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Related Concept Videos

Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Hormonal Regulation of Blood Pressure01:17

Hormonal Regulation of Blood Pressure

Endocrinal or hormonal intervention in the cardiovascular system is predominantly exerted by the catecholamines - epinephrine and norepinephrine, as well as a slew of hormones that interact with renal function to modulate blood volume.
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction while...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...

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Related Experiment Video

Updated: Jul 3, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
10:31

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice

Published on: May 2, 2025

[Endothelin system function in diabetic nephropathy].

Claudete Maria Zanatta1, Luís Henrique Canani, Sandra Pinho Silveiro

  • 1Programa de Pós-Graduação em Ciências Médicas, Endocrinologia, Universidade Federal do Rio Grande do Sul.

Arquivos Brasileiros De Endocrinologia E Metabologia
|July 8, 2008
PubMed
Summary

Diabetic Nephropathy (DN), a complication of diabetes mellitus (DM), involves the renin-angiotensin system and endothelins. Blocking endothelin receptors may protect kidneys in diabetic patients.

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Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
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Area of Science:

  • Nephrology
  • Endocrinology
  • Cardiovascular Research

Context:

  • Diabetic Nephropathy (DN) is a severe complication of diabetes mellitus (DM), a leading cause of dialysis and mortality.
  • Hypertension, hyperglycemia, dyslipidemia, and genetics are key risk factors for DN.
  • The renin-angiotensin system (RAS) and endothelins are implicated in DN pathogenesis.

Purpose:

  • To explore the role of the renin-angiotensin system and endothelins in the development and progression of Diabetic Nephropathy.
  • To investigate the impact of endothelin receptor activation on renal cells and hemodynamic alterations in diabetes.
  • To review the renoprotective potential of endothelin receptor antagonists in experimental diabetes.

Summary:

  • Endothelins, potent vasoconstrictors, bind to ET-A and ET-B receptors on renal cells, triggering signaling cascades that promote mesangial cell hypertrophy, proliferation, and extracellular matrix accumulation.
  • Elevated endothelin-1 (ET-1) levels are observed in diabetic patients, with increased ET-1 production linked to glomerular damage.
  • Endothelin receptor antagonists have demonstrated renoprotective effects, correcting hemodynamic abnormalities in experimental models of diabetes.

Impact:

  • Highlights the critical role of the endothelin system in the pathophysiology of Diabetic Nephropathy.
  • Suggests endothelin receptor antagonism as a potential therapeutic strategy for preserving kidney function in diabetic patients.
  • Reinforces the importance of targeting the renin-angiotensin-endothelin axis for managing diabetic kidney disease.