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2015 ; 165
(4
): 499-504
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The proteinuria-hypertriglyceridemia connection as a basis for novel therapeutics
for nephrotic syndrome
#MMPMID25005737
Clement LC
; Macé C
; Del Nogal Avila M
; Marshall CB
; Chugh SS
Transl Res
2015[Apr]; 165
(4
): 499-504
PMID25005737
show ga
The development of new and specific treatment options for kidney disease in
general and glomerular diseases in specific has lagged behind other fields like
heart disease and cancer. As a result, nephrologists have had to test and adapt
therapeutics developed for other indications to treat glomerular diseases. One of
the major factors contributing to this inertia has been the poor understanding of
disease mechanisms. One way to elucidate these disease mechanisms is to study the
association between the cardinal manifestations of glomerular diseases. Because
many of these patients develop nephrotic syndrome, understanding the relationship
of proteinuria, the primary driver in this syndrome, with hypoalbuminemia,
hypercholesterolemia, hypertriglyceridemia, edema, and lipiduria could provide
valuable insight. The recent unraveling of the relationship between proteinuria
and hypertriglyceridemia mediated by free fatty acids, albumin, and the secreted
glycoprotein angiopoietin-like 4 (Angptl4) offers a unique opportunity to develop
novel therapeutics for glomerular diseases. In this review, the therapeutic
potential of mutant forms of Angptl4 in reducing proteinuria and, as a
consequence, alleviating the other manifestations of nephrotic syndrome is
discussed.