Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets

Diabetes is a worldwide epidemic that has led to a rise in diabetic kidney disease (DKD). Over the past two decades, there has been significant clarification of the various pathways implicated in the pathogenesis of DKD. Nonetheless, very little has changed in the way clinicians manage patients wit...

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Main Authors: Stephanie Toth-Manikowski, Mohamed G. Atta
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/697010
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author Stephanie Toth-Manikowski
Mohamed G. Atta
author_facet Stephanie Toth-Manikowski
Mohamed G. Atta
author_sort Stephanie Toth-Manikowski
collection DOAJ
description Diabetes is a worldwide epidemic that has led to a rise in diabetic kidney disease (DKD). Over the past two decades, there has been significant clarification of the various pathways implicated in the pathogenesis of DKD. Nonetheless, very little has changed in the way clinicians manage patients with this disorder. Indeed, treatment is primarily centered on controlling hyperglycemia and hypertension and inhibiting the renin-angiotensin system. The purpose of this review is to describe the current understanding of how the hemodynamic, metabolic, inflammatory, and alternative pathways are all entangled in pathogenesis of DKD and detail the various therapeutic targets that may one day play a role in quelling this epidemic.
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spelling doaj-art-844aadfba5fa46bbb0bd8f9ca4c990472025-02-03T01:10:43ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/697010697010Diabetic Kidney Disease: Pathophysiology and Therapeutic TargetsStephanie Toth-Manikowski0Mohamed G. Atta1Division of Nephrology, Johns Hopkins University, 1830 E. Monument Street, Suite 416, Baltimore, MD 21287, USADivision of Nephrology, Johns Hopkins University, 1830 E. Monument Street, Suite 416, Baltimore, MD 21287, USADiabetes is a worldwide epidemic that has led to a rise in diabetic kidney disease (DKD). Over the past two decades, there has been significant clarification of the various pathways implicated in the pathogenesis of DKD. Nonetheless, very little has changed in the way clinicians manage patients with this disorder. Indeed, treatment is primarily centered on controlling hyperglycemia and hypertension and inhibiting the renin-angiotensin system. The purpose of this review is to describe the current understanding of how the hemodynamic, metabolic, inflammatory, and alternative pathways are all entangled in pathogenesis of DKD and detail the various therapeutic targets that may one day play a role in quelling this epidemic.http://dx.doi.org/10.1155/2015/697010
spellingShingle Stephanie Toth-Manikowski
Mohamed G. Atta
Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets
Journal of Diabetes Research
title Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets
title_full Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets
title_fullStr Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets
title_full_unstemmed Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets
title_short Diabetic Kidney Disease: Pathophysiology and Therapeutic Targets
title_sort diabetic kidney disease pathophysiology and therapeutic targets
url http://dx.doi.org/10.1155/2015/697010
work_keys_str_mv AT stephanietothmanikowski diabetickidneydiseasepathophysiologyandtherapeutictargets
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