GLP-1 Evidence

Not medical advice. A record of published research and our assessments of it. The limits

Endothelial AGGF1 contributes to glomerular barrier dysfunction via TNFSF12/FN14-Src-VE-cadherin signaling in diabetic kidney disease

Design
Animal study · Biomarker outcome
Match to healthy normal-weight adults aged 55–75
Not human evidenceVERY_INDIRECT: semaglutide was studied only in diabetic db/db mice and cultured cells.
Could weight loss explain it?
PossiblyNo body-weight, glucose or mediation data are reported for the semaglutide-treated mice, so weight and metabolic change are not separated from the kidney findings.
Study tier
Study tier 4VERY_LOW: a preclinical mouse and cell study in which the semaglutide result is a secondary finding.
Assessment
Version 2 · Two independent AI reviews agreed · Oct 19, 2026

Study facts come from the paper. Population match, weight-loss explanation and study tier are our judgments, made against the reference group of healthy normal-weight adults aged 55–75.

This lab study looked at a protein called AGGF1 in kidney damage from diabetes, using patient kidney samples, diabetic mice and cells. In diabetic mice, semaglutide was associated with lower AGGF1 levels and better function of the kidney's filtering barrier, and raising AGGF1 in cells weakened semaglutide's effect. No numbers are given for the semaglutide results, and this is animal and cell evidence, not evidence in people.

01Findings

What the study reported

Drugs
Semaglutide
Comparator
not reported in abstract
Primary outcome
role of AGGF1 in glomerular endothelial barrier dysfunction in diabetic kidney disease
Effect
Semaglutide was associated with reduced renal AGGF1 expression and improved endothelial barrier-related outcomes in db/db mice; AGGF1 overexpression blunted semaglutide's effect on junctional proteins in high-glucose cells. No numbers reported.
95% confidence interval
Not extracted
Follow-up
Not stated
Adverse events
not reported in abstract
Limitations
Mechanistic mouse and cell study; the semaglutide finding is secondary, unquantified in the abstract, and has no stated dose or group size.

Who was studied

Obesity status
not reported in abstract
Diabetes status
diabetes required (db/db mice; kidney samples from patients with diabetic kidney disease; type not stated)
Cvd status
not reported in abstract
Ckd status
diabetic kidney disease required (db/db mice; patient kidney samples)
Baseline condition
diabetic kidney disease (patient kidney samples; db/db mice)

Study quality details

Study design
Preclinical (animal)
Sample size
not extracted
Randomization
n/a
Blinding
not stated
Comparator
not reported in abstract
Follow up duration
not stated
Outcome type
biomarker
Replication
not assessed
Consistency with other evidence
not assessed
Population applicability
VERY_INDIRECT
Statistical precision
no CI reported
Risk of bias
not assessed
Funding conflicts
unclear
Peer review status
yes
02Funding

Funding and conflicts

Funding
not reported in abstract
Industry funded
Unclear
Manufacturer
not stated in source
Sponsor role
not reported in abstract
Author conflicts
The authors declare no known competing financial interests or personal relationships.
Independent replication
unknown

Funding is shown on every study and never used to score it.

04Source

The source, as retrieved

Abstract

Disruption of the glomerular filtration barrier (GFB) is a key feature of diabetic kidney disease (DKD), but the underlying mechanisms remain incompletely understood. We investigated the role of angiogenic factor 1 (AGGF1) in glomerular endothelial barrier dysfunction in DKD. AGGF1 expression was examined in kidney samples from patients with DKD and in db/db mice. We also used endothelial cell-specific Aggf1 knockout mice and in vitro endothelial cell experiments to assess the effects of AGGF1 on vascular leakage and endothelial junctions. AGGF1 expression was increased in kidneys from patients with DKD and db/db mice. Endothelial Aggf1 deletion reduced vascular leakage in diabetic mice. Mechanistically, AGGF1 promoted Src-dependent VE-cadherin phosphorylation and dissociation of the VE-cadherin/β-catenin complex. Semaglutide treatment was associated with reduced renal AGGF1 expression and improved endothelial barrier-related outcomes in db/db mice. In vitro, AGGF1 overexpression attenuated the beneficial effect of semaglutide on endothelial junctional proteins under high-glucose conditions. Together, these findings identify endothelial AGGF1 as a contributor to GFB dysfunction in DKD and suggest that it may be a potential therapeutic target.

Where this record came from

SourceRetrievedIdentifier
pubmedOct 18, 202642869327
first ingestion