Published in:
Open Access
01-12-2016 | Review
Dipeptidyl peptidase-4 and kidney fibrosis in diabetes
Authors:
Sen Shi, Daisuke Koya, Keizo Kanasaki
Published in:
Fibrogenesis & Tissue Repair
|
Issue 1/2016
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Abstract
Diabetic nephropathy (DN) is the most common cause of end-stage kidney disease worldwide and is associated with increased morbidity and mortality in patients with both type 1 and type 2 diabetes. Recent evidence revealed that dipeptidyl peptidase-4 (DPP-4) inhibitors may exhibit a protective effect against DN. In fact, the kidney is the organ where the DPP-4 activity is the highest level per organ weight. A preclinical analysis revealed that DPP-4 inhibitors also ameliorated kidney fibrosis. In this review, we analyzed recent reports in this field and explore the renoprotective effects and possible mechanism of the DPP-4 inhibitors.