Evidence map›Paper›PMID 39302622›Full record

ReviewJournal of nephrology2025

Targeting endothelin signaling in podocyte injury and diabetic nephropathy-diabetic kidney disease.

Maulana Antiyan Empitu, Pranindya Rinastiti, Ika Nindya Kadariswantiningsih

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Maulana Antiyan EmpituFaculty of Medicine, Airlangga University, Surabaya, Indonesia.ORCID 0000-0002-6448-7642
Pranindya RinastitiLaboratory of Clinical Pharmaceutical Science, Kobe Pharmaceutical University, Kobe, Japan.ORCID 0009-0009-9316-4234
Ika Nindya KadariswantiningsihFaculty of Medicine, Airlangga University, Surabaya, Indonesia. ika.nindya@fk.unair.ac.id.ORCID 0000-0001-5949-252X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in diabetes management, there is an urgent need for novel therapeutic strategies since the current treatments remain insufficient in halting the progression of diabetic nephropathy-diabetic kidney disease (DN-DKD). This review is mainly addressed on the pivotal role of endothelin-1 in the pathophysiology of DN, with a specific focus on its effects on podocytes and the glomerular filtration barrier. Endothelin-1 promotes mesangial cell proliferation, sclerosis, and direct podocyte injury via the activation of endothelin type A and B receptors, that drive the progression of glomerulosclerosis in DN-DKD. Endothelin receptor antagonists, including drugs like atrasentan and sparsentan, have demonstrated nephroprotective effects in experimental models by reducing proteinuria and podocyte injury. The therapeutic potential to slow the progression of DN to end-stage kidney disease (ESKD) of these endothelin receptor antagonists in clinical practice is currently under evaluation. However, fluid retention and increased risk of heart failure associated with endothelin receptor antagonists need careful consideration. This review aims to provide an in-depth analysis of the pathophysiological role of endothelin and the emerging therapeutic implications of targeting this pathway in DN-DKD and discusses efficacy, safety, and the possibility of combining the new generation of endothelin receptor antagonists with the standard treatment of CKD and DN-DKD.

Indexed as

Diabetic NephropathiesEndothelin-1Endothelin Receptor AntagonistsEndothelinsPodocytesAnimalsHumansReceptor, Endothelin ASignal TransductionEndothelin-1Endothelin Receptor AntagonistsEndothelinsReceptor, Endothelin ADiabetic nephropathyEndothelin-1Endothelin receptor antagonistMedicinePodocyte

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.