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萜类化合物在慢性肾脏病管理中的应用

Terpenes in the management of chronic kidney disease.

作者信息

Kulkarni Piyusha, Yeram Pranali B, Vora Amisha

机构信息

Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, Shri Vile Parle Kelavani Mandal's Narsee Monjee Institute of Management Studies, Mumbai, 400056, India.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2024 Sep;397(9):6351-6368. doi: 10.1007/s00210-024-03098-4. Epub 2024 Apr 29.

DOI:10.1007/s00210-024-03098-4
PMID:38683370
Abstract

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.

摘要

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。

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本文引用的文献

1
The Awareness, Prevalence, and Risk Factors of Chronic Kidney Disease Among Diabetes Mellitus and Hypertensive Patients in the Aseer Region, Saudi Arabia.沙特阿拉伯阿西尔地区糖尿病和高血压患者慢性肾脏病的知晓率、患病率及危险因素
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Nephroprotective Efficacy of against a Glycerol-Induced Acute Kidney Injury Model.[具体药物名称]对甘油诱导的急性肾损伤模型的肾保护作用
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糖尿病与肾脏疾病之间的双向联系:机制与管理
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The unique structural and functional characteristics of glomerular endothelial cell fenestrations and their potential as a therapeutic target in kidney disease.肾小球内皮细胞窗孔的独特结构和功能特性及其在肾脏病治疗中的潜在靶点。
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The Chemical Space of Terpenes: Insights from Data Science and AI.萜类化合物的化学空间:数据科学与人工智能的见解
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New Molecules of Diterpene Origin with Inhibitory Properties toward α-Glucosidase.具有α-葡萄糖苷酶抑制活性的二萜类新分子。
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Clinical Evaluation of Dapagliflozin in the Management of CKD: Focus on Patient Selection and Clinical Perspectives.达格列净用于慢性肾脏病管理的临床评估:聚焦患者选择与临床视角
Int J Nephrol Renovasc Dis. 2022 Nov 1;15:289-308. doi: 10.2147/IJNRD.S234282. eCollection 2022.
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Cannabinoids and terpenes for diabetes mellitus and its complications: from mechanisms to new therapies.大麻素和萜烯类化合物治疗糖尿病及其并发症:从发病机制到新疗法。
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Diabetes Management in Chronic Kidney Disease: A Consensus Report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO).慢性肾脏病中的糖尿病管理:美国糖尿病协会(ADA)和改善全球肾脏病预后组织(KDIGO)的共识报告。
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