Glucagon-like peptide-1 receptor agonists, inflammation, and kidney diseases: evidence from Mendelian randomization

Apr 15, 2025Renal failure

Links between glucagon-like peptide-1 receptor activators, inflammation, and kidney disease from genetic evidence

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Abstract

Genetically proxied GLP1R agonist is associated with a decreased risk of diabetic nephropathy ( = 0.72) and IgA nephropathy (OR = 0.58).

  • GLP1R agonists may reduce the risk of diabetic nephropathy and IgA nephropathy based on genetic evidence.
  • The odds ratio for diabetic nephropathy suggests a significant association with a decreased risk.
  • For IgA nephropathy, a similar significant decrease in risk was observed.
  • An indirect effect of GLP1R agonists on IgA nephropathy was identified through a specific immune signaling pathway.
  • The mediated proportion of this indirect effect was 34.27%, indicating a notable relationship.

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Key numbers

0.72
Decrease in Risk
from meta-analysis of discovery and validation cohorts.
0.58
Decrease in Risk
from meta-analysis of discovery and validation cohorts.
34.27%
Mediated Proportion by
Proportion of total effect mediated by .

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