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Kidney Damage Caused by Obesity and Its Feasible Treatment Drugs
Meihui Wang1, Zixu Wang1, Yaoxing Chen1
1Neurobiology Laboratory, Department of Basic Veterinary Medicine, College of Veterinary Medicine, China Agricultural University, Beijing 100193, China.
Abstract:
The rapid growth of obesity worldwide has made it a major health problem, while the dramatic increase in the prevalence of obesity has had a significant impact on the magnitude of chronic kidney disease (CKD), especially in developing countries. A vast amount of researchers have reported a strong relationship between obesity and chronic kidney disease, and obesity can serve as an independent risk factor for kidney disease. The histological changes of kidneys in obesity-induced renal injury include glomerular or tubular hypertrophy, focal segmental glomerulosclerosis or bulbous sclerosis. Furthermore, inflammation, renal hemodynamic changes, insulin resistance and lipid metabolism disorders are all involved in the development and progression of obesity-induced nephropathy. However, there is no targeted treatment for obesity-related kidney disease. In this review, RAS inhibitors, SGLT2 inhibitors and melatonin would be presented to treat obesity-induced kidney injury. Furthermore, we concluded that melatonin can protect the kidney damage caused by obesity by inhibiting inflammation and oxidative stress, revealing its therapeutic potential.
Insights
Obesity significantly worsens chronic kidney disease (CKD). Melatonin shows therapeutic potential for obesity-related kidney injury by reducing inflammation and oxidative stress, offering a new treatment avenue.
Area of Science:
- Nephrology
- Metabolic Diseases
- Pharmacology
Background:
- Obesity is a global health crisis, increasingly linked to chronic kidney disease (CKD) prevalence.
- Obesity acts as an independent risk factor for kidney disease, contributing to significant renal pathology.
Purpose of the Study:
- To review the impact of obesity on kidney disease.
- To explore potential therapeutic strategies for obesity-induced nephropathy.
Main Methods:
- Review of existing research on obesity and kidney disease.
- Analysis of histological changes and pathophysiological mechanisms in obesity-related nephropathy.
- Evaluation of potential treatments including RAS inhibitors, SGLT2 inhibitors, and melatonin.
Main Results:
- Obesity-induced renal injury involves glomerular/tubular hypertrophy, glomerulosclerosis, inflammation, altered hemodynamics, insulin resistance, and lipid disorders.
- Current treatments for obesity-related kidney disease are limited.
- Melatonin demonstrated protective effects against obesity-induced kidney damage.
Conclusions:
- Melatonin mitigates kidney damage from obesity by inhibiting inflammation and oxidative stress.
- Melatonin presents significant therapeutic potential for managing obesity-related kidney disease.
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