VEGF and angiopoietins in diabetic glomerulopathy: How far for a new treatment?

被引:43
作者
Dei Cas, Alessandra [1 ]
Gnudi, Luigi [2 ]
机构
[1] Univ Parma, Dept Internal Med & Biomed Sci, I-43100 Parma, Italy
[2] Kings Coll London, Div Cardiovasc, London WC2R 2LS, England
来源
METABOLISM-CLINICAL AND EXPERIMENTAL | 2012年 / 61卷 / 12期
关键词
Diabetic nephropathy; Vascular endothelial growth factor; Angiopoietins; Therapy; ENDOTHELIAL GROWTH-FACTOR; KIDNEY-DISEASE; NEPHROTIC SYNDROME; RENAL EXPRESSION; HUMAN PODOCYTES; FACTOR RECEPTOR; A EXPRESSION; EARLY-STAGE; IN-VIVO; NEPHROPATHY;
D O I
10.1016/j.metabol.2012.04.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetic nephropathy (DN) is the major cause of end-stage renal disease in western countries and its prevalence continues to increase (United States Renal Data System 2010, http://www.usrds.org/). Treatments currently utilised for DN provide only partial renoprotection, hence the need to identify new targets for therapeutic intervention. Metabolic and haemodynamic abnormalities have been implicated in the pathogenesis of DN, triggering the activation of intracellular signaling molecules that lead to the dysregulation of vascular growth factors and cytokines, such as vascular endothelial growth factor (VEGF) and angiopoietins, important players in the functional and structural regulation of the glomerular filtration barrier. This review focuses on the importance of VEGF-A and angiopoietins in kidney physiology and in the diabetic kidney, exploring their potential therapeutic role in the prevention and delay of diabetic glomerulopathy. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:1666 / 1673
页数:8
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