Kulkarni Piyusha, Yeram Pranali B, Vora Amisha
Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, Shri Vile Parle Kelavani Mandal's Narsee Monjee Institute of Management Studies, Mumbai, 400056, India.
Naunyn Schmiedebergs Arch Pharmacol. 2024 Sep;397(9):6351-6368. doi: 10.1007/s00210-024-03098-4. Epub 2024 Apr 29.
Chronic kidney disease (CKD) is a chronic and progressive systemic condition that characterizes irreversible alterations in the kidneys' function and structure over an extended period, spanning months to years. CKD is the one of the major causes of mortality worldwide. However, very limited treatment options are available in the market for management of the CKD. Diabetes and hypertension are the key risk factors for the progression of CKD. It is majorly characterised by glomerulosclerosis, tubular atrophy, and interstitial fibrosis. Plants are considered safe and effective in treating various chronic conditions. A diverse group of phytoconstituents, including polyphenols, flavonoids, alkaloids, tannins, saponins, and terpenes, have found significant benefits in managing chronic ailments. Terpenes constitute a diverse group of plant compounds with various therapeutic benefits. Evidence-based pharmacological studies underscore the crucial role played by terpenes in preventing and managing CKD. These substances demonstrate the capacity to hinder detrimental pathways, such as oxidative stress, inflammation and fibrosis, thereby demonstrating benefit in renal dysfunction. This review offers a comprehensive overview of the roles and positive attributes of commonly occurring terpenes in managing the causes and risk factors of CKD and the associated conditions.
慢性肾脏病(CKD)是一种慢性进行性全身性疾病,其特征是在数月至数年的较长时间内,肾脏功能和结构发生不可逆改变。CKD是全球主要的死亡原因之一。然而,市场上用于管理CKD的治疗选择非常有限。糖尿病和高血压是CKD进展的关键风险因素。它主要表现为肾小球硬化、肾小管萎缩和间质纤维化。植物被认为在治疗各种慢性病方面安全有效。包括多酚、黄酮类化合物、生物碱、单宁、皂苷和萜类化合物在内的多种植物成分,在管理慢性疾病方面已发现显著益处。萜类化合物是一类具有多种治疗益处的植物化合物。基于证据的药理学研究强调了萜类化合物在预防和管理CKD中所起的关键作用。这些物质显示出能够阻碍诸如氧化应激、炎症和纤维化等有害途径,从而在肾功能障碍中显示出益处。本综述全面概述了常见萜类化合物在管理CKD的病因、风险因素及相关病症方面的作用和积极特性。