Geng Xiaoqiang, Zhong Dandan, Su Limin, Lin Zhibin, Yang Baoxue
State Key Laboratory of Natural and Biomimetic Drugs, Department of Pharmacology, School of Basic Medical Sciences, Peking University, Beijing, China; Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Beijing, China.
State Key Laboratory of Natural and Biomimetic Drugs, Department of Pharmacology, School of Basic Medical Sciences, Peking University, Beijing, China; Key Laboratory of Molecular Cardiovascular Sciences, Ministry of Education, Beijing, China.
Adv Pharmacol. 2020;87:257-276. doi: 10.1016/bs.apha.2019.10.003. Epub 2019 Nov 20.
Ganoderma lucidum (G. lucidum, Lingzhi) is a well-known Chinese traditional medicine to improve health and to treat numerous diseases for over 2000 years in Asian countries. G. lucidum has the abundant chemical components such as triterpenes and polysaccharides, which have various biological activities including anti-oxidation, anti-inflammation, anti-liver disorders, anti-tumor growth and metastasis, etc. Recently, many lines of studies have elucidated the therapeutic effects of G. lucidum and its extractions on various acute kidney injury (AKI) and chronic kidney disease (CKD) pathogenesis, including autosomal dominant polycystic kidney disease, diabetic nephropathy, renal proximal tubular cell oxidative damage and fibrotic process, renal ischemia reperfusion injury, cisplatin-induced renal injury, adriamycin-induced nephropathy, chronic proteinuric renal diseases, etc. Clinical researches also showed potent anti-renal disease bioactivities of G. lucidum. In this chapter, we review experimental and clinical researches and provide comprehensive insights into the renoprotective effects of G. lucidum. In recent years, renal diseases have gradually aroused attention on account of their booming prevalence worldwide and lack of effective therapies. Although the complicated pathogenesis of kidney diseases, such as acute kidney injury (AKI) and chronic kidney diseases (CKD) have been intensively studied. The morbidity and mortality of AKI and CKD still rise continuously. Thanks to the conventional experience and the multi-target characteristics, natural products have been increasingly recognized as an alternative source for treating renal diseases.
灵芝在亚洲国家作为一种增进健康、治疗多种疾病的著名中药已有2000多年历史。灵芝含有丰富的化学成分,如三萜类化合物和多糖,具有多种生物活性,包括抗氧化、抗炎、抗肝损伤、抗肿瘤生长和转移等。最近,许多研究阐明了灵芝及其提取物对各种急性肾损伤(AKI)和慢性肾脏病(CKD)发病机制的治疗作用,包括常染色体显性多囊肾病、糖尿病肾病、肾近端小管细胞氧化损伤和纤维化过程、肾缺血再灌注损伤、顺铂诱导的肾损伤、阿霉素诱导的肾病、慢性蛋白尿性肾病等。临床研究也显示了灵芝强大的抗肾病生物活性。在本章中,我们综述了实验和临床研究,并对灵芝的肾保护作用提供全面的见解。近年来,由于肾病在全球范围内的发病率不断上升且缺乏有效治疗方法,已逐渐引起关注。尽管急性肾损伤(AKI)和慢性肾脏病(CKD)等复杂的发病机制已得到深入研究,但AKI和CKD的发病率和死亡率仍在持续上升。由于传统经验和多靶点特性,天然产物越来越被认为是治疗肾病的替代来源。