PMID- 35391537 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220421 IS - 2211-9132 (Print) IS - 2211-9140 (Electronic) IS - 2211-9132 (Linking) VI - 41 IP - 2 DP - 2022 Mar TI - GLP-1 receptor agonists in diabetic kidney disease: current evidence and future directions. PG - 136-149 LID - 10.23876/j.krcp.22.001 [doi] AB - With the emergence of various classes of blood glucose-lowering agents, choosing the appropriate drug for each patient is emphasized in diabetes management. Among incretin-based drugs, glucagon-like peptide 1 (GLP-1) receptor agonists are a promising therapeutic option for patients with diabetic kidney disease (DKD). Several cardiovascular outcome trials have demonstrated that GLP-1 receptor agonists have beneficial effects on cardiorenal outcomes beyond their blood glucose-lowering effects in patients with type 2 diabetes mellitus (T2DM). The renal protective effects of GLP-1 receptor agonists likely result from their direct actions on the kidney, in addition to their indirect actions that improve conventional risk factors for DKD, such as reducing blood glucose levels, blood pressure, and body weight. Inhibition of oxidative stress and inflammation and induction of natriuresis are major renoprotective mechanisms of GLP-1 analogues. Early evidence from the development of dual and triple combination agents suggests that GLP-1 receptor agonists will probably become popular treatment options for patients with T2DM. FAU - Yu, Ji Hee AU - Yu JH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea. FAU - Park, So Young AU - Park SY AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea. FAU - Lee, Da Young AU - Lee DY AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea. FAU - Kim, Nan Hee AU - Kim NH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea. FAU - Seo, Ji A AU - Seo JA AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea. LA - eng GR - 2018R1D1A1B07049123/National Research Foundation of Korea/ GR - 2020R1F1A1074265/National Research Foundation of Korea/ GR - K1824431/Korea University/ PT - Journal Article DEP - 20220325 PL - Korea (South) TA - Kidney Res Clin Pract JT - Kidney research and clinical practice JID - 101586778 PMC - PMC8995488 OTO - NOTNLM OT - Diabetic nephropathies OT - Glucagon-like peptide 1 OT - Type 2 diabetes mellitus COIS- Conflicts of interest All authors have no conflicts of interest to declare. EDAT- 2022/04/09 06:00 MHDA- 2022/04/09 06:01 PMCR- 2022/03/01 CRDT- 2022/04/08 02:54 PHST- 2021/12/29 00:00 [received] PHST- 2022/02/22 00:00 [accepted] PHST- 2022/04/08 02:54 [entrez] PHST- 2022/04/09 06:00 [pubmed] PHST- 2022/04/09 06:01 [medline] PHST- 2022/03/01 00:00 [pmc-release] AID - j.krcp.22.001 [pii] AID - j-krcp-22-001 [pii] AID - 10.23876/j.krcp.22.001 [doi] PST - ppublish SO - Kidney Res Clin Pract. 2022 Mar;41(2):136-149. doi: 10.23876/j.krcp.22.001. Epub 2022 Mar 25.