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Protective effect of peroxisome proliferator activated receptor gamma agonists on diabetic and non-diabetic renal
Byung Ha Chung1, Sun Woo Lim, Kyung Ohk Ahn
1Xenotransplantation Center and Cell Death Research Center, Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract:
Peroxisome proliferator activated receptor gamma (PPARgamma) agonist has not only antidiabetic effect but also a protective effect against various types of injury of the kidney. The protective effects of PPARgamma agonists are observed in diabetic nephropathy and non-diabetic renal diseases such as 5/6 ablation model of renal failure, experimental glomerulonephritis, ischemia-reperfusion injury, hypertensive nephropathy and cyclosporin-induced renal injury. The mechanism of renoprotection by PPARgamma agonist is multifactorial. Anti-fibrotic and anti-inflammatory effects, suppression of renin-angiotensin system, vascular protective effect and antiapoptotic effect were proposed.
Insights
Peroxisome proliferator activated receptor gamma (PPARgamma) agonists offer kidney protection beyond diabetes. These agents show renoprotective effects in various kidney diseases through multiple mechanisms.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Peroxisome proliferator activated receptor gamma (PPARgamma) agonists are known for their antidiabetic properties.
- Emerging evidence suggests PPARgamma agonists possess renoprotective effects in various kidney conditions.
Purpose of the Study:
- To review the renoprotective effects of PPARgamma agonists in both diabetic and non-diabetic kidney diseases.
- To elucidate the multifactorial mechanisms underlying PPARgamma agonist-mediated kidney protection.
Main Methods:
- Literature review of studies investigating PPARgamma agonists in renal injury models.
- Analysis of proposed mechanisms of action, including anti-fibrotic, anti-inflammatory, and vascular protective effects.
Main Results:
- PPARgamma agonists demonstrate protective effects in diabetic nephropathy and non-diabetic renal diseases.
- Observed benefits in models of renal failure, glomerulonephritis, ischemia-reperfusion injury, hypertensive nephropathy, and cyclosporin-induced injury.
- Proposed mechanisms include anti-fibrotic and anti-inflammatory actions, renin-angiotensin system suppression, vascular protection, and anti-apoptotic effects.
Conclusions:
- PPARgamma agonists represent a promising therapeutic strategy for kidney protection.
- Further research into the specific mechanisms can optimize their clinical application in renal diseases.
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