Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy

Diabetic nephropathy is a leading cause of end-stage renal disease, which is increasing in incidence worldwide, despite intensive treatment approaches such as glycemic and blood pressure control in patients with diabetes mellitus. New therapeutic strategies are needed to prevent the onset of diabeti...

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Main Authors: Shinji Kume, Takashi Uzu, Keiji Isshiki, Daisuke Koya
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:PPAR Research
Online Access:http://dx.doi.org/10.1155/2008/879523
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author Shinji Kume
Takashi Uzu
Keiji Isshiki
Daisuke Koya
author_facet Shinji Kume
Takashi Uzu
Keiji Isshiki
Daisuke Koya
author_sort Shinji Kume
collection DOAJ
description Diabetic nephropathy is a leading cause of end-stage renal disease, which is increasing in incidence worldwide, despite intensive treatment approaches such as glycemic and blood pressure control in patients with diabetes mellitus. New therapeutic strategies are needed to prevent the onset of diabetic nephropathy. Peroxisome proliferator-activated receptors (PPARs) are ligand-activated nuclear transcription factors that play important roles in lipid and glucose homeostases. These agents might prevent the progression of diabetic nephropathy, since PPAR agonists improve dyslipidemia and insulin resistance. Furthermore, data from murine models suggest that PPAR agonists also have independent renoprotective effects by suppressing inflammation, oxidative stress, lipotoxicity, and activation of the renin-angiotensin system. This review summarizes data from clinical and experimental studies regarding the relationship between PPARs and diabetic nephropathy. The therapeutic potential of PPAR agonists in the treatment of diabetic nephropathy is also discussed.
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spelling doaj-art-2f655aa92b984cbda787c375ff1b9b372025-02-03T01:26:21ZengWileyPPAR Research1687-47571687-47652008-01-01200810.1155/2008/879523879523Peroxisome Proliferator-Activated Receptors in Diabetic NephropathyShinji Kume0Takashi Uzu1Keiji Isshiki2Daisuke Koya3Department of Medicine, Shiga University of Medical Science, Otsu, Shiga 520-2192, JapanDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga 520-2192, JapanDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga 520-2192, JapanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Kanazawa Medical University, Ishikawa 920-0293, JapanDiabetic nephropathy is a leading cause of end-stage renal disease, which is increasing in incidence worldwide, despite intensive treatment approaches such as glycemic and blood pressure control in patients with diabetes mellitus. New therapeutic strategies are needed to prevent the onset of diabetic nephropathy. Peroxisome proliferator-activated receptors (PPARs) are ligand-activated nuclear transcription factors that play important roles in lipid and glucose homeostases. These agents might prevent the progression of diabetic nephropathy, since PPAR agonists improve dyslipidemia and insulin resistance. Furthermore, data from murine models suggest that PPAR agonists also have independent renoprotective effects by suppressing inflammation, oxidative stress, lipotoxicity, and activation of the renin-angiotensin system. This review summarizes data from clinical and experimental studies regarding the relationship between PPARs and diabetic nephropathy. The therapeutic potential of PPAR agonists in the treatment of diabetic nephropathy is also discussed.http://dx.doi.org/10.1155/2008/879523
spellingShingle Shinji Kume
Takashi Uzu
Keiji Isshiki
Daisuke Koya
Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy
PPAR Research
title Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy
title_full Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy
title_fullStr Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy
title_full_unstemmed Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy
title_short Peroxisome Proliferator-Activated Receptors in Diabetic Nephropathy
title_sort peroxisome proliferator activated receptors in diabetic nephropathy
url http://dx.doi.org/10.1155/2008/879523
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AT takashiuzu peroxisomeproliferatoractivatedreceptorsindiabeticnephropathy
AT keijiisshiki peroxisomeproliferatoractivatedreceptorsindiabeticnephropathy
AT daisukekoya peroxisomeproliferatoractivatedreceptorsindiabeticnephropathy