Page last updated: 2024-11-07

spironolactone and Diabetic Glomerulosclerosis

spironolactone has been researched along with Diabetic Glomerulosclerosis in 72 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 mineralocorticoid receptor antagonist spironolactone significantly reduces albuminuria in subjects with diabetic kidney disease, albeit with a large variability between individuals."9.34Baseline urinary metabolites predict albuminuria response to spironolactone in type 2 diabetes. ( Hankemeier, T; Heerspink, HJL; Jacobsen, IA; Mehdi, UF; Mulder, S; Oxlund, C; Pena, MJ; Perco, P; Toto, R, 2020)
" Prostasin was measured in plasma and urine from type 2 diabetic patients with resistant hypertension (n = 112) randomized to spironolactone/placebo in a clinical trial."9.24Albuminuria is associated with an increased prostasin in urine while aldosterone has no direct effect on urine and kidney tissue abundance of prostasin. ( Bistrup, C; Hansen, MR; Hansen, PB; Hinrichs, GR; Jacobsen, IA; Jensen, BL; Kurt, B; Oxlund, C; Schwarzensteiner, I; Stæhr, M; Svenningsen, P; Thuesen, AD; Toft, A, 2017)
"Our results indicate that the renoprotective effect of spironolactone when added to RAAS blockade is not mediated through anti-inflammatory pathways since markers of inflammation and endothelial dysfunction are not affected during treatment."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)
"A double-blind, randomized, placebo-controlled crossover study in 21 patients with Type 1 diabetes and microalbuminuria using spironolactone 25 mg or placebo once daily, for 60 days added to standard antihypertensive treatment."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)
"Addition of a modest dose of spironolactone to a regimen of ACEI or ARB in patients with diabetic proteinuria causes further reduction in proteinuria and also lowers the systolic BP."9.13Effects of additive therapy with spironolactone on proteinuria in diabetic patients already on ACE inhibitor or ARB therapy: results of a randomized, placebo-controlled, double-blind, crossover trial. ( Gyebi, LK; Saklayen, MG; Tasosa, J; Yap, J, 2008)
"To study the effects of addition of spironolactone to angiotensin-converting enzyme (ACE) inhibition or angiotensin II (AngII) receptor antagonism on proteinuria, blood pressure (BP) and renal function in overt type 2 diabetic nephropathy."9.12Spironolactone in type 2 diabetic nephropathy: Effects on proteinuria, blood pressure and renal function. ( Baggen, RG; Boomsma, F; Lindemans, A; Pauli, S; Poldermans, D; van den Meiracker, AH; Vulto, AG, 2006)
"At the doses tested, spironolactone was superior to cilazapril in reducing albuminuria."9.11The effect of spironolactone, cilazapril and their combination on albuminuria in patients with hypertension and diabetic nephropathy is independent of blood pressure reduction: a randomized controlled study. ( Amit, M; Berla, M; Kedar, Y; Levi, Z; Rachmani, R; Ravid, M; Slavachevsky, I, 2004)
"The addition of spironolactone to the combination of an ACE inhibitor, and ARB, and a direct renin inhibitor brought about dramatic and sustained reversal of 4-plus proteinuria in a patient with diabetes mellitus and hypertension."7.78Dramatic reduction of proteinuria in diabetic nephropathy by the use of spironolactone. ( Floyd, HW, 2012)
"Twenty Caucasian patients with diabetic nephropathy and nephrotic range albuminuria (>2500 mg/24 h) despite recommended antihypertensive treatment completed this double-masked, randomized crossover trial."6.72Beneficial impact of spironolactone on nephrotic range albuminuria in diabetic nephropathy. ( Boomsma, F; Juhl, TR; Parving, HH; Rossing, K; Rossing, P; Schjoedt, KJ; Tarnow, L, 2006)
"The mineralocorticoid receptor antagonist spironolactone significantly reduces albuminuria in subjects with diabetic kidney disease, albeit with a large variability between individuals."5.34Baseline urinary metabolites predict albuminuria response to spironolactone in type 2 diabetes. ( Hankemeier, T; Heerspink, HJL; Jacobsen, IA; Mehdi, UF; Mulder, S; Oxlund, C; Pena, MJ; Perco, P; Toto, R, 2020)
" Prostasin was measured in plasma and urine from type 2 diabetic patients with resistant hypertension (n = 112) randomized to spironolactone/placebo in a clinical trial."5.24Albuminuria is associated with an increased prostasin in urine while aldosterone has no direct effect on urine and kidney tissue abundance of prostasin. ( Bistrup, C; Hansen, MR; Hansen, PB; Hinrichs, GR; Jacobsen, IA; Jensen, BL; Kurt, B; Oxlund, C; Schwarzensteiner, I; Stæhr, M; Svenningsen, P; Thuesen, AD; Toft, A, 2017)
" Steroidal mineralocorticoid receptor antagonists (MRAs - eplerenone and spironolactone) reduce mortality in patients with heart failure with reduced ejection fraction (HFrEF)."5.22Efficacy and safety of finerenone for treatment of diabetic kidney disease: current knowledge and future perspective. ( Armani, A; Caprio, M; Infante, M; Marzolla, V; Rizzo, M, 2022)
"In short-term studies in patients with CKD and reduced ejection heart failure, with or without T2D, finerenone 20 mg appears to have a better renal outcome compared with spironolactone and a better mortality outcome compared with eplerenone, with significantly lesser hyperkalemia compared to both spironolactone and finerenone."5.22Finerenone in diabetic kidney disease: A systematic review and critical appraisal. ( Misra, A; Singh, A; Singh, AK; Singh, R, 2022)
"Spironolactone reduced albuminuria along with conventional RAS inhibitors in patients with diabetic nephropathy."5.20Anti-albuminuric effects of spironolactone in patients with type 2 diabetic nephropathy: a multicenter, randomized clinical trial. ( Ando, M; Araki, H; Goto, M; Imai, E; Kanasaki, K; Kato, S; Kobori, H; Koya, D; Makino, H; Maruyama, S; Matsuo, S; Nishiyama, A; Ogawa, D; Oiso, Y; Uzu, T; Wada, J, 2015)
"Our results indicate that the renoprotective effect of spironolactone when added to RAAS blockade is not mediated through anti-inflammatory pathways since markers of inflammation and endothelial dysfunction are not affected during treatment."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)
"A double-blind, randomized, placebo-controlled crossover study in 21 patients with Type 1 diabetes and microalbuminuria using spironolactone 25 mg or placebo once daily, for 60 days added to standard antihypertensive treatment."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)
" We conducted a double-blind, placebo-controlled trial in 81 patients with diabetes, hypertension, and albuminuria (urine albumin-to-creatinine ratio > or =300 mg/g) who all received lisinopril (80 mg once daily)."5.14Addition of angiotensin receptor blockade or mineralocorticoid antagonism to maximal angiotensin-converting enzyme inhibition in diabetic nephropathy. ( Adams-Huet, B; Mehdi, UF; Raskin, P; Toto, RD; Vega, GL, 2009)
" We sought to evaluate the effects of a three-month treatment with 25 mg spironolactone, an aldosterone receptor antagonist, on nephron function in 20 type II diabetic patients with persistent microalbuminuria, despite at least six months' use of an ACEi or ARB (combination group), and in eleven type II diabetic patients with persistent microalbuminuria who have never used an ACEi or an ARB (spironolactone group)."5.13The effects of spironolactone on nephron function in patients with diabetic nephropathy. ( Demirkan, B; Sut, N; Tugrul, A; Ustundag, A; Ustundag, S, 2008)
"Addition of a modest dose of spironolactone to a regimen of ACEI or ARB in patients with diabetic proteinuria causes further reduction in proteinuria and also lowers the systolic BP."5.13Effects of additive therapy with spironolactone on proteinuria in diabetic patients already on ACE inhibitor or ARB therapy: results of a randomized, placebo-controlled, double-blind, crossover trial. ( Gyebi, LK; Saklayen, MG; Tasosa, J; Yap, J, 2008)
"To study the effects of addition of spironolactone to angiotensin-converting enzyme (ACE) inhibition or angiotensin II (AngII) receptor antagonism on proteinuria, blood pressure (BP) and renal function in overt type 2 diabetic nephropathy."5.12Spironolactone in type 2 diabetic nephropathy: Effects on proteinuria, blood pressure and renal function. ( Baggen, RG; Boomsma, F; Lindemans, A; Pauli, S; Poldermans, D; van den Meiracker, AH; Vulto, AG, 2006)
" In this study, we explored the effects of the mineralocorticoid receptor antagonist spironolactone on urinary protein excretion in patients with chronic renal disease with proteinuria persistently more than 0."5.11Antiproteinuric effects of mineralocorticoid receptor blockade in patients with chronic renal disease. ( Hayashi, K; Saruta, T; Sato, A, 2005)
"At the doses tested, spironolactone was superior to cilazapril in reducing albuminuria."5.11The effect of spironolactone, cilazapril and their combination on albuminuria in patients with hypertension and diabetic nephropathy is independent of blood pressure reduction: a randomized controlled study. ( Amit, M; Berla, M; Kedar, Y; Levi, Z; Rachmani, R; Ravid, M; Slavachevsky, I, 2004)
"Among patients with DKD and hypertension, the short-term use of MRAs, either spironolactone or eplerenone, in combination with ACEI/ARBs, was not associated with lower risk of cardiovascular or kidney outcomes compared with ACEI/ARB monotherapy."4.02Cardiovascular and kidney outcomes of spironolactone or eplerenone in combination with ACEI/ARBs in patients with diabetic kidney disease. ( An, J; Niu, F; Sim, JJ, 2021)
"Although matching aligned key demographic and clinical characteristics of the cohorts, a significantly greater proportion of spironolactone users than non-users had oedema, proteinuria, and cardiovascular disease at baseline (P < 0."3.96Disease characteristics and outcomes in patients with chronic kidney disease and type 2 diabetes: a matched cohort study of spironolactone users and non-users. ( Blankenburg, M; Fett, AK; Gay, A; Griner, RG; Kovesdy, CP, 2020)
"The long-term administration of low-dose eplerenone was effective and safe for the treatment of non-diabetic CKD patients who showed persistent proteinuria in spite of therapy with RAS inhibitors."3.78The long-term antiproteinuric effect of eplerenone, a selective aldosterone blocker, in patients with non-diabetic chronic kidney disease. ( Hosoya, T; Ishii, T; Kawamura, T; Okonogi, H; Tsuboi, N, 2012)
"The addition of spironolactone to the combination of an ACE inhibitor, and ARB, and a direct renin inhibitor brought about dramatic and sustained reversal of 4-plus proteinuria in a patient with diabetes mellitus and hypertension."3.78Dramatic reduction of proteinuria in diabetic nephropathy by the use of spironolactone. ( Floyd, HW, 2012)
"Streptozotocin-induced renal fibrosis, PAI-1 expression, TGF-beta1 expression, and macrophage infiltration occur via mineralocorticoid receptor, and spironolactone ameliorates renal fibrosis presumably via the inhibition of macrophage infiltration, PAI-1 expression, and TGF-beta1 expression in streptozotocin-induced early diabetic injury."3.72Spironolactone prevents early renal injury in streptozotocin-induced diabetic rats. ( Fujisawa, G; Fujita, N; Ishibashi, S; Itabashi, N; Kusano, E; Muto, S; Okada, K, 2004)
"Our results indicate high-dose irbesartan combined with spironolactone may be more efficient in reducing UAER in elderly patients with early DN, but this treatment could cause hyperkalemia."2.87Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy. ( Chen, X; Chen, Y; Li, Y; Liu, P; Wang, Y; Zhang, F, 2018)
" We hypothesized long-term administration of either losartan 100 mg or spironolactone 25 mg once daily added onto lisinopril 80 mg once daily would improve dyslipidemia in diabetic nephropathy (DN)."2.82Effect of losartan and spironolactone on triglyceride-rich lipoproteins in diabetic nephropathy. ( Adams-Huet, B; Srivastava, A; Toto, RD; Vega, GL, 2016)
"Small diabetic kidney disease (DKD) clinical studies demonstrate that steroidal MRAs reduce albuminuria relative to placebo, although hyperkalemia is a major adverse event that has precluded large outcome trials."2.82Mineralocorticoid Receptor Antagonists in the Treatment of Diabetic Kidney Disease: Their Application in the Era of SGLT2 Inhibitors and GLP-1 Receptor Agonists. ( Bakris, GL; Cohen, S; Sternlicht, H, 2022)
"Twenty Caucasian patients with diabetic nephropathy and nephrotic range albuminuria (>2500 mg/24 h) despite recommended antihypertensive treatment completed this double-masked, randomized crossover trial."2.72Beneficial impact of spironolactone on nephrotic range albuminuria in diabetic nephropathy. ( Boomsma, F; Juhl, TR; Parving, HH; Rossing, K; Rossing, P; Schjoedt, KJ; Tarnow, L, 2006)
"Spironolactone treatment induced an insignificant reversible reduction in GFR of 3 ml/min per 1."2.71Beneficial effects of adding spironolactone to recommended antihypertensive treatment in diabetic nephropathy: a randomized, double-masked, cross-over study. ( Boomsma, F; Parving, HH; Rossing, K; Schjoedt, KJ; Smidt, UM, 2005)
"Aldosterone has been suggested to play a role in the initiation and progression of diabetic nephropathy."2.71Beneficial impact of spironolactone in diabetic nephropathy. ( Boomsma, F; Juhl, TR; Parving, HH; Rossing, K; Rossing, P; Schjoedt, KJ; Tarnow, L, 2005)
"It has been reported that continuous ACE inhibitor therapy does not necessarily produce a maintained decrease in plasma aldosterone levels, which may remain high or increase eventually during long-term use (aldosterone escape)."2.71Effectiveness of aldosterone blockade in patients with diabetic nephropathy. ( Hayashi, K; Naruse, M; Saruta, T; Sato, A, 2003)
"Diabetic nephropathy is the most common cause of end-stage renal disease in the western world."2.47The renin-angiotensin-aldosterone system and its blockade in diabetic nephropathy: main focus on the role of aldosterone. ( Schjoedt, KJ, 2011)
"Diabetic nephropathy is one of the most common causes of end-stage kidney disease."1.40Combination therapy with spironolactone and candesartan protects against streptozotocin-induced diabetic nephropathy in rats. ( El-Moselhy, MA; Hofni, A; Khalifa, MM; Taye, A, 2014)
"TLR4 may participate in the progress of diabetic nephropathy."1.36[Effect of spironolactone on the expression of Toll-like receptor 4 in renal tubular epithelia cells exposed to high glucose]. ( Ao, X; Bao, RL; Hong, XM; Liu, KH; Tang, TF; Zhou, QL, 2010)
"Spironolactone can inhibit high glucose-induced renal tubular epithelial cells EMT, which may be an important mechanism for the inhibition of renal interstitial fibrosis."1.36[Effect of aldosterone and its antagonist spironolactone on epithelial-mesenchymal transition of normal rat kidney epithelial cells in high glucose]. ( Ao, X; Hong, X; Liu, K; Pouranan, V; Xiao, Z; Yuan, M; Zhou, Q, 2010)
"Spironolactone treatment did not induce any significant change in blood glucose levels and blood pressure."1.33Role of aldosterone in diabetic nephropathy. ( Cha, DR; Han, JY; Han, KH; Han, SY; Jee, YH; Kang, YS; Kim, HK; Kim, YS, 2005)
"Spironolactone treatment significantly reduced urinary albumin excretion and ameliorated glomerulosclerosis."1.33Spironolactone prevents diabetic nephropathy through an anti-inflammatory mechanism in type 2 diabetic rats. ( Cha, DR; Han, JY; Han, KH; Han, SY; Jee, YH; Kang, YS; Kim, CH; Kim, HK; Kim, HS; Kim, YS; Lee, MH; Song, HK, 2006)
"Spironolactone treatment did not induce any significant differences in body weight, kidney/body weight ratio, serum creatinine concentration, blood glucose levels, or systolic blood pressure."1.33Spironolactone ameliorates renal injury and connective tissue growth factor expression in type II diabetic rats. ( Cha, DR; Han, JY; Han, KH; Han, SY; Jee, YH; Kang, YS; Kim, HK; Kim, YS; Lee, MH, 2006)

Research

Studies (72)

TimeframeStudies, this research(%)All Research%
pre-19903 (4.17)18.7374
1990's0 (0.00)18.2507
2000's24 (33.33)29.6817
2010's35 (48.61)24.3611
2020's10 (13.89)2.80

Authors

AuthorsStudies
Piotrowski, DW1
An, J1
Niu, F1
Sim, JJ1
Ghaffari, T1
Moradi, N2
Chamani, E2
Ebadi, Z2
Fadaei, R2
Alizadeh-Fanalou, S1
Yarahmadi, S1
Fallah, S2
Cohen, S1
Sternlicht, H1
Bakris, GL2
Marzolla, V1
Infante, M1
Armani, A1
Rizzo, M1
Caprio, M1
Singh, AK1
Singh, A1
Singh, R1
Misra, A1
Ding, K1
Li, Z2
Lu, Y1
Sun, L1
Kazemi Fard, T1
Balochnejadmojarrad, T1
Blankenburg, M1
Kovesdy, CP1
Fett, AK1
Griner, RG1
Gay, A1
Nicholas, SB1
Mulder, S1
Perco, P1
Oxlund, C2
Mehdi, UF2
Hankemeier, T1
Jacobsen, IA2
Toto, R1
Heerspink, HJL1
Pena, MJ1
Rico-Mesa, JS1
White, A1
Ahmadian-Tehrani, A1
Anderson, AS1
Dojki, FK1
Bakris, G1
Chen, Y2
Liu, P1
Chen, X1
Li, Y1
Zhang, F1
Wang, Y1
Pitt, B2
Weir, MR1
Freeman, MW1
Lainscak, M1
Mayo, MR1
Garza, D1
Zawadzki, R1
Berman, L1
Bushinsky, DA1
Koszegi, S1
Molnar, A1
Lenart, L1
Hodrea, J1
Balogh, DB1
Lakat, T1
Szkibinszkij, E1
Hosszu, A1
Sparding, N1
Genovese, F1
Wagner, L1
Vannay, A1
Szabo, AJ1
Fekete, A1
Dong, D1
Fan, TT1
Ji, YS1
Yu, JY1
Wu, S1
Zhang, L2
Ocello, A1
La Rosa, S1
Fiorini, F1
Randone, S1
Maccarrone, R1
Battaglia, G1
Granata, A1
Esteghamati, A1
Noshad, S1
Jarrah, S1
Mousavizadeh, M1
Khoee, SH1
Nakhjavani, M1
Mavrakanas, TA2
Gariani, K1
Martin, PY1
Van Buren, PN1
Adams-Huet, B3
Nguyen, M1
Molina, C1
Toto, RD3
Seliger, SL1
Fried, LF1
Hofni, A1
El-Moselhy, MA1
Taye, A1
Khalifa, MM1
Kato, S1
Maruyama, S1
Makino, H1
Wada, J1
Ogawa, D1
Uzu, T1
Araki, H1
Koya, D1
Kanasaki, K1
Oiso, Y1
Goto, M1
Nishiyama, A1
Kobori, H1
Imai, E1
Ando, M1
Matsuo, S1
Hou, J1
Xiong, W1
Cao, L1
Wen, X1
Li, A1
Shi, W1
Zhang, H1
Liu, S1
Liang, X1
Ling, T1
Yu, C1
Huang, Z1
Tan, X1
Zhao, X1
Ye, Z1
Zhang, B1
Wang, W1
Li, R1
Ma, J1
Wang, S1
Li, B1
Li, C1
Cui, W1
Miao, L1
Li, D1
Lu, Z1
Xu, Z1
Ji, J1
Zheng, Z1
Lin, S1
Yan, T1
Srivastava, A1
Vega, GL2
Kolkhof, P1
Jaisser, F1
Kim, SY1
Filippatos, G1
Nowack, C1
Kurt, B1
Schwarzensteiner, I1
Hansen, MR1
Stæhr, M1
Svenningsen, P1
Hansen, PB1
Thuesen, AD1
Toft, A1
Hinrichs, GR1
Bistrup, C1
Jensen, BL1
Taira, M1
Toba, H2
Murakami, M1
Iga, I1
Serizawa, R2
Murata, S1
Kobara, M2
Nakata, T2
Kang, YS4
Ko, GJ1
Lee, MH3
Song, HK2
Han, SY4
Han, KH4
Kim, HK4
Han, JY4
Cha, DR4
Ustundag, A1
Tugrul, A1
Ustundag, S1
Sut, N1
Demirkan, B1
Raskin, P1
Liu, K2
Zhou, Q2
Ao, X2
Pouranan, V2
Hong, X1
Xiao, Z2
Yuan, M2
Liu, KH1
Zhou, QL1
Tang, TF1
Hong, XM1
Bao, RL1
Mitani, T1
Takahashi, T1
Imai, N1
Wang, J1
Cheva, A1
Kallaras, K1
Karkavelas, G1
Mironidou-Tzouveleki, M1
Kristensen, KE1
Egfjord, M1
Schjoedt, KJ5
Tsuboi, N1
Kawamura, T1
Okonogi, H1
Ishii, T1
Hosoya, T1
Lian, M1
Hewitson, TD1
Wigg, B1
Samuel, CS1
Chow, F1
Becker, GJ1
Takata, H1
Takeda, Y1
Zhu, A1
Cheng, Y1
Yoneda, T1
Demura, M1
Yagi, K1
Karashima, S1
Yamagishi, M1
Pessôa, BS1
Peixoto, EB1
Papadimitriou, A1
Lopes de Faria, JM1
Lopes de Faria, JB1
Nielsen, SE2
Persson, F2
Frandsen, E1
Sugaya, T1
Hess, G1
Zdunek, D1
Shjoedt, KJ1
Parving, HH5
Rossing, P4
Wu, H1
Chen, L1
Peng, W1
Xiang, A1
Tang, R1
Zhang, W1
Rossing, K4
Schalkwijk, CG1
Stehouwer, CD1
Floyd, HW1
Sato, A2
Hayashi, K2
Naruse, M1
Saruta, T2
Rachmani, R1
Slavachevsky, I1
Amit, M1
Levi, Z1
Kedar, Y1
Berla, M1
Ravid, M1
Nitta, K1
Uchida, K1
Nihei, H1
Fujisawa, G1
Okada, K1
Muto, S1
Fujita, N1
Itabashi, N1
Kusano, E1
Ishibashi, S1
Smidt, UM1
Boomsma, F4
Jee, YH3
Kim, YS3
Juhl, TR2
Tarnow, L2
Takebayashi, K2
Matsumoto, S2
Aso, Y2
Inukai, T1
Kim, CH1
Kim, HS1
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
Campese, VM1
Park, J1
van den Meiracker, AH1
Baggen, RG1
Pauli, S1
Lindemans, A1
Vulto, AG1
Poldermans, D1
Joffe, HV1
Kwong, RY1
Gerhard-Herman, MD1
Rice, C1
Feldman, K1
Yuan, J1
Jia, R1
Bao, Y1
Saklayen, MG1
Gyebi, LK1
Tasosa, J1
Yap, J1
Herman, E2
Radó, J2
Tourniaire, J1
Bajard, L1
Harfouch, M1
Rebattu, B1
Garrel, D1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Semaglutide Versus Placebo on the Progression of Renal Impairment in Subjects With Type 2 Diabetes and Chronic Kidney Disease[NCT03819153]Phase 33,508 participants (Anticipated)Interventional2019-06-17Active, not recruiting
A Multicenter, Randomized, Open-Label, Dose Ranging Study to Evaluate the Efficacy and Safety of Patiromer in the Treatment of Hyperkalemia in Patients With Hypertension and Diabetic Nephropathy Receiving Angiotensin-converting Enzyme Inhibitor (ACEI) and[NCT01371747]Phase 2324 participants (Actual)Interventional2011-06-30Completed
Improving Outcomes in Diabetic Nephropathy[NCT00381134]Phase 292 participants (Anticipated)Interventional2003-07-31Completed
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
Spironolactone for Reducing Proteinuria in Diabetic Nephropathy[NCT00498537]30 participants (Actual)Interventional2003-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Least Squares Mean Change in Serum Potassium From Baseline to Day 3 During the Treatment Initiation Period for Each Individual Starting Dose Group

Least squares mean changes from Baseline to Day 3 were derived from parallel lines ANCOVA model with randomized starting dose and baseline serum potassium value as covariates. (NCT01371747)
Timeframe: Baseline to Day 3

InterventionmEq/L (Least Squares Mean)
Stratum 1: 8.4 g/d Patiromer-0.26
Stratum 1: 16.8 g/d Patiromer-0.28
Stratum 1: 25.2 g/d Patiromer-0.31
Stratum 2: 16.8 g/d Patiromer-0.65
Stratum 2: 25.2 g/d Patiromer-0.59
Stratum 2: 33.6 g/d Patiromer-0.53

Least Squares Mean Change in Serum Potassium From Baseline to Week 4 or Time of First Titration for Each Individual Starting Dose Group

Least square mean changes from Baseline to Week 4/first titration were derived from parallel lines ANCOVA model with randomized starting dose and baseline serum potassium value as covariates. (NCT01371747)
Timeframe: Baseline to Week 4 or First Titration which could occur at any scheduled study visit after patiromer initiation.

InterventionmEq/L (Least Squares Mean)
Stratum 1: 8.4 g/d Patiromer-0.35
Stratum 1: 16.8 g/d Patiromer-0.51
Stratum 1: 25.2 g/d Patiromer-0.55
Stratum 2: 16.8 g/d Patiromer-0.87
Stratum 2: 25.2 g/d Patiromer-0.97
Stratum 2: 33.6 g/d Patiromer-0.92

Least Squares Mean Change in Serum Potassium From Baseline to Week 8 or Time of First Titration for Each Individual Starting Dose Group

Least squares mean changes from Baseline to Week 8/first titration were derived from parallel lines ANCOVA model with randomized starting dose and baseline serum potassium value as covariates. (NCT01371747)
Timeframe: Baseline to Week 8 or First Titration which could occur at any scheduled study visit after patiromer initiation.

InterventionmEq/L (Least Squares Mean)
Stratum 1: 8.4 g/d Patiromer-0.35
Stratum 1: 16.8 g/d Patiromer-0.47
Stratum 1: 25.2 g/d Patiromer-0.54
Stratum 2: 16.8 g/d Patiromer-0.88
Stratum 2: 25.2 g/d Patiromer-0.95
Stratum 2: 33.6 g/d Patiromer-0.91

Mean Change in Serum Potassium From Baseline to Week 52 During the Long-term Maintenance Period for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 52

InterventionmEq/L (Mean)
Stratum 1: 8.4 g/d Patiromer-0.54
Stratum 1: 16.8 g/d Patiromer-0.44
Stratum 1: 25.2 g/d Patiromer-0.50
Stratum 2: 16.8 g/d Patiromer-1.00
Stratum 2: 25.2 g/d Patiromer-0.96
Stratum 2: 33.6 g/d Patiromer-1.17

Mean Change in Serum Potassium From Week 52 or Last Patiromer Dose (if Occurred Before Week 52) to Follow-up Visits Plus 7 Days

(NCT01371747)
Timeframe: Week 52 or Last Patiromer Dose (if Occurred before Week 52) to Following up Visit Plus 7 Days

InterventionmEq/L (Mean)
Stratum 1: 8.4 g/d Patiromer0.36
Stratum 1: 16.8 g/d Patiromer0.22
Stratum 1: 25.2 g/d Patiromer0.30
Stratum 2: 16.8 g/d Patiromer0.41
Stratum 2: 25.2 g/d Patiromer0.39
Stratum 2: 33.6 g/d Patiromer0.58

Proportion of Participants Achieving Serum Potassium Levels Within 3.5 to 5.5 mEq/L at Week 8 for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 8

Interventionpercentage of participants (Number)
Stratum 1: 8.4 g/d Patiromer100
Stratum 1: 16.8 g/d Patiromer100
Stratum 1: 25.2 g/d Patiromer98.4
Stratum 2: 16.8 g/d Patiromer91.7
Stratum 2: 25.2 g/d Patiromer95.8
Stratum 2: 33.6 g/d Patiromer95.5

Proportion of Participants Achieving Serum Potassium Levels Within 4.0 to 5.0 mEq/L at Week 8 for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 8

Interventionpercentage of participants (Number)
Stratum 1: 8.4 g/d Patiromer95.2
Stratum 1: 16.8 g/d Patiromer90.8
Stratum 1: 25.2 g/d Patiromer81.3
Stratum 2: 16.8 g/d Patiromer79.2
Stratum 2: 25.2 g/d Patiromer91.7
Stratum 2: 33.6 g/d Patiromer77.3

Proportions of Participants Achieving Serum Potassium Levels Within 3.8 to 5.0 mEq/L at Week 52 for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 52

Interventionpercentage of participants (Number)
Stratum 1: 8.4 g/d Patiromer86.3
Stratum 1: 16.8 g/d Patiromer81.6
Stratum 1: 25.2 g/d Patiromer88.9
Stratum 2: 16.8 g/d Patiromer86.7
Stratum 2: 25.2 g/d Patiromer89.5
Stratum 2: 33.6 g/d Patiromer93.3

Time to First Serum Potassium Measurement of 4.0 - 5.0 mEq/L During Treatment Initiation Period for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 8

InterventionDays (Median)
Stratum 1: 8.4 g/d Patiromer4
Stratum 1: 16.8 g/d Patiromer4
Stratum 1: 25.2 g/d Patiromer4
Stratum 2: 16.8 g/d Patiromer8
Stratum 2: 25.2 g/d Patiromer7.5
Stratum 2: 33.6 g/d Patiromer8

Reviews

12 reviews available for spironolactone and Diabetic Glomerulosclerosis

ArticleYear
Mineralocorticoid receptor antagonists for the treatment of hypertension and diabetic nephropathy.
    Journal of medicinal chemistry, 2012, Sep-27, Volume: 55, Issue:18

    Topics: Animals; Diabetic Nephropathies; Drug Design; Humans; Hypertension; Mineralocorticoid Receptor Antag

2012
Mineralocorticoid Receptor Antagonists in the Treatment of Diabetic Kidney Disease: Their Application in the Era of SGLT2 Inhibitors and GLP-1 Receptor Agonists.
    Current diabetes reports, 2022, Volume: 22, Issue:5

    Topics: Diabetes Mellitus; Diabetic Nephropathies; Female; Glucagon-Like Peptide-1 Receptor; Humans; Male; M

2022
Efficacy and safety of finerenone for treatment of diabetic kidney disease: current knowledge and future perspective.
    Expert opinion on drug safety, 2022, Volume: 21, Issue:9

    Topics: Diabetes Mellitus, Type 2; Diabetic Nephropathies; Eplerenone; Heart Failure; Humans; Hyperkalemia;

2022
Finerenone in diabetic kidney disease: A systematic review and critical appraisal.
    Diabetes & metabolic syndrome, 2022, Volume: 16, Issue:10

    Topics: Diabetes Mellitus, Type 2; Diabetic Nephropathies; Eplerenone; Glycated Hemoglobin; Heart Failure; H

2022
Mineralocorticoid Receptor Antagonists: a Comprehensive Review of Finerenone.
    Current cardiology reports, 2020, 09-10, Volume: 22, Issue:11

    Topics: Diabetic Nephropathies; Heart Failure; Humans; Mineralocorticoid Receptor Antagonists; Naphthyridine

2020
Nonsteroidal mineralocorticoid antagonists in diabetic kidney disease.
    Current opinion in nephrology and hypertension, 2017, Volume: 26, Issue:5

    Topics: Albuminuria; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Eplerenone

2017
[Antifibrotic renal role of mineralcorticoid receptor antagonists].
    Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia, 2019, Jul-24, Volume: 36, Issue:4

    Topics: Aldosterone; Body Fluids; Cardiovascular Diseases; Clinical Trials as Topic; Cytokines; Diabetic Nep

2019
Mineralocorticoid receptor blockade in addition to angiotensin converting enzyme inhibitor or angiotensin II receptor blocker treatment: an emerging paradigm in diabetic nephropathy: a systematic review.
    European journal of internal medicine, 2014, Volume: 25, Issue:2

    Topics: Albuminuria; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Diabetic Ne

2014
Spironolactone Add-on for Preventing or Slowing the Progression of Diabetic Nephropathy: A Meta-analysis.
    Clinical therapeutics, 2015, Volume: 37, Issue:9

    Topics: Albuminuria; Antihypertensive Agents; Blood Pressure; Creatinine; Diabetic Nephropathies; Disease Pr

2015
Potential Renoprotective Agents through Inhibiting CTGF/CCN2 in Diabetic Nephropathy.
    Journal of diabetes research, 2015, Volume: 2015

    Topics: Animals; Anthocyanins; Antibodies, Monoclonal; Connective Tissue Growth Factor; Diabetes Mellitus; D

2015
Steroidal and Novel Non-steroidal Mineralocorticoid Receptor Antagonists in Heart Failure and Cardiorenal Diseases: Comparison at Bench and Bedside.
    Handbook of experimental pharmacology, 2017, Volume: 243

    Topics: Animals; Cardio-Renal Syndrome; Diabetic Nephropathies; Endothelial Cells; Eplerenone; Fibroblasts;

2017
The renin-angiotensin-aldosterone system and its blockade in diabetic nephropathy: main focus on the role of aldosterone.
    Danish medical bulletin, 2011, Volume: 58, Issue:4

    Topics: Albuminuria; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Cyto

2011

Trials

23 trials available for spironolactone and Diabetic Glomerulosclerosis

ArticleYear
Baseline urinary metabolites predict albuminuria response to spironolactone in type 2 diabetes.
    Translational research : the journal of laboratory and clinical medicine, 2020, Volume: 222

    Topics: Albumins; Albuminuria; Creatinine; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Female; Humans

2020
Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy.
    The American journal of the medical sciences, 2018, Volume: 355, Issue:5

    Topics: Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Diabetes Mellitus, Type 2; Diabetic Neph

2018
Long-term effects of patiromer for hyperkalaemia treatment in patients with mild heart failure and diabetic nephropathy on angiotensin-converting enzymes/angiotensin receptor blockers: results from AMETHYST-DN.
    ESC heart failure, 2018, Volume: 5, Issue:4

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Biomarkers; Diabe

2018
Long-term effects of addition of mineralocorticoid receptor antagonist to angiotensin II receptor blocker in patients with diabetic nephropathy: a randomized clinical trial.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2013, Volume: 28, Issue:11

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Diabetic

2013
Potassium handling with dual renin-angiotensin system inhibition in diabetic nephropathy.
    Clinical journal of the American Society of Nephrology : CJASN, 2014, Volume: 9, Issue:2

    Topics: Adult; Aldosterone; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitor

2014
Anti-albuminuric effects of spironolactone in patients with type 2 diabetic nephropathy: a multicenter, randomized clinical trial.
    Clinical and experimental nephrology, 2015, Volume: 19, Issue:6

    Topics: Adult; Aged; Albuminuria; Aldosterone; Asian People; Blood Pressure; Diabetes Mellitus, Type 2; Diab

2015
Effect of losartan and spironolactone on triglyceride-rich lipoproteins in diabetic nephropathy.
    Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2016, Volume: 64, Issue:6

    Topics: Diabetic Nephropathies; Female; Humans; Lipoproteins; Losartan; Male; Middle Aged; Spironolactone; T

2016
Albuminuria is associated with an increased prostasin in urine while aldosterone has no direct effect on urine and kidney tissue abundance of prostasin.
    Pflugers Archiv : European journal of physiology, 2017, Volume: 469, Issue:5-6

    Topics: Adult; Aged; Albuminuria; Aldosterone; Animals; Antihypertensive Agents; Diabetic Nephropathies; Fem

2017
The effects of spironolactone on nephron function in patients with diabetic nephropathy.
    Renal failure, 2008, Volume: 30, Issue:10

    Topics: Adult; Aged; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inh

2008
Addition of angiotensin receptor blockade or mineralocorticoid antagonism to maximal angiotensin-converting enzyme inhibition in diabetic nephropathy.
    Journal of the American Society of Nephrology : JASN, 2009, Volume: 20, Issue:12

    Topics: Adult; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitor

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
Effectiveness of aldosterone blockade in patients with diabetic nephropathy.
    Hypertension (Dallas, Tex. : 1979), 2003, Volume: 41, Issue:1

    Topics: Albuminuria; Aldosterone; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Creatinine; Diab

2003
The effect of spironolactone, cilazapril and their combination on albuminuria in patients with hypertension and diabetic nephropathy is independent of blood pressure reduction: a randomized controlled study.
    Diabetic medicine : a journal of the British Diabetic Association, 2004, Volume: 21, Issue:5

    Topics: Aged; Albuminuria; Blood Pressure; Cilazapril; Creatinine; Diabetic Nephropathies; Drug Therapy, Com

2004
Antiproteinuric effects of mineralocorticoid receptor blockade in patients with chronic renal disease.
    American journal of hypertension, 2005, Volume: 18, Issue:1

    Topics: Aged; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Collagen Type IV; Diabetes Mellitus,

2005
Beneficial effects of adding spironolactone to recommended antihypertensive treatment in diabetic nephropathy: a randomized, double-masked, cross-over study.
    Diabetes care, 2005, Volume: 28, Issue:9

    Topics: Antihypertensive Agents; Blood Pressure; Body Mass Index; Creatinine; Cross-Over Studies; Diabetic N

2005
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
Aldosterone blockade attenuates urinary monocyte chemoattractant protein-1 and oxidative stress in patients with type 2 diabetes complicated by diabetic nephropathy.
    The Journal of clinical endocrinology and metabolism, 2006, Volume: 91, Issue:6

    Topics: Chemokine CCL2; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Dinoprost; Humans; Mineralocortic

2006
Beneficial impact of spironolactone on nephrotic range albuminuria in diabetic nephropathy.
    Kidney international, 2006, Volume: 70, Issue:3

    Topics: Adult; Albuminuria; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitor

2006
Spironolactone in type 2 diabetic nephropathy: Effects on proteinuria, blood pressure and renal function.
    Journal of hypertension, 2006, Volume: 24, Issue:11

    Topics: Adult; Aged; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Bloo

2006
The effect of spironolactone on circulating adipocytokines in patients with type 2 diabetes mellitus complicated by diabetic nephropathy.
    Metabolism: clinical and experimental, 2006, Volume: 55, Issue:12

    Topics: Adiponectin; Aged; Body Mass Index; Cytokines; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Fe

2006
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
Effects of additive therapy with spironolactone on proteinuria in diabetic patients already on ACE inhibitor or ARB therapy: results of a randomized, placebo-controlled, double-blind, crossover trial.
    Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2008, Volume: 56, Issue:4

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; C

2008

Other Studies

37 other studies available for spironolactone and Diabetic Glomerulosclerosis

ArticleYear
Cardiovascular and kidney outcomes of spironolactone or eplerenone in combination with ACEI/ARBs in patients with diabetic kidney disease.
    Pharmacotherapy, 2021, Volume: 41, Issue:12

    Topics: Adolescent; Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Cardi

2021
Captopril and Spironolactone can Attenuate Diabetic Nephropathy in Wistar Rats by Targeting ABCA1 and microRNA-33.
    Current pharmaceutical design, 2022, Volume: 28, Issue:16

    Topics: Animals; ATP Binding Cassette Transporter 1; Captopril; Diabetes Mellitus, Experimental; Diabetic Ne

2022
Efficacy and safety assessment of mineralocorticoid receptor antagonists in patients with chronic kidney disease.
    European journal of internal medicine, 2023, Volume: 115

    Topics: Bayes Theorem; Cardiovascular Diseases; Creatine; Diabetes Mellitus, Type 2; Diabetic Nephropathies;

2023
Captopril and Spironolactone Can Attenuate Diabetic Nephropathy in Wistar Rats by Targeting microRNA-192 and microRNA-29a/b/c.
    DNA and cell biology, 2019, Volume: 38, Issue:10

    Topics: Animals; Antihypertensive Agents; Blood Glucose; Blood Urea Nitrogen; Captopril; Creatinine; Diabete

2019
Disease characteristics and outcomes in patients with chronic kidney disease and type 2 diabetes: a matched cohort study of spironolactone users and non-users.
    BMC nephrology, 2020, 02-26, Volume: 21, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Comorbidity; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Dise

2020
Use of urinary proteomics in diagnosis and monitoring of diabetic kidney disease.
    The lancet. Diabetes & endocrinology, 2020, Volume: 8, Issue:4

    Topics: Diabetes Mellitus; Diabetic Nephropathies; Disease Progression; Humans; Prospective Studies; Proteom

2020
RAAS inhibitors directly reduce diabetes-induced renal fibrosis via growth factor inhibition.
    The Journal of physiology, 2019, Volume: 597, Issue:1

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Animals; Cell Lin

2019
Spironolactone alleviates diabetic nephropathy through promoting autophagy in podocytes.
    International urology and nephrology, 2019, Volume: 51, Issue:4

    Topics: Albuminuria; Aldosterone; Angiotensin-Converting Enzyme 2; Animals; Autophagy; Beclin-1; Diabetes Me

2019
Serum potassium in dual renin-angiotensin-aldosterone system blockade.
    Clinical journal of the American Society of Nephrology : CJASN, 2014, Volume: 9, Issue:2

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Diabetic Nephropa

2014
Combination therapy with spironolactone and candesartan protects against streptozotocin-induced diabetic nephropathy in rats.
    European journal of pharmacology, 2014, Dec-05, Volume: 744

    Topics: Animals; Antioxidants; Benzimidazoles; Biphenyl Compounds; Blood Pressure; Cyclooxygenase 2; Diabete

2014
Spironolactone inhibits podocyte motility via decreasing integrin β1 and increasing integrin β3 in podocytes under high-glucose conditions.
    Molecular medicine reports, 2015, Volume: 12, Issue:5

    Topics: Animals; Cell Line; Cell Movement; Diabetic Nephropathies; Gene Expression Regulation; Glucose; Inte

2015
Spironolactone promotes autophagy via inhibiting PI3K/AKT/mTOR signalling pathway and reduce adhesive capacity damage in podocytes under mechanical stress.
    Bioscience reports, 2016, Volume: 36, Issue:4

    Topics: Autophagy; Autophagy-Related Protein 5; Cell Adhesion; Cell Line; Chromones; Diabetic Nephropathies;

2016
Spironolactone exhibits direct renoprotective effects and inhibits renal renin-angiotensin-aldosterone system in diabetic rats.
    European journal of pharmacology, 2008, Jul-28, Volume: 589, Issue:1-3

    Topics: Animals; Collagen Type I; Collagen Type IV; Cytochrome P-450 CYP11B2; Diabetes Mellitus, Experimenta

2008
Effect of eplerenone, enalapril and their combination treatment on diabetic nephropathy in type II diabetic rats.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2009, Volume: 24, Issue:1

    Topics: Albuminuria; Angiotensin-Converting Enzyme Inhibitors; Animals; Base Sequence; Collagen Type IV; Dia

2009
[Effect of aldosterone and its antagonist spironolactone on epithelial-mesenchymal transition of normal rat kidney epithelial cells in high glucose].
    Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2010, Volume: 35, Issue:3

    Topics: Aldosterone; Animals; Cell Differentiation; Cell Line; Cells, Cultured; Diabetic Nephropathies; Epit

2010
[Effect of spironolactone on the expression of Toll-like receptor 4 in renal tubular epithelia cells exposed to high glucose].
    Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics, 2010, Volume: 12, Issue:4

    Topics: Cells, Cultured; Diabetic Nephropathies; Epithelial Cells; Humans; Hyperglycemia; Immunohistochemist

2010
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
Effect of ramipril alone compared to ramipril with eplerenone on diabetic nephropathy in streptozocin-induced diabetic rats.
    Pharmacology, 2010, Volume: 86, Issue:2

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Creatinine; Diabetes Mellitus, Experimental; Diab

2010
[Aldosterone exacerbates chronic renal insufficiency].
    Ugeskrift for laeger, 2011, Jan-24, Volume: 173, Issue:4

    Topics: Aldosterone; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Anim

2011
The long-term antiproteinuric effect of eplerenone, a selective aldosterone blocker, in patients with non-diabetic chronic kidney disease.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2012, Volume: 13, Issue:1

    Topics: Adult; Aged; Blood Pressure; Diabetic Nephropathies; Eplerenone; Female; Glomerular Filtration Rate;

2012
Long-term mineralocorticoid receptor blockade ameliorates progression of experimental diabetic renal disease.
    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2012, Volume: 27, Issue:3

    Topics: Aldosterone; Animals; Blood Pressure; Blotting, Western; Collagen Type IV; Diabetes Mellitus, Experi

2012
Protective effects of mineralocorticoid receptor blockade against neuropathy in experimental diabetic rats.
    Diabetes, obesity & metabolism, 2012, Volume: 14, Issue:2

    Topics: Angiotensin II Type 1 Receptor Blockers; Animals; Benzimidazoles; Biphenyl Compounds; Blotting, West

2012
Spironolactone improves nephropathy by enhancing glucose-6-phosphate dehydrogenase activity and reducing oxidative stress in diabetic hypertensive rat.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2012, Volume: 13, Issue:1

    Topics: Animals; Antioxidants; Biomarkers; Diabetes Mellitus, Experimental; Diabetic Nephropathies; DNA Dama

2012
Spironolactone rescues Dot1a-Af9-mediated repression of endothelin-1 and improves kidney injury in streptozotocin-induced diabetic rats.
    PloS one, 2012, Volume: 7, Issue:10

    Topics: Acute Kidney Injury; Aldosterone; Animals; Diabetes Mellitus, Experimental; Diabetic Nephropathies;

2012
Dramatic reduction of proteinuria in diabetic nephropathy by the use of spironolactone.
    Journal of the South Carolina Medical Association (1975), 2012, Volume: 108, Issue:4

    Topics: Diabetic Nephropathies; Diuretics; Humans; Male; Middle Aged; Proteinuria; Spironolactone

2012
Spironolactone and angiotensin receptor blocker in nondiabetic renal diseases.
    The American journal of medicine, 2004, Sep-15, Volume: 117, Issue:6

    Topics: Angiotensin Receptor Antagonists; Diabetic Nephropathies; Female; Humans; Kidney Diseases; Male; Mid

2004
Spironolactone prevents early renal injury in streptozotocin-induced diabetic rats.
    Kidney international, 2004, Volume: 66, Issue:4

    Topics: Animals; Diabetes Mellitus, Experimental; Diabetic Nephropathies; Fibrosis; Hypertrophy; Immunohisto

2004
Role of aldosterone in diabetic nephropathy.
    Nephrology (Carlton, Vic.), 2005, Volume: 10 Suppl

    Topics: Albuminuria; Aldosterone; Animals; Cells, Cultured; Chemokine CCL2; Collagen; Connective Tissue Grow

2005
Spironolactone prevents diabetic nephropathy through an anti-inflammatory mechanism in type 2 diabetic rats.
    Journal of the American Society of Nephrology : JASN, 2006, Volume: 17, Issue:5

    Topics: Animals; Anti-Inflammatory Agents; Cells, Cultured; Chemokine CCL2; Diabetes Mellitus, Type 2; Diabe

2006
Spironolactone ameliorates renal injury and connective tissue growth factor expression in type II diabetic rats.
    Kidney international, 2006, Volume: 70, Issue:1

    Topics: 11-beta-Hydroxysteroid Dehydrogenases; Aldosterone; Animals; Collagen Type IV; Connective Tissue Gro

2006
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
Use of antagonists of aldosterone in patients with chronic kidney disease: Potential advantages and risks.
    Journal of hypertension, 2006, Volume: 24, Issue:11

    Topics: Angiotensin II Type 1 Receptor Blockers; Angiotensin-Converting Enzyme Inhibitors; Diabetic Nephropa

2006
Beneficial effects of spironolactone on glomerular injury in streptozotocin-induced diabetic rats.
    Journal of the renin-angiotensin-aldosterone system : JRAAS, 2007, Volume: 8, Issue:3

    Topics: Animals; Diabetes Mellitus, Experimental; Diabetic Nephropathies; Fibronectins; Glutathione Peroxida

2007
[Hyperkalemia with fatal paralysis in a diabetic patient treated with aldactone].
    Orvosi hetilap, 1967, Jan-08, Volume: 108, Issue:2

    Topics: Adult; Diabetic Nephropathies; Humans; Hyperkalemia; Male; Paralysis; Spironolactone

1967
[Restoration of insulin sensitivity after correction of hypokalemia due to chronic tubulopathy in a diabetic patient].
    Diabete & metabolisme, 1988, Volume: 14, Issue:6

    Topics: Adult; Diabetes Mellitus, Type 2; Diabetic Nephropathies; Female; Glucose Clamp Technique; Humans; H

1988
Fatal hyperkalemic paralysis associated with spironalactone. Observation on a patient with severe renal disease and refractory edema.
    Archives of neurology, 1966, Volume: 15, Issue:1

    Topics: Adult; Diabetes Mellitus; Diabetic Nephropathies; Edema; Heart Failure; Humans; Hyperkalemia; Hypert

1966