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Assessment of Kidney Function in Mouse Models of Glomerular Disease
Published on: June 30, 2018
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.
Abstract:
The global increase of obesity parallels the obesity-related glomerulopathy (ORG) epidemic. The purpose of this review is to emphasize the potential therapeutic targets of ORG as well as the corresponding possible mechanisms. We systematically identified surveys, reports, and published studies that included data for the purpose of this review and did literature analysis. Under circumstance of obesity, weight loss, and renin-angiotensin-aldosterone blockade are the most studied therapies, effective to induce antiproteinuric effects and reversal of hyperfiltration in ORG. Glucagon-like peptide-1-based therapies led to improvement in proteinuria. Newer therapies directed to lipid metabolism, including farnesoid X receptor and takeda G protein-coupled receptor 5 agonists, peroxisome proliferator-activated receptor α agonists, hold therapeutic promise. Prevention and treatments of obesity and ORG are of great importance.
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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