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植物衍生植物化合物在糖尿病肾病中的治疗用途的研究进展。

Insights into the Therapeutic uses of Plant Derive Phytocompounds onDiabetic Nephropathy.

机构信息

Nutrition Research Laboratory, Department of Paramedical and Allied Health Sciences, Midnapore City College, Kuturiya, Bhadutala, Midnapore 721129, India.

Biodiversity and Environmental Studies Research Center, Midnapore City College, Kuturiya, Bhadutala, Midnapore 721129, Paschim Medinipur, West Bengal, India.

出版信息

Curr Diabetes Rev. 2024;20(9):e230124225973. doi: 10.2174/0115733998273395231117114600.

Abstract

Diabetic nephropathy (DN) is one of the primary consequences of diabetes mellitus, affecting many people worldwide and is the main cause of death under the age of sixty. Reactive oxygen species (ROS) production rises during hyperglycemia and is crucial to the development of diabetic complications. Advanced glycation end products (AGEs) are produced excessively in a diabetic state and are accumulated in the kidney, where they change renal architecture and impair renal function. Another important targeted pathway for the formation of DN includes nuclear factor kappa-B (NF-kB), Nuclear factor E2-related factor 2 (Nrf2), NLR family pyrin domain containing 3 (NLRP3), protein kinase B/mammalian target of rapamycin (Akt/mTOR), and autophagy. About 40% of individuals with diabetes eventually acquire diabetic kidney disease and end-stage renal disease that needs hemodialysis, peritoneal dialysis, or kidney transplantation to survive. The current state of acceptable therapy for this kidney ailment is limited. The studies revealed that some naturally occurring bioactive substances might shield the kidney by controlling oxidative stress, renal fibrosis, inflammation, and autophagy. In order to provide new potential therapeutic lead bioactive compounds for contemporary drug discovery and clinical management of DN, this review was designed to examine the various mechanistic pathways by which conventional plants derive phytocompounds that are effective for the control and treatment of DN.

摘要

糖尿病肾病(DN)是糖尿病的主要后果之一,影响着全世界许多人,是 60 岁以下人群死亡的主要原因。高血糖会导致活性氧(ROS)的产生增加,这对糖尿病并发症的发展至关重要。在糖尿病状态下,糖基化终产物(AGEs)过度产生并在肾脏中积累,改变肾脏结构并损害肾功能。另一个形成 DN 的重要靶向途径包括核因子 kappa-B(NF-kB)、核因子 E2 相关因子 2(Nrf2)、NLR 家族富含吡啶结构域 3(NLRP3)、蛋白激酶 B/哺乳动物雷帕霉素靶蛋白(Akt/mTOR)和自噬。大约 40%的糖尿病患者最终会患上糖尿病肾病和终末期肾病,需要血液透析、腹膜透析或肾移植才能存活。目前这种肾脏疾病的治疗方法有限。研究表明,一些天然存在的生物活性物质可能通过控制氧化应激、肾纤维化、炎症和自噬来保护肾脏。为了为当代药物发现和糖尿病肾病的临床治疗提供新的潜在治疗先导生物活性化合物,本综述旨在研究传统植物衍生的植物化合物通过各种机制途径来控制和治疗糖尿病肾病的有效性。

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