Wu Chenguang, Zhang Rui, Wang Jingjing, Chen Yao, Zhu Wenhui, Yi Xiang, Wang Yan, Wang Lifan, Liu Peng, Li Ping
Renal Division, Department of Medicine, Heilongjiang Academy of Chinese Medicine Sciences, Harbin, China.
Department of Nephrology, Peking University People's Hospital, Beijing, China.
Biomed Pharmacother. 2023 Nov;167:115508. doi: 10.1016/j.biopha.2023.115508. Epub 2023 Sep 15.
Chronic kidney disease (CKD) is a widespread ailment that significantly impacts global health. It is characterized by high prevalence, poor prognosis, and substantial healthcare costs, making it a major public health concern. The current clinical treatments for CKD are not entirely satisfactory, leading to a high demand for alternative therapeutic options. Chinese herbal medicine, with its long history, diverse varieties, and proven efficacy, offers a promising avenue for exploration. One such Chinese herbal medicine, Dioscorea nipponica Makino (DNM), is frequently used to treat kidney diseases. In this review, we have compiled studies examining the mechanisms of action of DNM in the context of CKD, focusing on five primary areas: improvement of oxidative stress, inhibition of renal fibrosis, regulation of metabolism, reduction of inflammatory response, and regulation of autophagy.
慢性肾脏病(CKD)是一种广泛存在的疾病,对全球健康产生重大影响。其特点是患病率高、预后差且医疗成本巨大,使其成为一个主要的公共卫生问题。目前CKD的临床治疗并不完全令人满意,导致对替代治疗方案的需求很高。中药历史悠久、种类繁多且疗效已得到证实,为探索提供了一条有前景的途径。一种这样的中药,穿山龙(DNM),经常用于治疗肾脏疾病。在本综述中,我们汇总了研究DNM在CKD背景下作用机制的研究,重点关注五个主要方面:改善氧化应激、抑制肾纤维化、调节代谢、减轻炎症反应以及调节自噬。