Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Therapy

New data do not support use of abatacept in diabetic nephropathy

A new study reports that B7-1 is not expressed on the podocytes of patients or mice with diabetic nephropathy. In contrast to the findings of some previous studies, these data suggest that targeting B7-1 on podocytes using abatacept might not be an appropriate therapeutic strategy for diabetic renal disease.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Packham, D. K. et al. Sulodexide fails to demonstrate renoprotection in overt type 2 diabetic nephropathy. J. Am. Soc. Nephrol. 23, 123–130 (2012).

    Article  CAS  PubMed  Google Scholar 

  2. De Zeeuw, D. et al. Bardoxolone methyl in type 2 diabetes and stage 4 chronic kidney disease. N. Engl. J. Med. 369, 2492–2503 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Gagliardini, E. et al. B7–1 is not induced in podocytes of human and experimental diabetic nephropathy. J. Am. Soc. Nephrol. http://dx.doi.org/10.1681/ASN.2015030266.

  4. Fiorina, P. et al. Role of podocyte B7–1 in diabetic nephropathy. J. Am. Soc. Nephrol. 25, 1415–1429 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Yu, C. C. et al. Abatacept in B7–1 positive proteinuric kidney disease. N. Engl. J. Med. 369, 2416–2423 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Reiser, J. et al. Induction of B7–1 in podocytes is associated with nephrotic syndrome. J. Clin. Invest. 113, 1390–1397 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Benigni, A. et al. Negative staining of FSGS biopsies for B7–1. N. Engl. J. Med. 370, 1261–1263 (2014).

    Article  CAS  PubMed  Google Scholar 

  8. Alachar, N., Carter-Monroe, N. & Reiser, J. Abatacept in B7-1-positive proteinuric kidney disease. N. Engl. J. Med. 370, 1263–1264 (2014).

    Google Scholar 

  9. ACCESS Trial Group. Treatment of lupus nephritis with abatacept: the Abatacept and Cyclophosphamide Combination Efficacy and Safety Study. Arthritis Rheumatol. 67, 487 (2015).

  10. Garin, E. H. et al. Urinary CD80 is elevated in minimal change disease but not in focal segmental glomerulosclerosis. Kidney Int. 78, 296–302 (2010).

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gerald B. Appel.

Ethics declarations

Competing interests

G.B.A. has received research grants from Bristol–Myers Squibb, Genentech and Regulus. He lectures for Genentech and Takeda and he is a consultant for Alexion, Amgen, Boerhinger Ingelheim, Bristol–Myers Squibb, EMD Serono, Genentech, Genzyme–Sanofi, Mallinkrodt, Merck, Novartis, Pfizer, Regulus, Roche, Takeda, Teva and Up-to-Date. He has no major stock holdings or ownerships.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Appel, G. New data do not support use of abatacept in diabetic nephropathy. Nat Rev Nephrol 11, 692–694 (2015). https://doi.org/10.1038/nrneph.2015.178

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrneph.2015.178

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing