Page last updated: 2024-11-07

spironolactone and Autoimmune Diabetes

spironolactone has been researched along with Autoimmune Diabetes in 12 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Research Excerpts

ExcerptRelevanceReference
"The studies were double-blind, randomised, placebo-controlled studies in 46 type 1 and 23 type 2 diabetic patients with micro- or macroalbuminuria treated with angiotensin-converting enzyme inhibitor (ACE inhibitor) or angiotensin receptor blocker (ARB), and randomised to additional treatment with spironolactone 25 mg and placebo daily for 60 days."9.17Levels of NT-proBNP, markers of low-grade inflammation, and endothelial dysfunction during spironolactone treatment in patients with diabetic kidney disease. ( Nielsen, SE; Parving, HH; Persson, F; Rossing, K; Rossing, P; Schalkwijk, CG; Schjoedt, KJ; Stehouwer, CD, 2013)
" We expected an impact of spironolactone in early diabetic nephropathy, and for this hypothesis we studied the effect on markers of glomerular and tubular damage in patients with Type 1 diabetes and persistent microalbuminuria."9.16Spironolactone diminishes urinary albumin excretion in patients with type 1 diabetes and microalbuminuria: a randomized placebo-controlled crossover study. ( Frandsen, E; Hess, G; Nielsen, SE; Parving, HH; Persson, F; Rossing, P; Shjoedt, KJ; Sugaya, T; Zdunek, D, 2012)
"The studies were double-blind, randomised, placebo-controlled studies in 46 type 1 and 23 type 2 diabetic patients with micro- or macroalbuminuria treated with angiotensin-converting enzyme inhibitor (ACE inhibitor) or angiotensin receptor blocker (ARB), and randomised to additional treatment with spironolactone 25 mg and placebo daily for 60 days."5.17Levels of NT-proBNP, markers of low-grade inflammation, and endothelial dysfunction during spironolactone treatment in patients with diabetic kidney disease. ( Nielsen, SE; Parving, HH; Persson, F; Rossing, K; Rossing, P; Schalkwijk, CG; Schjoedt, KJ; Stehouwer, CD, 2013)
" We expected an impact of spironolactone in early diabetic nephropathy, and for this hypothesis we studied the effect on markers of glomerular and tubular damage in patients with Type 1 diabetes and persistent microalbuminuria."5.16Spironolactone diminishes urinary albumin excretion in patients with type 1 diabetes and microalbuminuria: a randomized placebo-controlled crossover study. ( Frandsen, E; Hess, G; Nielsen, SE; Parving, HH; Persson, F; Rossing, P; Shjoedt, KJ; Sugaya, T; Zdunek, D, 2012)
"Spironolactone did not change the overall ability to autoregulate GFR in 16 hypertensive type 1 diabetic patients with normoalbuminuria."5.14Autoregulation of glomerular filtration rate during spironolactone treatment in hypertensive patients with type 1 diabetes: a randomized crossover trial. ( Boomsma, F; Christensen, PK; Jorsal, A; Parving, HH; Rossing, P; Schjoedt, KJ, 2009)
"On spironolactone treatment, one patient was excluded due to hyperkalemia (plasma potassium 5."2.71Beneficial impact of spironolactone in diabetic nephropathy. ( Boomsma, F; Juhl, TR; Parving, HH; Rossing, K; Rossing, P; Schjoedt, KJ; Tarnow, L, 2005)
"Type 1 diabetes was induced in female Wistar rats by a single tail vein injection of streptozotocin (STZ), and SPL was administrated daily by gavage, from days 3-21."1.46Aldosterone signaling regulates the over-expression of claudin-4 and -8 at the distal nephron from type 1 diabetic rats. ( González-Ramírez, R; Molina-Jijón, E; Namorado-Tónix, C; Pedraza-Chaverri, J; Reyes, JL; Rodríguez-Muñoz, R, 2017)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19901 (8.33)18.7374
1990's1 (8.33)18.2507
2000's5 (41.67)29.6817
2010's5 (41.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Molina-Jijón, E1
Rodríguez-Muñoz, R1
González-Ramírez, R1
Namorado-Tónix, C1
Pedraza-Chaverri, J1
Reyes, JL1
Huynh, T1
Harty, BJ1
Claggett, B1
Fleg, JL1
McKinlay, SM1
Anand, IS1
Lewis, EF1
Joseph, J1
Desai, AS1
Sweitzer, NK1
Pitt, B1
Pfeffer, MA1
Rouleau, JL1
Schjoedt, KJ3
Christensen, PK1
Jorsal, A1
Boomsma, F2
Rossing, P4
Parving, HH4
Toba, H1
Mitani, T1
Takahashi, T1
Imai, N1
Serizawa, R1
Wang, J1
Kobara, M1
Nakata, T1
Nielsen, SE2
Persson, F2
Frandsen, E1
Sugaya, T1
Hess, G1
Zdunek, D1
Shjoedt, KJ1
Rossing, K2
Schalkwijk, CG1
Stehouwer, CD1
Juhl, TR1
Tarnow, L1
Guo, C1
Martinez-Vasquez, D1
Mendez, GP1
Toniolo, MF1
Yao, TM1
Oestreicher, EM1
Kikuchi, T1
Lapointe, N1
Pojoga, L1
Williams, GH1
Ricchiuti, V1
Adler, GK2
Epstein, M1
Joffe, HV1
Kwong, RY1
Gerhard-Herman, MD1
Rice, C1
Feldman, K1
Large, DM1
Carr, PH1
Laing, I1
Davies, M1
Hancock, EW1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Spironolactone in Diabetic Nephropathy[NCT00317954]Phase 448 participants Interventional2003-09-30Completed
Aldosterone and Vascular Disease in Diabetes Mellitus[NCT00214825]46 participants (Actual)Interventional2003-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trials

6 trials available for spironolactone and Autoimmune Diabetes

ArticleYear
Comparison of Outcomes in Patients With Diabetes Mellitus Treated With Versus Without Insulin + Heart Failure With Preserved Left Ventricular Ejection Fraction (from the TOPCAT Study).
    The American journal of cardiology, 2019, 02-15, Volume: 123, Issue:4

    Topics: Aged; Case-Control Studies; Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Female; Heart Fail

2019
Autoregulation of glomerular filtration rate during spironolactone treatment in hypertensive patients with type 1 diabetes: a randomized crossover trial.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2009, Volume: 24, Issue:11

    Topics: Adult; Aged; Albuminuria; Blood Pressure; Cross-Over Studies; Diabetes Mellitus, Type 1; Double-Blin

2009
Spironolactone diminishes urinary albumin excretion in patients with type 1 diabetes and microalbuminuria: a randomized placebo-controlled crossover study.
    Diabetic medicine : a journal of the British Diabetic Association, 2012, Volume: 29, Issue:8

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Albuminuria; Angiotensin Receptor Antagonists; Angiotens

2012
Levels of NT-proBNP, markers of low-grade inflammation, and endothelial dysfunction during spironolactone treatment in patients with diabetic kidney disease.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2013, Volume: 14, Issue:2

    Topics: Albuminuria; Biomarkers; Diabetes Mellitus, Type 1; Diabetic Nephropathies; Double-Blind Method; End

2013
Beneficial impact of spironolactone in diabetic nephropathy.
    Kidney international, 2005, Volume: 68, Issue:6

    Topics: Adult; Aldosterone; Cross-Over Studies; Diabetes Mellitus, Type 1; Diabetic Nephropathies; Female; H

2005
Beneficial effects of eplerenone versus hydrochlorothiazide on coronary circulatory function in patients with diabetes mellitus.
    The Journal of clinical endocrinology and metabolism, 2007, Volume: 92, Issue:7

    Topics: Adult; Albuminuria; Angiotensin-Converting Enzyme Inhibitors; Blood Glucose; Blood Pressure; Brachia

2007

Other Studies

6 other studies available for spironolactone and Autoimmune Diabetes

ArticleYear
Aldosterone signaling regulates the over-expression of claudin-4 and -8 at the distal nephron from type 1 diabetic rats.
    PloS one, 2017, Volume: 12, Issue:5

    Topics: Aldosterone; Animals; Claudin-4; Claudins; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type

2017
Inhibition of the renal renin-angiotensin system and renoprotection by pitavastatin in type1 diabetes.
    Clinical and experimental pharmacology & physiology, 2010, Volume: 37, Issue:11

    Topics: Aldosterone; Animals; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 1; Diabetic Nephropat

2010
Mineralocorticoid receptor antagonist reduces renal injury in rodent models of types 1 and 2 diabetes mellitus.
    Endocrinology, 2006, Volume: 147, Issue:11

    Topics: Albuminuria; Animals; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 1; Diabetes Mellitus,

2006
Adding spironolactone to conventional antihypertensives reduces albuminuria in patients with diabetic nephropathy.
    Nature clinical practice. Nephrology, 2006, Volume: 2, Issue:6

    Topics: Adult; Aldosterone; Cross-Over Studies; Diabetes Mellitus, Type 1; Diabetic Nephropathies; Female; H

2006
Hyperkalaemia in diabetes mellitus--potential hazards of coexisting hyporeninaemic hypoaldosteronism.
    Postgraduate medical journal, 1984, Volume: 60, Issue:703

    Topics: Adult; Aldosterone; Diabetes Mellitus, Type 1; Female; Humans; Hyperkalemia; Male; Middle Aged; Reni

1984
Normal ECG or peaked T waves?
    Hospital practice (1995), 1998, May-15, Volume: 33, Issue:5

    Topics: Acute Kidney Injury; Anti-Inflammatory Agents, Non-Steroidal; Antihypertensive Agents; Diabetes Mell

1998