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Protective effects and possible mechanisms of catalpol against diabetic nephropathy in animal models: a systematic review and meta-analysis.

作者信息

Fu Zhongmei, Su Xiaojuan, Zhou Qi, Feng Haoyue, Ding Rui, Ye Hejiang

机构信息

Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

Front Pharmacol. 2023 Aug 9;14:1192694. doi: 10.3389/fphar.2023.1192694. eCollection 2023.


DOI:10.3389/fphar.2023.1192694
PMID:37621314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10446169/
Abstract

is a core Chinese herbal medicine for the treatment of diabetes and diabetic nephropathy (DN). It has been used for the treatment of diabetes for over 1,000 years. Catalpol is the main active compound in Rehmannia roots. Current evidence suggests that catalpol exhibits significant anti-diabetic bioactivity, and thus it has attracted increasing research attention for its potential use in treating DN. However, no studies have systematically evaluated these effects, and its mechanism of action remains unclear. This study aimed to evaluate the effects of catalpol on DN, as well as to summarize its possible mechanisms of action, in DN animal models. We included all DN-related animal studies with catalpol intervention. These studies were retrieved by searching eight databases from their dates of inception to July 2022. In addition, we evaluated the methodological quality of the included studies using the Systematic Review Center for Laboratory animal Experimentation (SYRCLE) risk-of-bias tool. Furthermore, we calculated the weighted standard mean difference (SMD) with 95% confidence interval (CI) using the Review Manager 5.3 software and evaluated publication bias using the Stata (12.0) software. A total of 100 studies were retrieved, of which 12 that included 231 animals were finally included in this review. As compared to the control treatment, treatment with catalpol significantly improved renal function in DN animal models by restoring serum creatinine (Scr) ( = 0.0009) and blood urea nitrogen (BUN) ( < 0.00001) levels, reducing proteinuria ( < 0.00001) and fasting blood glucose (FBG) ( < 0.0001), improving kidney indices ( < 0.0001), and alleviating renal pathological changes in the animal models. In addition, it may elicit its effects by reducing inflammation and oxidative stress, improving podocyte apoptosis, regulating lipid metabolism, delaying renal fibrosis, and enhancing autophagy. The preliminary findings of this preclinical systematic review suggest that catalpol elicits significant protective effects against hyperglycemia-induced kidney injury. However, more high-quality studies need to be carried out in the future to overcome the methodological shortcomings identified in this review.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/aa2d61e95f7b/fphar-14-1192694-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/7208f6423f75/fphar-14-1192694-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/044867cebeae/fphar-14-1192694-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/512fde0040d0/fphar-14-1192694-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/c04fbdf3da5f/fphar-14-1192694-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/ff780e0586ff/fphar-14-1192694-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/a6f92f39c1a9/fphar-14-1192694-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/2a7544e19167/fphar-14-1192694-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/0138c7fc3f2d/fphar-14-1192694-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/3ada4762e301/fphar-14-1192694-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/aa2d61e95f7b/fphar-14-1192694-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/7208f6423f75/fphar-14-1192694-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/044867cebeae/fphar-14-1192694-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/512fde0040d0/fphar-14-1192694-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/c04fbdf3da5f/fphar-14-1192694-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/ff780e0586ff/fphar-14-1192694-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/a6f92f39c1a9/fphar-14-1192694-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/2a7544e19167/fphar-14-1192694-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/0138c7fc3f2d/fphar-14-1192694-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/3ada4762e301/fphar-14-1192694-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/10446169/aa2d61e95f7b/fphar-14-1192694-g010.jpg

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Front Endocrinol (Lausanne). 2025-5-23

[2]
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[3]
Efficacy of Shenkang Injection combined with renin-angiotensin-aldosterone system blockers in diabetic nephropathy: a systematic review and meta-analysis of randomized controlled trials.

Ren Fail. 2025-12

[4]
Multifaceted therapeutic potentials of catalpol, an iridoid glycoside: an updated comprehensive review.

Inflammopharmacology. 2025-3-17

[5]
The Mechanism of Catalpol to Improve Oxidative Damage of Dermal Fibroblasts Based on Nrf2/HO-1 Signaling Pathway.

Drug Des Devel Ther. 2024

[6]
Historical evolution and processing mechanism of 'nine steaming and nine drying' of traditional Chinese medicine preparation.

Pharm Biol. 2024-12

[7]
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本文引用的文献

[1]
Protective effect of berberine in diabetic nephropathy: A systematic review and meta-analysis revealing the mechanism of action.

Pharmacol Res. 2022-11

[2]
Immune responses in diabetic nephropathy: Pathogenic mechanisms and therapeutic target.

Front Immunol. 2022

[3]
Protective Effect and Possible Mechanisms of Artemisinin and Its Derivatives for Diabetic Nephropathy: A Systematic Review and Meta-Analysis in Animal Models.

Oxid Med Cell Longev. 2022

[4]
The effect of quercetin on diabetic nephropathy (DN): a systematic review and meta-analysis of animal studies.

Food Funct. 2022-5-10

[5]
Antioxidant and Anti-inflammatory Properties of Resveratrol in Diabetic Nephropathy: A Systematic Review and Meta-analysis of Animal Studies.

Front Pharmacol. 2022-3-9

[6]
[Rehmanniae Radix and Rehmanniae Radix Praeparata improve diabetes induced by high-fat diet coupled with streptozotocin in mice through AMPK-mediated NF-κB/NLRP3 signaling pathway].

Zhongguo Zhong Yao Za Zhi. 2021-11

[7]
IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045.

Diabetes Res Clin Pract. 2022-1

[8]
Catalpol ameliorates endothelial dysfunction and inflammation in diabetic nephropathy via suppression of RAGE/RhoA/ROCK signaling pathway.

Chem Biol Interact. 2021-10-1

[9]
Antidepressant mechanism of catalpol: Involvement of the PI3K/Akt/Nrf2/HO-1 signaling pathway in rat hippocampus.

Eur J Pharmacol. 2021-10-15

[10]
Research Progress on Catalpol as Treatment for Atherosclerosis.

Front Pharmacol. 2021-7-13

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