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关于作为NEERI-KFT(一种传统印度多草药配方)成分的肾脏保护阿育吠陀药物用于慢性肾脏病管理的系统评价。

A systematic review on nephron protective AYUSH drugs as constituents of NEERI-KFT (A traditional Indian polyherbal formulation) for the management of chronic kidney disease.

作者信息

Gautam Gaurav, Parveen Bushra, Umar Khan Mohammad, Sharma Ikshit, Kumar Sharma Anil, Parveen Rabea, Ahmad Sayeed

机构信息

Bioactive Natural Product Laboratory, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi 110062, India.

AIMIL Pharmaceuticals (India) Ltd, Saini Majra, Ropar Nalagarh Rd, Tehsil Nalagarh, Solan District, H.P 174101, India.

出版信息

Saudi J Biol Sci. 2021 Nov;28(11):6441-6453. doi: 10.1016/j.sjbs.2021.07.008. Epub 2021 Jul 12.

Abstract

Chronic Kidney Disease (CKD) is a major health problem characterized by kidney dysfunction with progressive segmental glomerulosclerosis to end-stage renal disease (ESRD). Due to lack of scientific data and comprehensive reports, the current systematic review provides an inclusive understanding and prospective associated with phytopharmacology of NEERI-KFT in CKD. The data was collected from more than five databases such as Science Direct, Google Scholar, Elsevier, PubMed, Springer, ACS publication etc using keywords like CKD/Kidney disease, epidemiology/prevalence, modern therapies for CKD management, NEERI-KFT and its role in kidney disease. The study was performed based on scientific reports screened by experts according to inclusion and exclusion criteria. The pre-clinical and clinical findings suggested that NEERI-KFT has promising effects as nephroprotective and considered safe and well effective in primary care of kidney against disease. Phytopharmacological evaluation of NEERI-KFT suggest that it exhibit substantial potential against oxidative and inflammatory stress induced apoptosis by exerting antioxidants, nephroprotective and immunomodulatory effects. Hence, it can be enlighten that NEERI-KFT have potential herbs which exerts significant antioxidants, nephroprotective and immunomodulatory effects in the patients associated with renal dysfunction or CKD thus improving altered renal architecture and renal physiology. Clinically, it is concluded that NEERI-KFT works kidney malfunction and cease ESRD progression or even reduce the number of dialysis.

摘要

慢性肾脏病(CKD)是一个主要的健康问题,其特征为肾功能障碍,并伴有进行性节段性肾小球硬化,最终发展为终末期肾病(ESRD)。由于缺乏科学数据和全面报告,本系统综述对NEERI-KFT在CKD中的植物药理学进行了全面解读并给出了前瞻性观点。通过使用诸如CKD/肾病、流行病学/患病率、CKD管理的现代疗法、NEERI-KFT及其在肾病中的作用等关键词,从科学Direct、谷歌学术、爱思唯尔、PubMed、施普林格、美国化学学会出版物等五个以上数据库收集数据。该研究基于专家根据纳入和排除标准筛选的科学报告进行。临床前和临床研究结果表明,NEERI-KFT具有作为肾保护剂的良好效果,在肾脏疾病的初级护理中被认为是安全且有效的。对NEERI-KFT的植物药理学评估表明,它通过发挥抗氧化、肾保护和免疫调节作用,对氧化和炎症应激诱导的细胞凋亡具有显著的抑制潜力。因此,可以认为NEERI-KFT含有潜在的草药成分,这些成分对肾功能不全或CKD患者具有显著的抗氧化、肾保护和免疫调节作用,从而改善肾脏结构和生理功能的改变。临床上得出的结论是,NEERI-KFT可改善肾功能障碍,阻止ESRD的进展,甚至减少透析次数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d758/8568826/446e18d0e1f5/ga1.jpg

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