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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2025, Vol. 30 ›› Issue (12): 1701-1710.doi: 10.12092/j.issn.1009-2501.2025.12.014

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Research progress on the mechanism of GLP-1 receptor agonists in the treatment of diabetic nephropathy

HUANG Shumin1,2, XIE Baocheng2, LIU Guohui1,2   

  1. 1 The First Clinical School of Medicine, Guangdong Medical University, Zhanjiang 524000, Guangdong, China; 2The Tenth Affiliated Hospital of Southern Medical University (Dongguan People's Hospital), Dongguan 523000, Guangdong, China
  • Received:2024-10-08 Revised:2025-02-21 Online:2025-12-26 Published:1900-01-01

Abstract:

Diabetic nephropathy (DN) remains the leading cause of end-stage renal disease (ESRD) worldwide. In recent years, glucagon-like peptide-1 (GLP-1) receptor agonists, a novel class of hypoglycemic agents, have garnered significant attention in the field of diabetology. Emerging evidence suggests these therapeutic agents demonstrate considerable potential in diabetic nephropathy management through multiple pathways, including inflammation modulation, oxidative stress reduction, anti-fibrotic effects, renal hemodynamic improvement, lipid metabolism regulation, and modulation of programmed cell death pathways. This comprehensive review examines the pleiotropic biological functions of GLP-1 receptor agonists and elucidates their multifaceted mechanisms of action in combating diabetic nephropathy progression.

Key words: GLP-1 receptor agonists, diabetic nephropathy, mechanism of action, research progress

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