{"id":55843,"date":"2026-10-12T07:11:44","date_gmt":"2026-10-12T07:11:44","guid":{"rendered":"https:\/\/www.theisn.org\/?p=55843"},"modified":"2026-10-12T07:18:57","modified_gmt":"2026-10-12T07:18:57","slug":"isn-journal-editorial-selections-on-dapagliflozin-thailands-ckd-strategy-and-misleading-pseudocrescents-in-glomerulopathy","status":"publish","type":"post","link":"https:\/\/www.theisn.org\/blog\/2026\/10\/12\/isn-journal-editorial-selections-on-dapagliflozin-thailands-ckd-strategy-and-misleading-pseudocrescents-in-glomerulopathy\/","title":{"rendered":"ISN Journal editorial selections on dapagliflozin, Thailand\u2019s CKD strategy, and misleading pseudocrescents in glomerulopathy\u00a0"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<\/p>\n<h3><i><span data-contrast=\"none\">Kidney International<\/span><\/i><span data-contrast=\"none\">\u00ae\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h3>\n<p><strong><a href=\"https:\/\/www.kidney-international.org\/article\/S0085-2538(26)00614-9\/fulltext\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-55844\" src=\"https:\/\/www.theisn.org\/wp-content\/uploads\/2026\/10\/KI-VA-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" \/><\/a><\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.kidney-international.org\/article\/S0085-2538(26)00614-9\/fulltext\" target=\"_blank\" rel=\"noopener\">New insights from D<\/a><\/strong><strong><a href=\"https:\/\/www.kidney-international.org\/article\/S0085-2538(26)00614-9\/fulltext\" target=\"_blank\" rel=\"noopener\">APA-CKD indicate that dapagliflozin modulates key pathways related to kidney outcomes<\/a>\u00a0<\/strong><\/p>\n<p><span data-contrast=\"auto\">Dapagliflozin improves kidney outcomes in chronic kidney disease (CKD), but the mechanisms behind these benefits are not fully understood.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This DAPA-CKD proteomic analysis found that dapagliflozin modifies biological pathways linked to CKD progression, particularly those involving inflammation, fibrosis, and tissue remodeling.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The findings provide new insight into how dapagliflozin may help slow disease progression.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h3><i><span data-contrast=\"none\">Kidney International Reports\u00ae<\/span><\/i><i><span data-contrast=\"auto\">\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<p><strong><a href=\"https:\/\/www.kireports.org\/article\/S2468-0249(26)03215-8\/fulltext\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-55846\" src=\"https:\/\/www.theisn.org\/wp-content\/uploads\/2026\/10\/VA-KIR-300x170.jpg\" alt=\"\" width=\"300\" height=\"170\" \/><\/a><\/strong><\/p>\n<p><strong><a href=\"https:\/\/www.kireports.org\/article\/S2468-0249(26)03215-8\/fulltext\">From dialysis expansion to prevention-first kidney care: lessons from Thailand&#8217;s response to chronic kidney disease\u202f<\/a>\u00a0<\/strong><\/p>\n<p><span data-contrast=\"auto\">Thailand&#8217;s experience shows how kidney care can shift from a dialysis-focused model toward prevention, early detection, and integrated care.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Community screening, multidisciplinary care, sodium-reduction strategies, and wider access to disease-modifying therapies are central to this approach.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The editorial highlights practical lessons for other low- and middle-income countries seeking to reduce kidney failure while improving equity and sustainability.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h3><i><span data-contrast=\"none\">Kidney International Case Reports\u2122<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/h3>\n<h6><span data-contrast=\"auto\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-55845\" src=\"https:\/\/www.theisn.org\/wp-content\/uploads\/2026\/10\/KICR-image-300x238.jpg\" alt=\"\" width=\"300\" height=\"238\" \/><\/span><\/h6>\n<h6><span data-contrast=\"auto\">Kidney biopsy findings showing collapsing glomerulopathy with pseudocrescent formation, rather than true crescents, in a patient with an APOL1 G2\/G2 genotype<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h6>\n<p><strong><a href=\"https:\/\/eur05.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.kicasereports.org%2Farticle%2FS3117-471X(26)00086-5%2Ffulltext&amp;data=05%7C02%7CJBrown%40Theisn.org%7Cc48db9dc71a34d45742d08df1e13fe6d%7C9353336200694ec4b905d4dcc7a8a0ef%7C0%7C0%7C639262743348076010%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=atUCJl95eBt2C5s41m4ayvcOMzteIM5pX%2B8qSBIes0o%3D&amp;reserved=0\">Misleading pseudocrescents in collapsing glomerulopathy in a patient with APOL1 G2\/G2<\/a>\u00a0<\/strong><\/p>\n<p><span data-contrast=\"auto\">This case report describes a young man with acute parvovirus B19 infection and a high-risk APOL1 genotype who developed collapsing glomerulopathy that initially mimicked crescentic glomerulonephritis.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Definitive pathology identified pseudocrescents rather than true crescents. Despite treatment and clearance of the infection, kidney function continued to decline to kidney failure.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The case highlights an important diagnostic distinction and the aggressive course of APOL1-associated collapsing glomerulopathy.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] Kidney International\u00ae\u202f\u00a0 New insights from DAPA-CKD indicate that dapagliflozin modulates key pathways related to kidney outcomes\u00a0 Dapagliflozin improves kidney outcomes in chronic kidney disease (CKD), but the mechanisms behind these benefits are not fully understood.\u00a0\u00a0 This DAPA-CKD proteomic analysis found that dapagliflozin modifies biological pathways linked to CKD progression, particularly those involving inflammation, fibrosis, [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":29445,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[98,36,1],"tags":[194,507,200,356],"class_list":["post-55843","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-journals","category-news","category-uncategorized","tag-ckd","tag-dapagliflozin","tag-dialysis","tag-glomerulopathy"],"featured_image_src":{"landsacpe":["https:\/\/www.theisn.org\/wp-content\/uploads\/2023\/03\/The-ISN-Journals-2-1024x445.jpg",1024,445,true],"list":["https:\/\/www.theisn.org\/wp-content\/uploads\/2023\/03\/The-ISN-Journals-2-366x246.jpg",366,246,true],"medium":["https:\/\/www.theisn.org\/wp-content\/uploads\/2023\/03\/The-ISN-Journals-2-300x200.jpg",300,200,true],"full":["https:\/\/www.theisn.org\/wp-content\/uploads\/2023\/03\/The-ISN-Journals-2.jpg",1024,681,false]},"_links":{"self":[{"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/posts\/55843"}],"collection":[{"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/comments?post=55843"}],"version-history":[{"count":3,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/posts\/55843\/revisions"}],"predecessor-version":[{"id":55849,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/posts\/55843\/revisions\/55849"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/media\/29445"}],"wp:attachment":[{"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/media?parent=55843"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/categories?post=55843"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.theisn.org\/wp-json\/wp\/v2\/tags?post=55843"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}