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Diabetic nephropathy

Renoprotective effects of pentoxifylline in the PREDIAN trial

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The PREDIAN trial investigated the renoprotective effects of pentoxifylline, in addition to renin–angiotensin system blockade, in patients with type 2 diabetes mellitus and chronic kidney disease. This promising approach resulted in a reduction in the rate of decline in estimated glomerular filtration rate and a significant decrease in albuminuria.

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References

  1. Navarro-González, J. et al. Effect of pentoxifylline on renal function and urinary albumin excretion in patients with diabetic kidney disease: the PREDIAN Trial. J. Am. Soc. Nephrol. http://dx.doi.org/10.1681/ASN.2014010012.

  2. Gregg, E. et al. Changes in diabetes-related complications in the United States, 1990–2010. N. Engl. J. Med. 370, 1514–1523 (2014).

    Article  CAS  Google Scholar 

  3. Vejakama, P. et al. Reno-protective effects of renin-angiotensin system blockade in type 2 diabetic patients: a systematic review and network meta-analysis. Diabetologia 55, 566–578 (2012).

    Article  CAS  Google Scholar 

  4. Fernandez-Fernandez, B., Ortiz, A., Gomez-Guerrero, C. & Egido, J. Therapeutic approaches to diabetic nephropathy—beyond the RAS. Nat. Rev. Neph. 10, 325–346 (2014).

    Article  CAS  Google Scholar 

  5. Abdel-Salam, O. M., Baiuomy, A. R., El-Shenawy, S. M. & Arbid, M. S. The anti-inflammatory effects of the phosphodiesterase inhibitor pentoxifylline in the rat. Pharmacol. Res. 47, 331–340 (2003).

    Article  CAS  Google Scholar 

  6. Shan, D. et al. Pentoxifylline for diabetic kidney disease. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD006800. http://dx.doi.org/10.1002/14651858.CD006800.pub2.

  7. Eijkelkamp, W. B. et al. Albuminuria is a target for renoprotective therapy independent from blood pressure in patients with type 2 diabetic nephropathy: post hoc analysis from the Reduction of Endpoints in NIDDM with the Angiotensin II Antagonist Losartan (RENAAL) trial. J. Am. Soc. Nephrol. 18, 1540–1546 (2007).

    Article  CAS  Google Scholar 

  8. Perkovic, V. et al. Intensive glucose control improves kidney outcomes in patients with type 2 diabetes. Kidney Int. 83, 517–523 (2013).

    Article  CAS  Google Scholar 

  9. Cowie, C. C. et al. Disparities in incidence of diabetic end-stage renal disease according to race and type of diabetes. N. Engl. J. Med. 321, 1074–1079 (1989).

    Article  CAS  Google Scholar 

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Correspondence to Mark E. Cooper.

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He, T., Cooper, M. Renoprotective effects of pentoxifylline in the PREDIAN trial. Nat Rev Nephrol 10, 547–548 (2014). https://doi.org/10.1038/nrneph.2014.162

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