oxidase 1 plays a role in diabetes mellitus-accelerated atherosclerosis. Circulation. 2013;127(18):1888–902.CrossRefPubMed Gray SP, Di Marco E, Okabe J, et al. NADPH oxidase 1 plays a role in diabetes mellitus-accelerated atherosclerosis. Circulation. 2013;127(18):1888–902.CrossRefPubMed
61.
Zurück zum Zitat Ortiz-Muñoz, Lopez-Parra V, Lopez-Franco O, et al. Suppressors of cytokine signaling abrogate diabetic nephropathy. J Am Soc Nephrol. 2010;21(5):763–72.PubMedCentralCrossRefPubMed Ortiz-Muñoz, Lopez-Parra V, Lopez-Franco O, et al. Suppressors of cytokine signaling abrogate diabetic nephropathy. J Am Soc Nephrol. 2010;21(5):763–72.PubMedCentralCrossRefPubMed
62.
Zurück zum Zitat Walsh DW, Roxburgh SA, McGettigan P, et al. Co-regulation of Gremlin and Notch signaling in diabetic nephropathy. Biochim Biophys Acta. 2008;1782(1):10–21.CrossRefPubMed Walsh DW, Roxburgh SA, McGettigan P, et al. Co-regulation of Gremlin and Notch signaling in diabetic nephropathy. Biochim Biophys Acta. 2008;1782(1):10–21.CrossRefPubMed
63.
Zurück zum Zitat Marrero MB, Banes-Berceli AK, Stern DM, et al. Role of JAK/STAT signaling pathway in diabetic nephropathy. Am J Physiol Renal Physiol. 2006;290(4):F762–8.CrossRefPubMed Marrero MB, Banes-Berceli AK, Stern DM, et al. Role of JAK/STAT signaling pathway in diabetic nephropathy. Am J Physiol Renal Physiol. 2006;290(4):F762–8.CrossRefPubMed
64.
Zurück zum Zitat Wang X, Shaw S, Amiri F, et al. Inhibition of the Jak/STAT signaling pathway prevents the high glucose-induced increase in tgf-beta and fibronectin synthesis in mesangial cells. Diabetes. 2002;51(12):3505–9.CrossRefPubMed Wang X, Shaw S, Amiri F, et al. Inhibition of the Jak/STAT signaling pathway prevents the high glucose-induced increase in tgf-beta and fibronectin synthesis in mesangial cells. Diabetes. 2002;51(12):3505–9.CrossRefPubMed
Metadaten
Titel
Therapies on the Horizon for Diabetic Kidney Disease
verfasst von
Sadaf S. Khan
Susan E. Quaggin
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 12/2015
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0685-3

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Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

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