June 18, 2026 · Kidney international · DOI: 10.1016/j.kint.2026.04.006

Resolving the VEGF paradox in DKD: VEGFR1 blockade shows promising renoprotection

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The authors investigate the role of the vascular endothelial growth factor (VEGF) system in the progression of diabetic kidney disease (DKD) and seek to clarify the conflicting data surrounding its modulation. They find that while inhibiting VEGF-A or VEGF receptor 2 worsens kidney damage, blocking VEGF receptor 1 consistently provides renoprotection, suggesting that VEGF receptor 1 inhibition could be a viable therapeutic approach for DKD.

Jakob A Østergaard, Mark E Cooper

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