Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors

Progress in the treatment of diabetic kidney disease (DKD) has been modest since the early trials on renin-angiotensin-aldosterone system inhibitors (RAASis). Although sodium-glucose co-transporter 2 inhibitors (SGLT2is) have revolutionized the management of DKD by lowering proteinuria and protectin...

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Main Authors: Anthony T. P. Chan, Sydney C. W. Tang
Format: Article
Language:English
Published: The Korean Society of Nephrology 2022-11-01
Series:Kidney Research and Clinical Practice
Subjects:
Online Access:http://www.krcp-ksn.org/upload/pdf/j-krcp-21-285.pdf
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author Anthony T. P. Chan
Sydney C. W. Tang
author_facet Anthony T. P. Chan
Sydney C. W. Tang
author_sort Anthony T. P. Chan
collection DOAJ
description Progress in the treatment of diabetic kidney disease (DKD) has been modest since the early trials on renin-angiotensin-aldosterone system inhibitors (RAASis). Although sodium-glucose co-transporter 2 inhibitors (SGLT2is) have revolutionized the management of DKD by lowering proteinuria and protecting organs, other novel treatment approaches with good evidence and efficacy that can be used in conjunction with a RAASi or SGLT2i in managing DKD have emerged in the past few years. This review discusses the evidence for glucagon-like peptide-1 receptor agonist, selective mineralocorticoid receptor antagonist, and selective endothelin A receptor antagonist, emerging treatment options for DKD beyond SGLT2 inhibition.
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spelling doaj.art-5cc29bf33fd94eb2840ef30055cbdc4e2022-12-22T04:41:47ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322211-91402022-11-0141668269810.23876/j.krcp.21.2856160Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitorsAnthony T. P. Chan0Sydney C. W. Tang1 Division of Nephrology, Department of Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China Division of Nephrology, Department of Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, ChinaProgress in the treatment of diabetic kidney disease (DKD) has been modest since the early trials on renin-angiotensin-aldosterone system inhibitors (RAASis). Although sodium-glucose co-transporter 2 inhibitors (SGLT2is) have revolutionized the management of DKD by lowering proteinuria and protecting organs, other novel treatment approaches with good evidence and efficacy that can be used in conjunction with a RAASi or SGLT2i in managing DKD have emerged in the past few years. This review discusses the evidence for glucagon-like peptide-1 receptor agonist, selective mineralocorticoid receptor antagonist, and selective endothelin A receptor antagonist, emerging treatment options for DKD beyond SGLT2 inhibition.http://www.krcp-ksn.org/upload/pdf/j-krcp-21-285.pdfdiabetic kidney diseasediabetic nephropathiesglucagon-like peptide-1 receptor agonistnon-steroidal mineralocorticoid receptor antagonistselective endothelin receptor antagonistsodium-glucose transporter 2 inhibitors
spellingShingle Anthony T. P. Chan
Sydney C. W. Tang
Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors
Kidney Research and Clinical Practice
diabetic kidney disease
diabetic nephropathies
glucagon-like peptide-1 receptor agonist
non-steroidal mineralocorticoid receptor antagonist
selective endothelin receptor antagonist
sodium-glucose transporter 2 inhibitors
title Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors
title_full Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors
title_fullStr Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors
title_full_unstemmed Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors
title_short Advances in the management of diabetic kidney disease: beyond sodium-glucose co-transporter 2 inhibitors
title_sort advances in the management of diabetic kidney disease beyond sodium glucose co transporter 2 inhibitors
topic diabetic kidney disease
diabetic nephropathies
glucagon-like peptide-1 receptor agonist
non-steroidal mineralocorticoid receptor antagonist
selective endothelin receptor antagonist
sodium-glucose transporter 2 inhibitors
url http://www.krcp-ksn.org/upload/pdf/j-krcp-21-285.pdf
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