@misc{HasanHocher2017, author = {Hasan, Ahmed Abdallah Abdalrahman Mohamed and Hocher, Berthold}, title = {Role of soluble and membrane-bound dipeptidyl peptidase-4 in diabetic nephropathy}, series = {Journal of Molecular Endocrinology}, volume = {59}, journal = {Journal of Molecular Endocrinology}, publisher = {Bioscientifica LTD}, address = {Bristol}, issn = {0952-5041}, doi = {10.1530/JME-17-0005}, pages = {R1 -- R10}, year = {2017}, abstract = {Diabetic nephropathy is one of the most frequent, devastating and costly complications of diabetes. The available therapeutic approaches are limited. Dipeptidyl peptidase type 4 (DPP-4) inhibitors represent a new class of glucose-lowering drugs that might also have reno-protective properties. DPP-4 exists in two forms: a plasma membranebound form and a soluble form, and can exert many biological actions mainly through its peptidase activity and interaction with extracellular matrix components. The kidneys have the highest DPP-4 expression level in mammalians. DPP-4 expression and urinary activity are up-regulated in diabetic nephropathy, highlighting its role as a potential target to manage diabetic nephropathy. Preclinical animal studies and some clinical data suggest that DPP-4 inhibitors decrease the progression of diabetic nephropathy in a blood pressure-and glucose-independent manner. Many studies reported that these reno-protective effects could be due to increased half-life of DPP-4 substrates such as glucagon-like peptide-1 (GLP-1) and stromal derived factor-1 alpha (SDF-1a). However, the underlying mechanisms are far from being completely understood and clearly need further investigations.}, language = {en} }