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非奈利酮:用于治疗糖尿病肾病的非甾体类盐皮质激素受体拮抗剂。

Finerenone: A Non-steroidal Mineralocorticoid Receptor Blocker for Diabetic Kidney Disease.

机构信息

Renal Division, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

出版信息

Trends Endocrinol Metab. 2021 May;32(5):261-263. doi: 10.1016/j.tem.2021.02.002. Epub 2021 Feb 23.

Abstract

Hemodynamic alterations, metabolic dysfunction, inflammation, and fibrosis are the main drivers of diabetic kidney disease (DKD) progression. Targeting inflammation and fibrosis as a driver, the FIDELIO-DKD (Effect of Finerenone on Chronic Kidney Disease Outcomes in Type 2 Diabetes) trial reported by Bakris et al. provides evidence of a new therapeutic class for treating DKD.

摘要

血流动力学改变、代谢功能障碍、炎症和纤维化是糖尿病肾病(DKD)进展的主要驱动因素。Bakris 等人报告的 FIDELIO-DKD(非奈利酮在 2 型糖尿病患者中的慢性肾脏病结局的影响)试验以炎症和纤维化作为驱动因素,为治疗 DKD 的新治疗类别提供了证据。

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