Kidney effects of Glucagon-Like Peptide 1 (GLP1): from molecular foundations to a pharmacophysiological perspective

datacite.rightshttp://purl.org/coar/access_right/c_abf2
dc.contributor.authorRico-Fontalvo, Jorge
dc.contributor.authorReina, Maricely
dc.contributor.authorSoler, María José
dc.contributor.authorUnigarro-Palacios, Mario
dc.contributor.author Castañeda González, Juan Pablo
dc.contributor.authorJiménez Quintero, Javier
dc.contributor.authorRaad Sarabia, Maria Isabel
dc.contributor.authorProenca de Moraes, Thyago
dc.contributor.authorDaza-Arnedo, Rodrigo
dc.date.accessioned2024-11-13T15:18:06Z
dc.date.available2024-11-13T15:18:06Z
dc.date.issued2024
dc.description.abstractGLP1 receptor agonists (GLP1-RAs) are drugs that mimic the effects of the incretin hormone GLP1 and were initially introduced in medicine for the treatment of diabetes in 2005 and for obesity in 2014. Over time, data from secondary and exploratory objectives of large randomized controlled-trials suggested that GLP1-RAs could also exert renal action by slowing the progression of kidney disease in patients with and without diabetes. Based on this rationale, the Flow study (1 mg semaglutide vs placebo) was designed and recruitment began in 2019 until May 2021. The recently published results confirmed the effect of semaglutide in reducing the composite renal outcome. However, similar to SGLT2 inhibitors, the potential mechanisms behind the renal effects of GLP1-RAs still need to be elucidated. The aim of this review is to address the different physiological mechanisms of GLP1-RAs at the renal level, using evidence from experimental studies and current scientific literature.eng
dc.description.abstractOs agonistas do receptor de GLP1 (GLP1- RAs) são medicamentos que imitam os efeitos do hormônio incretínico GLP1. Eles foram inicialmente introduzidos na medicina para o tratamento do diabetes em 2005 e para a obesidade em 2014. Com o passar do tempo, dados provenientes de objetivos secundários e exploratórios de amplos ensaios clínicos randomizados sugeriram que os GLP1-RAs também poderiam exercer ação renal ao retardar a progressão da doença renal em pacientes com e sem diabetes. Com base nesse raciocínio, o estudo Flow (semaglutida 1 mg vs. placebo) foi desenhado e o recrutamento começou em 2019, estendendo-se até maio de 2021. Os resultados publicados recentemente confirmaram o efeito da semaglutida na redução do desfecho renal composto. No entanto, assim como os inibidores do SGLT2, os mecanismos potenciais por trás dos efeitos renais dos GLP1-RAs ainda precisam ser elucidados. O objetivo desta revisão é abordar os diferentes mecanismos fisiológicos dos GLP1-RAs em nível renal, utilizando evidências de estudos experimentais e da literatura científica atual.ptg
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1590/2175-8239-JBN-2024-0101en
dc.identifier.issn01012800 (Impreso)
dc.identifier.issn21758239 (Electrónico)
dc.identifier.urihttps://hdl.handle.net/20.500.12442/15936
dc.identifier.urlhttps://www.bjnephrology.org/en/article/kidney-effects-of-glucagon-like-peptide-1-glp1-from-molecular-foundations-to-a-pharmacophysiological-perspective/
dc.language.isospa
dc.publisherBrazilian Society of Nephrologyspa
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United Stateseng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/
dc.sourceBrazilian Journal of Nephrologyeng
dc.sourceBraz. J. Nephrol. (J. Bras. Nefrol.)eng
dc.subjectAlbuminuriaspa
dc.subjectDiabetesspa
dc.subjectIncretinsspa
dc.subjectObesityspa
dc.subjectKidney diseasespa
dc.subject.keywordsAlbuminúriaptg
dc.subject.keywordsDiabetesptg
dc.subject.keywordsIncretinasptg
dc.subject.keywordsObesidadeptg
dc.subject.keywordsDoença Renalptg
dc.titleKidney effects of Glucagon-Like Peptide 1 (GLP1): from molecular foundations to a pharmacophysiological perspectiveeng
dc.title.translatedEfeitos renais do Peptídeo 1 Semelhante ao Glucagon (GLP1): das bases moleculares a uma perspectiva farmacofisiológicaptg
dc.type.driverinfo:eu-repo/semantics/article
dc.type.spaArtículo científico
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