
Frontiers in Pharmacology, Journal Year: 2025, Volume and Issue: 16
Published: April 23, 2025
Autophagy plays a pivotal role in the pathogenesis of DKD, and mechanistic target rapamycin (mTOR) pathway, which regulates nutrient sensing oxidative stress responses, is key regulator autophagy. Traditional Chinese Medicine (TCM) has garnered attention for its potential to treat DKD by modulating mTOR signaling reducing stress, restoring autophagic function. The objective this study examine how mTOR-mediated regulation impacts autophagy explore TCM modulates these pathways improve condition. A systematic review was conducted using PubMed, Web Science, Wanfang Data, China National Knowledge Infrastructure (CNKI), with search extended December 2024. subject terms included 'diabetic kidney disease,' 'Traditional Medicine,' 'mTOR,' 'nutrient sensing,' 'oxidative stress.' Studies were rigorously screened two investigators. This systematically examines dysfunction highlighting their impact on It further clarifies mechanisms are targeted medicine treatment DKD. summarizes TCM, including monomers (e.g., Astragaloside IV), individual botanical drugs Dendrobium nobile Lindl.), compound formulations Tongluo Digui Decoction), regulate through such as AMP-activated protein kinase (AMPK), mTOR, sirtuins (Sirt), phosphatidylinositol three (PI3K)/Akt/mTOR pathway. formulas share common foundational framework, majority being formulated based therapeutic principles 'Yiqi', 'Yangyin', 'Tongluo', 'Huashi'. shows promise treating unique advantages pathways. However, underlying remain complex warrant investigation.
Language: Английский