Renoprotective Effects of DPP-4 Inhibitors

Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease (ESRD) worldwide. Dipeptidyl peptidase (DPP)-4 inhibitors are widely used in the treatment of patients with type 2 diabetes (T2D). DPP-4 inhibitors reduce glucose levels by inhibiting degradation of incretins. DPP-4 is a u...

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Main Authors: Daiji Kawanami, Yuichi Takashi, Hiroyuki Takahashi, Ryoko Motonaga, Makito Tanabe
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/10/2/246
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author Daiji Kawanami
Yuichi Takashi
Hiroyuki Takahashi
Ryoko Motonaga
Makito Tanabe
author_facet Daiji Kawanami
Yuichi Takashi
Hiroyuki Takahashi
Ryoko Motonaga
Makito Tanabe
author_sort Daiji Kawanami
collection DOAJ
description Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease (ESRD) worldwide. Dipeptidyl peptidase (DPP)-4 inhibitors are widely used in the treatment of patients with type 2 diabetes (T2D). DPP-4 inhibitors reduce glucose levels by inhibiting degradation of incretins. DPP-4 is a ubiquitous protein with exopeptidase activity that exists in cell membrane-bound and soluble forms. It has been shown that an increased renal DPP-4 activity is associated with the development of DKD. A series of clinical and experimental studies showed that DPP-4 inhibitors have beneficial effects on DKD, independent of their glucose-lowering abilities, which are mediated by anti-fibrotic, anti-inflammatory, and anti-oxidative stress properties. In this review article, we highlight the current understanding of the clinical efficacy and the mechanisms underlying renoprotection by DPP-4 inhibitors under diabetic conditions.
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spelling doaj.art-0cb3dfd6cbcd4569a5a4c132174ad2cd2023-12-03T12:29:43ZengMDPI AGAntioxidants2076-39212021-02-0110224610.3390/antiox10020246Renoprotective Effects of DPP-4 InhibitorsDaiji Kawanami0Yuichi Takashi1Hiroyuki Takahashi2Ryoko Motonaga3Makito Tanabe4Department of Endocrinology and Diabetes Mellitus, Fukuoka University School of Medicine, Fukuoka 814-0180, JapanDepartment of Endocrinology and Diabetes Mellitus, Fukuoka University School of Medicine, Fukuoka 814-0180, JapanDepartment of Endocrinology and Diabetes Mellitus, Fukuoka University School of Medicine, Fukuoka 814-0180, JapanDepartment of Endocrinology and Diabetes Mellitus, Fukuoka University School of Medicine, Fukuoka 814-0180, JapanDepartment of Endocrinology and Diabetes Mellitus, Fukuoka University School of Medicine, Fukuoka 814-0180, JapanDiabetic kidney disease (DKD) is the leading cause of end-stage renal disease (ESRD) worldwide. Dipeptidyl peptidase (DPP)-4 inhibitors are widely used in the treatment of patients with type 2 diabetes (T2D). DPP-4 inhibitors reduce glucose levels by inhibiting degradation of incretins. DPP-4 is a ubiquitous protein with exopeptidase activity that exists in cell membrane-bound and soluble forms. It has been shown that an increased renal DPP-4 activity is associated with the development of DKD. A series of clinical and experimental studies showed that DPP-4 inhibitors have beneficial effects on DKD, independent of their glucose-lowering abilities, which are mediated by anti-fibrotic, anti-inflammatory, and anti-oxidative stress properties. In this review article, we highlight the current understanding of the clinical efficacy and the mechanisms underlying renoprotection by DPP-4 inhibitors under diabetic conditions.https://www.mdpi.com/2076-3921/10/2/246DPP-4DPP-4 inhibitorsdiabetic kidney diseasediabetic nephropathy
spellingShingle Daiji Kawanami
Yuichi Takashi
Hiroyuki Takahashi
Ryoko Motonaga
Makito Tanabe
Renoprotective Effects of DPP-4 Inhibitors
Antioxidants
DPP-4
DPP-4 inhibitors
diabetic kidney disease
diabetic nephropathy
title Renoprotective Effects of DPP-4 Inhibitors
title_full Renoprotective Effects of DPP-4 Inhibitors
title_fullStr Renoprotective Effects of DPP-4 Inhibitors
title_full_unstemmed Renoprotective Effects of DPP-4 Inhibitors
title_short Renoprotective Effects of DPP-4 Inhibitors
title_sort renoprotective effects of dpp 4 inhibitors
topic DPP-4
DPP-4 inhibitors
diabetic kidney disease
diabetic nephropathy
url https://www.mdpi.com/2076-3921/10/2/246
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AT ryokomotonaga renoprotectiveeffectsofdpp4inhibitors
AT makitotanabe renoprotectiveeffectsofdpp4inhibitors