Evidence mapPaperPMID 39857634Full record

ReviewBiomedicines2024

Exploring the Molecular Modalities in the Pathogenesis of Diabetic Kidney Disease with a Focus on the Potential Therapeutic Implications.

Lyubomir Gaydarski, Kristina Petrova, Ivan Angushev, Stancho Stanchev, Alexandar Iliev, Nikola Stamenov, Vidin Kirkov, Boycho Landzhov

Abstract readReview
In one paragraph

Review in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lyubomir GaydarskiDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.ORCID 0000-0003-4774-6507
Kristina PetrovaDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.ORCID 0009-0008-4093-7945
Ivan AngushevDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.ORCID 0000-0002-2933-8051
Stancho StanchevDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.
Alexandar IlievDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.ORCID 0000-0001-6971-8086
Nikola StamenovDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.
Vidin KirkovDepartment of Health Policy and Management, Faculty of Public Health 'Prof. Dr. Tzekomir Vodenicharov', Medical University of Sofia, 1527 Sofia, Bulgaria.
Boycho LandzhovDepartment of Anatomy, Histology and Embryology, Medical University of Sofia, 1431 Sofia, Bulgaria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic kidney disease (DKD) is a leading cause of chronic kidney disease (CKD) and end-stage renal disease worldwide, affecting approximately 40% of individuals with type 2 diabetes (T2DM) and 30% of those with type 1 diabetes (T1DM). As the prevalence of diabetes continues to rise, the burden of DKD is expected to grow correspondingly. This review explores the roles of key molecular pathways, including the apelinergic system, vascular endothelial growth factor (VEGF)/VEGF receptor (VEGFR) axis, and nitric oxide (NO)/nitric oxide synthase (NOS) signaling, in DKD pathogenesis and potential therapeutic applications. The apelinergic system, involving apelin and its receptor (APLNR), influences endothelial function, glucose metabolism, and renal health. Preclinical studies highlight its dual role in renal protection and injury through anti-inflammatory and antioxidant pathways, while other evidence suggests that it may exacerbate DKD through podocyte damage and angiogenesis. Similarly, the VEGF/VEGFR axis demonstrates a complex contribution to DKD, where VEGF-A promotes pathological angiogenesis and glomerular damage, but its inhibition requires careful modulation to prevent adverse effects. The NO/NOS system, integral to vascular and renal homeostasis, also exhibits altered activity in DKD, with reduced bioavailability linked to oxidative stress and inflammation. This review underscores the intricate interplay between these pathways in DKD, revealing both challenges and opportunities in their therapeutic targeting. Further research is essential to refine strategies and develop effective interventions for DKD management.

Indexed as

apelinapelin receptordiabetic kidney diseasenitric oxidenitric oxide synthasevascular endothelial growth factorvascular endothelial growth factor receptors

Identifiers

PMID39857634
PMCPMC11763324

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.