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Antioxidant and antithrombotic therapies for diabetic kidney disease
Wenjun Yan, Baoqin Zhou, Yunfeng Shen
1Department of Nephrology, Second Affiliated Hospital, Nanchang University, Nanchang, China. gaosixu@163.com.
Insights
Diabetic kidney disease (DKD) treatments show promise. Novel antioxidant and antithrombotic therapies, including pancreatic kallikrein, reduce key markers and offer future therapeutic strategies for DKD patients.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetic kidney disease (DKD) is a leading cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD).
- Conventional therapies have not altered the increasing incidence of DKD.
- Novel therapeutic strategies are needed to manage DKD progression.
Purpose of the Study:
- To review and analyze antioxidant and antithrombotic treatments for DKD.
- To identify promising novel therapeutic strategies for diabetic kidney disease.
Main Methods:
- Systematic assessment and meta-analysis of relevant articles on antioxidant and antithrombotic treatments in DKD.
- Evaluation of treatment efficacy based on meta-analysis results.
Main Results:
- Pancreatic kallikrein significantly reduced glycated hemoglobin in DKD patients (mean difference, 0.36%).
- Novel agents like pancreatic kallikrein, sulodexide, Tripterygium wilfordii, and lumbrokinase show beneficial effects.
- Antioxidant and antithrombotic treatments demonstrate positive outcomes in DKD management.
Conclusions:
- Antioxidant and antithrombotic treatments are beneficial for DKD patients.
- These treatments represent promising future therapeutic strategies for managing diabetic kidney disease.
- Novel agents offer improved therapeutic potential beyond conventional methods.
Abstract:
With an increasing incidence, diabetic kidney disease (DKD) has been the leading cause of chronic kidney disease and end-stage renal disease, and conventional therapies did not change this situation. This study intended to review and analyze the antioxidant and antithrombotic treatments of DKD for seeking novel therapeutic strategies. Relevant articles involved with antioxidant and antithrombotic treatments in DKD were retrieved and analyzed via systematic assessment. Meta-analysis showed that pancreatic kallikrein definitely reduced glycated hemoglobin in DKD patients (mean difference, 0.36%; 95% confidence interval, 0.08% to 0.63%; P = .01). Apart from the classic agents such as aspirin, novel drugs such as pancreatic kallikrein, sulodexide, and especially the traditional Chinese medicine including Tripterygium wilfordii and lumbrukinase, exert beneficial effects in DKD patients. Antioxidant and antithrombotic treatments are beneficial for DKD patients and represent promising therapeutic strategies in the future.
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