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Updated: Jun 25, 2025

Assessment of Kidney Function in Mouse Models of Glomerular Disease
Published on: June 30, 2018
SGLT2 inhibition to target kidney aging
Elisa Russo1,2, Valentina Zanetti1, Lucia Macciò1
1Department of Internal Medicine, University of Genoa, Genoa, Italy.
Abstract:
Anti-aging therapy is the latest frontier in the world of medical science, especially for widespread diseases such as chronic kidney disease (CKD). Both renal aging and CKD are characterized by increased cellular senescence, inflammation and oxidative stress. A variety of cellular signalling mechanisms are involved in these processes, which provide new potential targets for therapeutic strategies aimed at counteracting the onset and progression of CKD. At the same time, sodium-glucose co-transporter 2 inhibitors (SGLT2is) continuously demonstrate large beneficial effects at all stages of the cardiorenal metabolic continuum. The broad-spectrum benefits of SGLT2is have led to changes in several treatment guidelines and to growing scientific interest in the underlying working principles. Multiple mechanisms have been studied to explain these great renal benefits, but many things remain to be solved. With this in mind, we provide an overview of the experimental evidence for the effects of SGLT2is on the molecular pathway's ability to modulate senescence, aging and parenchymal damage, especially at the kidney level. We propose to shed some light on the role of SGLT2is in kidney care by focusing on their potential to reduce the progression of kidney disease across the spectrum of aging and dysregulation of senescence.
Insights
Sodium-glucose co-transporter 2 inhibitors (SGLT2is) show promise in anti-aging therapy for chronic kidney disease (CKD). These drugs may counteract cellular senescence and inflammation, potentially slowing CKD progression in aging kidneys.
Area of Science:
- Gerontology
- Nephrology
- Pharmacology
Background:
- Chronic kidney disease (CKD) and renal aging share hallmarks like cellular senescence, inflammation, and oxidative stress.
- Cellular signaling pathways implicated in aging and CKD offer potential therapeutic targets.
- Sodium-glucose co-transporter 2 inhibitors (SGLT2is) exhibit significant benefits across the cardiorenal spectrum.
Purpose of the Study:
- To review experimental evidence on SGLT2is' effects on molecular pathways related to senescence and aging in the kidney.
- To explore the potential of SGLT2is in mitigating kidney aging and senescence-related damage.
- To elucidate the role of SGLT2is in managing CKD progression in the context of aging.
Main Methods:
- Literature review of experimental studies.
- Analysis of molecular pathways involved in cellular senescence and kidney aging.
- Examination of SGLT2is' impact on these pathways.
Main Results:
- SGLT2is demonstrate effects on molecular pathways modulating senescence, aging, and parenchymal damage in the kidney.
- Evidence suggests SGLT2is can counteract key aging processes relevant to CKD.
- The precise mechanisms underlying SGLT2is' renal benefits are still under investigation.
Conclusions:
- SGLT2is hold potential as a therapeutic strategy for managing kidney aging and CKD.
- Targeting senescence and aging pathways with SGLT2is may reduce CKD progression.
- Further research is needed to fully understand and optimize SGLT2is' role in kidney care.
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