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The Apelinergic System in Kidney Disease: Novel Perspectives
Sara Saladich-Cavallé1, Sara Núñez-Delgado1,2, Linhui Huo1
1Nephrology and Transplantation Research Group, Vall d'Hebrón Research Institute (VHIR), Vall d'Hebron University Hospital, Vall d'Hebron Barcelona Hospital Campus, 08035 Barcelona, Spain.
The apelinergic system, involving apelin and APLNR, is crucial for kidney function in diabetes. Dysregulation of this system in diabetic kidney disease presents a promising therapeutic target for new treatments.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetic kidney disease (DKD) affects 30-40% of diabetes patients, often progressing to end-stage renal disease (ESRD).
- The apelin/APLNR system in renal vasculature is vital for glucose uptake and blood flow regulation.
- This system is known to be dysregulated in DKD.
Purpose of the Study:
- To review the role of the apelinergic system in diabetic kidney disease.
- To summarize current apelin analogs and inhibitors.
- To discuss their therapeutic potential for DKD.
Main Methods:
- Literature review of recent studies on apelin, APLNR, and DKD.
- Analysis of cellular mechanisms of apelin action.
- Examination of existing apelin-targeting therapeutics.
Main Results:
- The apelinergic system plays a significant role in DKD pathogenesis.
- Apelin analogs and inhibitors are under development.
- These agents show potential for treating DKD.
Conclusions:
- The apelinergic system is a key factor in DKD.
- Apelin-based therapies offer a promising avenue for DKD treatment.
- Further research into apelin analogs and inhibitors is warranted.
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