Evidence map›Paper›PMID 40824899›Full record

ArticlePloS one2025

Effect of finerenone on urinary protein and inflammatory factor levels in type 2 diabetes mellitus patients with diabetic kidney disease.

Jia Song, Yan Kang, LiNa Wang, YuQing Guo, XinJu Jia, ShanShan Dong, YiMeng Li, Dan Wang, JingMin Gao, AiGe Yang

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Inflammation and Diabetic Kidney Disease.International journal of molecular sciences · 2026
    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

10 authors.

Jia SongDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Yan KangDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
LiNa WangDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
YuQing GuoDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
XinJu JiaDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
ShanShan DongDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
YiMeng LiDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Dan WangDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
JingMin GaoDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
AiGe YangDepartment of Endocrinology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.ORCID https://orcid.org/0009-0003-6542-2159

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study aimed to investigate the efficacy and safety of finerenone in the treatment of diabetic kidney disease (DKD) in the real-world medical setting and explore the underlying mechanism of its kidney-protecting effects from the perspective of the inflammatory response. MATERIALS AND

methodsForty-eight DKD patients were selected and completed a 6-month finerenone treatment. Renal parameters, inflammatory cytokines, other related indicators and adverse effects were collected at every visit. Additionally, subgroup analysis was conducted on the microalbuminuria group (baseline urinary albumin/creatinine ratio (UACR) 30 - < 300 mg/g) and the macroalbuminuria group (baseline UACR ≥ 300 mg/g).

resultsAfter finerenone treatment, the levels of UACR, urinary β2-microglobulin (β2-MG) and proinflammatory cytokines in patients decreased compared with the pretreatment levels. Moreover, the rates of decrease in the UACR levels in the macroalbuminuria group were significantly greater than those in the microalbuminuria group. In the initial stage of treatment, the patient's estimated glomerular filtration rate (eGFR) level decreased and serum potassium level increased compared to before, but with prolongation of the treatment time, both eGFR and serum potassium levels remained stable.

conclusionsWith the assistance of RAS inhibitors, SGLT2 inhibitors, and GLP-1 receptor agonists, finerenone effectively reduces urinary protein and improves the inflammatory response, demonstrating relatively manageable safety in real-world DKD treatment. The patients with macroalbuminuria may experience greater benefits.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesAgedAlbuminuriabeta 2-MicroglobulinCreatinineCytokinesFemaleGlomerular Filtration RateHumansMaleMiddle AgedNaphthyridinesbeta 2-MicroglobulinCreatinineCytokinesfinerenoneNaphthyridines

Identifiers

PMID40824899
PMCPMC12360558

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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.