Review article: Importance of the kidney proximal tubular cells in thiazolidinedione-mediated sodium and water uptake
Abstract
Thiazolidinediones (TZD) such as pioglitazone and rosiglitazone are proxisome proliferator-activated receptor gamma (PPARg) agonists and are widely used clinically to treat type 2 diabetes mellitus. Fluid retention still poses a significant limitation to its use. The primary renal process underlying TZD-associated oedema is reduced urinary sodium and water excretion. Experimental evidence suggests that this is mainly related to the effects of PPARg agonists on the distal nephron and collecting duct. We have recently shown that PPARg agonists upregulate sodium and water transport channels in human proximal tubule cells and that Sgk-1 is involved. In this review, we focus on the importance of the proximal tubular cells in TZD-mediated sodium and water uptake.
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This adverse effect depends on a potent anti-natriuretic action that upregulates sodium and water transport channels in human proximal tubule cells.
“This adverse effect depends on a potent anti-natriuretic action that upregulate sodium and water transport channels in human proximal tubule cells [168].”
From Dysregulated epicardial adipose tissue as a risk factor and potential therapeutic target of heart failure with preserved ejection fraction in diabetes (2022) · cites this paper as [168]
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- Authors
- PANCHAPAKESAN, U., POLLOCK, C., & SAAD, S.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- POLLOCK, CAROL
- Venue
- Nephrology
- Publisher
- Wiley
- Published
- 2009-04
- Volume
- 14
- Issue
- 3
- Pages
- 298-301
- ISSN
- 1320-5358 (ISSN-L)
- 1440-1797
- OpenAlex
- W2124401814
- Cited by
- 25
- References
- 40
- Citations by year
- 2026: 1 · 2022: 2 · 2020: 1 · 2018: 1 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 2 · 2012: 2
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nephrology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- thiazolidinediones, pioglitazone, rosiglitazone, PPARγ agonists, proximal tubular epithelial cells, sodium transport, water transport, fluid retention, edema, SGK1, type 2 diabetes
- MeSH terms
- Sodium-Hydrogen Exchanger 3, Rosiglitazone, Pioglitazone, Serum-Glucocorticoid Regulated Kinases, Animals, Biological Transport, Body Water, Humans, Kidney Tubules, Proximal, Sodium, Protein Serine-Threonine Kinases, Immediate-Early Proteins, Sodium-Hydrogen Exchangers, Thiazolidinediones, PPAR gamma, Epithelial Sodium Channels
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