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101869

Diabetic Nephropathy: Review of Novel Experimental and Clinical Strategies

Article

Last updated: 22 Jan 2023

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Abstract

Background: Diabetic nephropathy (DN) is considered a severe disorder which affects health worldwide. New more active treatment options are required. Despite a large number of drugs already being available for treatment of hyperglycemia in diabetes, current oral antidiabetic agents often do not provide adequate glycemic control. Renin-angiotensin-aldosterone system (RAAS) blockers are novel agents to slow the progression of DN. Method: The present review provides an overview of recent studies on DN management, especially the use RAAS blockers and their antidiabetic effects. References were mainly identified through PubMed search until December 2016 and backtracking of references in pertinent studies. Results: This review reporting the novel mechanisms and benefits of targeting the RAAS by the use of ACEIs; ARB or direct renin inhibitors in glucose lowering, antioxidant and anti-inflammatory effects and kidney protection. Conclusion: These drugs targeting the RAAS can be used as monotherapy or in combination therapy in hypertensive-diabetic patients to protect them from DN.

DOI

10.21608/bfpc.2019.101869

Keywords

ACEIs, aliskiren, diabetic nephropathy, RAAS

Authors

First Name

Amal

Last Name

Mahfoz

MiddleName

M.

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Modern University for Technology and Information, Cairo, Egypt.+, Department of Developmental Pharmacology, National Organization for Drug Control and Research (NODCAR), Giza, Egypt.

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Orcid

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First Name

Nahed

Last Name

Hassanein

MiddleName

M.

Affiliation

Department of Developmental Pharmacology, National Organization for Drug Control and Research (NODCAR), Giza, Egypt.

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City

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Orcid

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First Name

Afaf

Last Name

Shoka

MiddleName

A.

Affiliation

Faculty of Pharmacy, Cairo University, Cairo, Egypt.

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City

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Orcid

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First Name

Hekma

Last Name

Abd El- Latif

MiddleName

A.

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Modern University for Technology and Information, Cairo, Egypt.+, Faculty of Pharmacy, Cairo University, Cairo, Egypt.

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City

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Orcid

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Volume

57

Article Issue

2

Related Issue

15414

Issue Date

2019-12-01

Receive Date

2020-07-09

Publish Date

2019-12-01

Page Start

127

Page End

136

Print ISSN

1110-0931

Online ISSN

2090-9101

Link

https://bfpc.journals.ekb.eg/article_101869.html

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https://bfpc.journals.ekb.eg/service?article_code=101869

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3

Type

Original Article

Type Code

771

Publication Type

Journal

Publication Title

Bulletin of Faculty of Pharmacy, Cairo University

Publication Link

https://bfpc.journals.ekb.eg/

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Article

Created At

22 Jan 2023