Potential Therapeutic Targets of Obesity-Related Glomerulopathy

Jiao He1, Yanxin Xiao1, Jun Wang1

  • 1Department of Endocrinology, Baoding NO.1 Central Hospital, Baoding, Hebei, People's Republic of China.

Insights

Obesity-related glomerulopathy (ORG) treatments focus on weight loss and renin-angiotensin-aldosterone blockade for antiproteinuric effects. Emerging therapies targeting lipid metabolism show promise for ORG management.

Area of Science:

  • Nephrology
  • Endocrinology
  • Metabolic Diseases

Background:

  • Rising global obesity rates correlate with an increasing incidence of obesity-related glomerulopathy (ORG).
  • ORG is a significant cause of chronic kidney disease in obese individuals.

Purpose of the Study:

  • To review potential therapeutic targets for ORG.
  • To explore the mechanisms of action for these therapies.
  • To highlight the importance of obesity and ORG prevention and treatment.

Main Methods:

  • Systematic identification of surveys, reports, and published studies.
  • Literature analysis of existing data on ORG therapies.

Main Results:

  • Weight loss and renin-angiotensin-aldosterone blockade are established therapies with antiproteinuric effects and can reverse hyperfiltration in ORG.
  • Glucagon-like peptide-1-based therapies have demonstrated improvements in proteinuria.
  • Novel therapies targeting lipid metabolism, including FXR, TGR5, and PPARα agonists, show therapeutic potential.

Conclusions:

  • Effective management strategies for ORG are crucial.
  • Further research into novel therapeutic targets for ORG is warranted.
  • Preventative measures against obesity are key to combating the ORG epidemic.

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