PMID- 29098166 OWN - NLM STAT- MEDLINE DCOM- 20180709 LR - 20190723 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2017 DP - 2017 TI - Renoprotective Effects of the Dipeptidyl Peptidase-4 Inhibitor Sitagliptin: A Review in Type 2 Diabetes. PG - 5164292 LID - 10.1155/2017/5164292 [doi] LID - 5164292 AB - Diabetic nephropathy (DN) is now the single commonest cause of end-stage renal disease (ESRD) worldwide and one of the main causes of death in diabetic patients. It is also acknowledged as an independent risk factor for cardiovascular disease (CVD). Since sitagliptin was approved, many studies have been carried out revealing its ability to not only improve metabolic control but also ameliorate dysfunction in various diabetes-targeted organs, especially the kidney, due to putative underlying cytoprotective properties, namely, its antiapoptotic, antioxidant, anti-inflammatory, and antifibrotic properties. Despite overall recommendations, many patients spend a long time well outside the recommended glycaemic range and, therefore, have an increased risk for developing micro- and macrovascular complications. Currently, it is becoming clearer that type 2 diabetes mellitus (T2DM) management must envision not only the improvement in glycaemic control but also, and particularly, the prevention of pancreatic deterioration and the evolution of complications, such as DN. This review aims to provide an overview of the current knowledge in the field of renoprotective actions of sitagliptin, namely, improvement in diabetic dysmetabolism, hemodynamic factors, renal function, diabetic kidney lesions, and cytoprotective properties. FAU - Mega, Cristina AU - Mega C AUID- ORCID: 0000-0002-9913-875X AD - Agrarian School of Viseu (ESAV), Polytechnic Institute of Viseu (IPV), 3500-606 Viseu, Portugal. AD - Centre for the Study of Education, Technologies and Health (CI&DETS), Polytechnic Institute of Viseu (IPV), 3500-606 Viseu, Portugal. AD - Institute of Pharmacology and Experimental Therapeutics and Institute for Biomedical Imaging and Life Sciences (IBILI), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal. FAU - Teixeira-de-Lemos, Edite AU - Teixeira-de-Lemos E AUID- ORCID: 0000-0002-6346-8319 AD - Agrarian School of Viseu (ESAV), Polytechnic Institute of Viseu (IPV), 3500-606 Viseu, Portugal. AD - Centre for the Study of Education, Technologies and Health (CI&DETS), Polytechnic Institute of Viseu (IPV), 3500-606 Viseu, Portugal. FAU - Fernandes, Rosa AU - Fernandes R AUID- ORCID: 0000-0001-7828-2296 AD - Institute of Pharmacology and Experimental Therapeutics and Institute for Biomedical Imaging and Life Sciences (IBILI), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal. AD - CNC.IBILI Research Consortium, University of Coimbra, 3004-504 Coimbra, Portugal. FAU - Reis, Flavio AU - Reis F AUID- ORCID: 0000-0003-3401-9554 AD - Institute of Pharmacology and Experimental Therapeutics and Institute for Biomedical Imaging and Life Sciences (IBILI), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal. AD - CNC.IBILI Research Consortium, University of Coimbra, 3004-504 Coimbra, Portugal. LA - eng PT - Journal Article PT - Review DEP - 20170827 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Protective Agents) RN - TS63EW8X6F (Sitagliptin Phosphate) SB - IM MH - Diabetes Mellitus, Type 2/*drug therapy MH - Diabetic Nephropathies/*drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/*therapeutic use MH - Humans MH - Protective Agents/*therapeutic use MH - Sitagliptin Phosphate/*therapeutic use MH - Treatment Outcome PMC - PMC5643039 EDAT- 2017/11/04 06:00 MHDA- 2018/07/10 06:00 PMCR- 2017/08/27 CRDT- 2017/11/04 06:00 PHST- 2017/05/21 00:00 [received] PHST- 2017/07/12 00:00 [accepted] PHST- 2017/11/04 06:00 [entrez] PHST- 2017/11/04 06:00 [pubmed] PHST- 2018/07/10 06:00 [medline] PHST- 2017/08/27 00:00 [pmc-release] AID - 10.1155/2017/5164292 [doi] PST - ppublish SO - J Diabetes Res. 2017;2017:5164292. doi: 10.1155/2017/5164292. Epub 2017 Aug 27.