Deng Yingping, Zhu Han, Xing Jie, Gao Junwei, Duan Jiamin, Liu Peng, Zhong Guanghui, Cai Xudong
Department of Nephrology, Ningbo Municipal Hospital of Traditional Chinese Medicine (TCM), Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, China.
Graduate School of Jiangxi University of Chinese Medicine, Nanchang, China.
Front Physiol. 2025 Jun 24;16:1624077. doi: 10.3389/fphys.2025.1624077. eCollection 2025.
Diabetic Kidney Disease (DKD) is one of the most common microvascular complications of diabetes mellitus and an important cause of end-stage renal disease, with a complex pathogenesis and a lack of effective treatment. Lipid metabolism disorders play a key role in the progression of DKD, mainly by inducing mitochondrial dysfunction which in turn promotes renal injury. In recent years, natural products have shown great promise in improving lipid metabolism and mitochondrial homeostasis by virtue of their advantages of multi-targeting and low toxicity. In this article, we review the mechanism of mitochondrial dysfunction induced by lipid metabolism disorders in DKD, and the intervention strategies of natural products.
糖尿病肾病(DKD)是糖尿病最常见的微血管并发症之一,也是终末期肾病的重要病因,其发病机制复杂且缺乏有效治疗方法。脂质代谢紊乱在DKD的进展中起关键作用,主要是通过诱导线粒体功能障碍,进而促进肾脏损伤。近年来,天然产物凭借其多靶点和低毒性的优势,在改善脂质代谢和线粒体稳态方面显示出巨大潜力。在本文中,我们综述了DKD中脂质代谢紊乱诱导线粒体功能障碍的机制以及天然产物的干预策略。