Synthetic oleanane triterpenoids: magic bullets or not?

Kidney Int. 2013 May;83(5):785-7. doi: 10.1038/ki.2013.38.

Abstract

A recent clinical trial in patients with chronic kidney disease (CKD) and diabetic nephropathy demonstrated that bardoxolone methyl (CDDO-ME) increases estimated glomerular filtration rate (eGFR) by an unknown mechanism. The paper by Ding et al. suggests that short-term administration of a CDDO-ME analog increases GFR by increasing glomerular surface area. However, changes in other renal hemodynamic parameters cannot be excluded. Vigorous testing of CDDO-ME and highly purified analogs is warranted to determine their physiology, pharmacology, and efficacy and to exclude serious side effects.

Publication types

  • Comment

MeSH terms

  • Angiotensin II / pharmacology*
  • Animals
  • Cell Shape / drug effects*
  • Glomerular Filtration Rate / drug effects*
  • Humans
  • Male
  • Mesangial Cells / drug effects*
  • Oleanolic Acid / analogs & derivatives*
  • Oleanolic Acid / pharmacology

Substances

  • 2-cyano-3,12-dioxooleana-1,9(11)-dien-28-oic acid ethyl amide
  • Angiotensin II
  • Oleanolic Acid