Crosstalk of hyperglycemia and dyslipidemia in diabetic kidney disease

W Su, R Cao, YC He, YF Guan, XZ Ruan - Kidney diseases, 2017 - karger.com
W Su, R Cao, YC He, YF Guan, XZ Ruan
Kidney diseases, 2017karger.com
Background: Diabetic kidney disease (DKD) is defined by the functional, structural, and
clinical abnormalities of the kidney that are caused by diabetes. Summary: One-third of both
type 1 diabetes and type 2 diabetes patients suffer from DKD, which is the leading cause of
end-stage renal disease, and is also associated with cardiovascular disease and high public
health care costs. Serum glucose level and lipid level are key factors in the pathogenesis of
DKD and are modifiable. The goal of this review is to provide an update on the roles of …
Background
Diabetic kidney disease (DKD) is defined by the functional, structural, and clinical abnormalities of the kidney that are caused by diabetes.
Summary
One-third of both type 1 diabetes and type 2 diabetes patients suffer from DKD, which is the leading cause of end-stage renal disease, and is also associated with cardiovascular disease and high public health care costs. Serum glucose level and lipid level are key factors in the pathogenesis of DKD and are modifiable. The goal of this review is to provide an update on the roles of glucose and lipid metabolism in DKD and their crosstalk at the molecular level. We will further discuss the recent advances regarding metabolic nuclear receptors in glucose-lipid crosstalk, which may provide new potential therapeutic targets for DKD.
Key Message
AMPK, SREBP-1, and some metabolic hormone receptors including liver X receptors, farnesoid X receptors, and peroxisome proliferator-activated receptors mediate the crosstalk of hyperglycemia and dyslipidemia in diabetic kidney disease and might be potential treatment candidates.
Karger