Et and diabetic nephropathy: preclinical and clinical studies.

Abstract:

:The incidence of progressive kidney disease associated with diabetes continues to increase worldwide. Only partial renoprotection is achieved by current standard therapy with angiotensin-converting enzyme inhibitors and/or angiotensin-receptor blockers, increasing the need for novel therapeutic approaches. Experimental studies have provided evidence of a pathogenic role for endothelin-1 (ET-1) and its cognate receptors in the development and progression of diabetic nephropathy. ET-1, mainly through the activation of ETA receptor, contributes to renal cell injury, inflammation, and fibrosis. In animal models of type 1 and type 2 diabetes, ETA-selective antagonists have been shown to provide renoprotective effects, supplying the rationale for clinical trials in patients with diabetic nephropathy with ETA-receptor antagonists administered in addition to renin-angiotensin system blockade.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Gagliardini E,Zoja C,Benigni A

doi

10.1016/j.semnephrol.2015.03.003

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

188-96

issue

2

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(15)00034-0

journal_volume

35

pub_type

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