Kidney International Reports,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 1, 2024
Diabetic
kidney
disease
(DKD)
is
a
major
complication
of
diabetes
mellitus
(DM)
and
stands
out
as
the
leading
cause
end-stage
renal
worldwide.
There
increasing
evidence
that
mitochondrial
dysfunction,
including
impaired
biogenesis,
dynamics,
oxidative
stress,
contributes
to
development
progression
DKD.
D-amino
acids
(D-AAs),
which
are
enantiomers
L-AAs,
have
recently
been
detected
in
various
living
organisms
acknowledged
play
important
roles
numerous
physiological
processes
human
body.
Accumulating
demonstrates
D-AA
levels
blood
or
urine
could
serve
useful
biomarkers
for
reflecting
function.
The
D-AAs
implicated
regulation
cellular
proliferation,
generation
reactive
oxygen
species
(ROS),
innate
immunity.
This
article
reviews
current
relating
dysfunction
proposes
potential
interaction
contribution
D-AAs-mitochondria
axis
DKD
pathophysiology
progression.
insight
provide
novel
therapeutic
approaches
preventing
ameliorating
based
on
this
biological
axis.
Cell Death and Disease,
Journal Year:
2024,
Volume and Issue:
15(6)
Published: June 24, 2024
Abstract
Diabetic
kidney
disease,
known
as
a
glomerular
arises
from
metabolic
disorder
impairing
renal
cell
function.
Mitochondria,
crucial
organelles,
play
key
role
in
substance
metabolism
via
oxidative
phosphorylation
to
generate
ATP.
Cells
undergo
reprogramming
compensatory
mechanism
fulfill
energy
needs
for
survival
and
growth,
attracting
scholarly
attention
recent
years.
Studies
indicate
that
mitochondrial
significantly
influences
the
pathophysiological
progression
of
DKD.
Alterations
lead
abnormal
expression
signaling
molecules
activation
pathways,
inducing
stress-related
cellular
damage,
inflammatory
responses,
apoptosis,
autophagy
irregularities,
culminating
fibrosis
insufficiency.
This
review
delves
into
impact
on
DKD
pathogenesis,
emphasizing
regulation
regulators
downstream
pathways.
Therapeutic
interventions
targeting
can
potentially
delay
progression.
The
findings
underscore
importance
focusing
develop
safer
more
effective
therapeutic
approaches.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(18), P. 10222 - 10222
Published: Sept. 23, 2024
Diabetic
kidney
disease
(DKD)
is
a
major
complication
of
diabetes
mellitus
(DM),
affecting
over
one-third
type
1
and
nearly
half
2
patients.
As
the
leading
cause
end-stage
renal
(ESRD)
globally,
DKD
develops
through
complex
interplay
chronic
hyperglycemia,
oxidative
stress,
inflammation.
Early
detection
crucial,
with
diagnosis
based
on
persistent
albuminuria
reduced
estimated
glomerular
filtration
rate
(eGFR).
Treatment
strategies
emphasize
comprehensive
management,
including
glycemic
control,
blood
pressure
regulation,
use
nephroprotective
agents
such
as
angiotensin-converting
enzyme
(ACE)
inhibitors,
angiotensin
II
receptor
blockers
(ARBs),
sodium-glucose
cotransporter-2
(SGLT2)
glucagon-like
peptide-1
(GLP-1)
agonists.
Ongoing
research
explores
novel
therapies
targeting
molecular
pathways
non-coding
RNAs.
Preventive
measures
focus
rigorous
control
hyperglycemia
hypertension,
aiming
to
mitigate
progression.
Despite
therapeutic
advances,
remains
ESRD,
highlighting
need
for
continued
identify
new
biomarkers
innovative
treatments.
Antioxidants,
Journal Year:
2024,
Volume and Issue:
13(7), P. 768 - 768
Published: June 26, 2024
Metabolic
syndrome
(MetS)
is
a
multifactorial
condition
that
significantly
increases
the
risk
of
cardiovascular
disease
and
chronic
kidney
(CKD).
Recent
studies
have
emphasized
role
lipid
dysregulation
in
activating
cellular
mechanisms
contribute
to
CKD
progression
context
MetS.
Sodium-glucose
cotransporter
2
inhibitors
(SGLT2i)
demonstrated
efficacy
improving
various
components
MetS,
including
obesity,
dyslipidemia,
insulin
resistance.
While
SGLT2i
shown
cardioprotective
benefits,
underlying
MetS
remain
poorly
studied.
Therefore,
this
review
aims
elucidate
by
which
modulate
metabolism
their
impact
on
resistance,
mitochondrial
dysfunction,
oxidative
stress,
progression.
We
also
explore
potential
benefits
combining
with
other
antidiabetic
drugs.
By
examining
beneficial
effects,
molecular
targets,
cytoprotective
both
natural
synthetic
SGLT2i,
provides
comprehensive
understanding
therapeutic
managing
MetS-induced
CKD.
The
information
presented
here
highlights
significance
addressing
complex
interplay
between
metabolic
dysregulation,
renal
impairment,
offering
clinicians
researchers
valuable
resource
for
developing
improved
treatment
strategies
personalized
approaches
patients
Chinese Medicine,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: Jan. 15, 2025
Abstract
Background
The
treatment
options
to
delay
the
progression
of
diabetic
nephropathy
(DN),
a
key
contributor
chronic
kidney
disease
(CKD),
are
urgently
needed.
Previous
studies
reported
that
traditional
Chinese
medicine
Panax
notoginseng
(PNG)
exerted
beneficial
effects
on
DN.
However,
renoprotective
Notoginsenoside
R2
(NR2),
an
active
component
PNG,
DN
have
not
been
investigated.
This
study
aimed
assess
therapeutic
potential
NR2
in
and
explore
its
underlying
mechanisms.
Methods
In
vivo
models
were
developed
using
db/db
mice,
while
vitro
utilized
HK-2
cells
exposed
high
glucose
palmitic
acid
(HGPA).
Online
databases
Cytoscape
software
employed
predict
targets
NR2.
expression
associated
proteins
was
measured
immunohistochemistry
western
blot.
Lipid
accumulation,
oxidative
stress
levels,
mitochondrial
function
cell
apoptosis
also
assessed.
Small
interfering
RNA
used
experiments
examine
effect
c-Src.
Results
ameliorated
albuminuria,
renal
pathology
mice.
activation
c-Src
suppressed
mice
HGPA.
inhibited
JNK/STAT1
phosphorylation
CD36
overexpression.
lipid
stress,
dysfunction
vitro.
By
inhibiting
c-Src,
HGPA
experienced
less
deposition
damage,
indicating
correlated
with
inhibition
Conclusion
delayed
partly
through
suppression
protective
might
be
related
reduction
accumulation.
Graphical
Journal of Pharmacology and Experimental Therapeutics,
Journal Year:
2025,
Volume and Issue:
392(3), P. 103388 - 103388
Published: Jan. 17, 2025
Obesity-related
kidney
disease
(ORKD)
has
recently
become
a
global
health
issue.
Metformin
is
widely
used
in
patients
with
type
2
diabetes
concomitant
obesity,
but
its
effects
on
ORKD
are
insufficiently
understood.
Accumulation
of
lipid
species
including
sphingolipids
been
reported
to
disrupt
glomerular
functions
and
drive
progression
chronic
disease.
The
present
study
aimed
test
the
hypothesis
that
metformin
could
exert
beneficial
ORKD,
which
may
be
associated
changes
renal
lipidomics.
Male
Sprague-Dawley
rats
were
divided
into
normal
chow
diet
(ND)
group
or
high-fat
(HFD)-fed
group.
After
8
weeks,
HFD-fed
was
subdivided
treatment
(HFD-Met)
control
(HFD-C)
for
an
additional
weeks.
Sphingolipids
phospholipids
cortex
measured
by
targeted
Compared
ND
group,
HFD-C
developed
histopathological
features
ORKD.
alleviated
dyslipidemia,
dysfunction,
proteinuria,
hypertrophy,
podocyte
damage,
fibrosis
rats.
Renal
sphingolipid
analysis
showed
elevations
total
ceramide,
sphingosine,
glucosylceramide,
galactosylceramide
levels
versus
Specific
species,
such
as
ceramide
d18:1/22:0,
glucosylceramide
d18:1/20:0,
d18:1/16:0,
positively
oxidative
stress
insulin
resistance,
reduced
HFD-Met
phospholipid
increased
phosphatidylcholine
lysophosphatidylcholine
(LPC)
ratio
saturated
monounsaturated
LPCs
polyunsaturated
significantly
These
results
suggest
alleviates
dysregulation
improves
SIGNIFICANCE
STATEMENT:
To
date,
this
first
report
explore
findings
reveal
specific
crucial
deeper
understanding
underlying
mechanisms
obesity-related
it.
signature
have
significant
implications
developing
therapeutic
strategies
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 4, 2025
Diabetic
nephropathy
(DN)
is
one
of
the
major
causes
end-stage
renal
disease.
This
study
aimed
to
explore
internal
relationship
between
metabolic
processes
and
autoimmune
responses
in
patients
with
DN
via
untargeted
metabolomics
Olink
proteomics.
The
serum
10
who
were
diagnosed
healthy
individuals
Animal
models
used
validate
characterized
genes.
Correlation
analysis
differentially
abundant
metabolites
expressed
proteins
revealed
that
SIRT2
might
be
a
key
hub
linking
energy
metabolism
innate
immune
responses.
KEGG
enrichment
showed
HIF-1
signaling
pathway
cell
carcinoma
co-enriched
pathways
inflammatory
response.
VEGFA
plays
vital
role
these
two
pathways.
ability
regulate
expression
has
been
demonstrated.
In
vivo
experiments
SIRT2,
VEGFA,
HIF-1α
highly
kidneys
mice
diabetic
nephropathy.
conclusion,
our
combines
proteomics
provide
valuable
insights
into
synergistic
roles
disorders
DN.
data
suggest
may
target
affecting
processes.
Journal of Cellular and Molecular Medicine,
Journal Year:
2025,
Volume and Issue:
29(3)
Published: Feb. 1, 2025
ABSTRACT
Lipotoxicity
plays
a
crucial
role
in
the
progression
of
diabetic
kidney
disease
(DKD),
yet
dynamic
changes
renal
lipid
composition
from
diabetes
to
early‐stage
DKD
remain
unclear.
Free
fatty
acids,
lactosylceramides
and
cardiolipin
(CL)
were
identified
as
most
significantly
altered
lipids
by
quantitatively
comparing
targeted
cortex
classic
spontaneous
db/db
mice
using
high‐coverage
lipidomics.
Further
investigation
into
causes
effects
decreased
CL,
which
is
unique
mitochondrial
phospholipid,
was
conducted
mitochondria‐rich
proximal
tubular
cells
western
blotting,
real‐time
PCR,
immunohistochemistry
transmission
electron
microscopy.
Reduced
expression
synthase,
key
enzyme
CL
synthesis
pathway,
inhibition
CL‐related
mitophagy
confirmed
under
high
glucose
conditions.
In
addition,
protective
effect
CL‐targeted
Szeto‐Schiller
31
preserving
demonstrated
both
vivo
vitro
studies.
These
findings
provide
new
insights
pathogenesis
perspective
offer
theoretical
basis
for
discovering
treatments.