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大黄素治疗糖尿病肾病的潜在药用价值。

Potential Medicinal Value of Rhein for Diabetic Kidney Disease.

机构信息

Key Laboratory of Shaanxi Administration of Traditional Chinese Medicine for TCM Compatibility, Shaanxi University of Chinese Medicine, Xi'an, 712046, China.

出版信息

Chin J Integr Med. 2023 Oct;29(10):951-960. doi: 10.1007/s11655-022-3591-y. Epub 2023 Jan 6.

Abstract

Diabetic kidney disease (DKD) is the primary cause of mortality among diabetic patients. With the increasing prevalence of diabetes, it has become a major concern around the world. The therapeutic effect of clinical use of drugs is far from expected, and therapy choices to slow the progression of DKD remain restricted. Therefore, research on new drugs and treatments for DKD has been a hot topic in the medical field. It has been found that rhein has the potential to target the pathogenesis of DKD and has a wide range of pharmacological effects on DKD, such as anti-nephritis, decreasing blood glucose, controlling blood lipids and renal protection. In recent years, the medical value of rhein in the treatment of diabetes, DKD and renal disease has gradually attracted worldwide attention, especially its potential in the treatment of DKD. Currently, DKD can only be treated with medications from a single symptom and are accompanied by adverse effects, while rhein improves DKD with a multi-pathway and multi-target approach. Therefore, this paper reviews the therapeutic effects of rhein on DKD, and proposes solutions to the limitations of rhein itself, in order to provide valuable references for the clinical application of rhein in DKD and the development of new drugs.

摘要

糖尿病肾病(DKD)是糖尿病患者死亡的主要原因。随着糖尿病患病率的增加,它已成为全世界关注的主要问题。药物临床应用的治疗效果远未达到预期,减缓 DKD 进展的治疗选择仍然有限。因此,针对 DKD 的新药和治疗方法的研究一直是医学领域的热门话题。已经发现大黄酸有可能针对 DKD 的发病机制,并且对 DKD 具有广泛的药理作用,如抗肾炎、降血糖、控制血脂和肾脏保护。近年来,大黄酸在治疗糖尿病、DKD 和肾病方面的医学价值逐渐引起了全球的关注,特别是其在 DKD 治疗方面的潜力。目前,DKD 只能通过单一症状的药物治疗,并且伴有不良反应,而大黄酸则通过多途径、多靶点的方式改善 DKD。因此,本文综述了大黄酸对 DKD 的治疗作用,并提出了解决大黄酸自身局限性的方法,以期为大黄酸在 DKD 中的临床应用和新药的开发提供有价值的参考。

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