Activation of the GLP-1R signaling pathway has also been reported to reduce macrophage infiltration, potentially alleviating the associated increase in ROS and inflammation, as well as attenuating the progression of renal fibrosis through downregulation of ERK1/2 and its upstream activator transforming growth factor-beta 1 (TGF-β1) (160, 177). This evidence concerns the gene GLP1R and renal fibrosis.