Medicine,
Journal Year:
2023,
Volume and Issue:
102(50), P. e36177 - e36177
Published: Dec. 15, 2023
This
study
aimed
to
investigate
the
active
components,
key
targets,
and
potential
molecular
mechanisms
Huaiqihuang
(HQH)
in
treatment
of
diabetic
kidney
disease
(DKD)
through
network
pharmacology,
docking,
vitro
experiments.The
components
targets
HQH
were
obtained
from
TCMSP
HERB
databases.
The
DKD
GeneCards,
OMIM,
DrugBank,
TTD
Protein
interaction
relationships
STRING
database,
a
protein
was
constructed
using
Cytoscape
software.
Gene
ontology
Kyoto
Encyclopedia
Genes
Genomes
enrichment
analysis
performed
Metascape
database.
Molecular
docking
AutoDock
software
verify
binding
between
compounds
core
target
genes.
In
experiments
conducted
human
renal
proximal
tubular
epithelial
cells
various
methods,
such
as
CCK8,
RT-PCR,
immunofluorescence,
western
blot,
evaluate
effects
on
inflammatory
factors,
pathways.A
total
48
ingredients,
168
HQH,
1073
obtained.
A
118
438
biological
processes,
187
signal
pathways
identified
for
DKD.
indicated
that
may
exert
its
therapeutic
by
regulating
expression
factors
nuclear
factor
kappa
B
(NF-κB)
signaling
pathway.
results
showed
β-sitosterol
baicalein
had
highest
affinity
with
AKT1,
IL6,
TNF,
PTGS2,
IL1B,
CASP3,
suggesting
they
be
most
effective
ingredients
experimental
demonstrated
could
enhance
viability
inhibited
high
glucose,
decrease
levels
reduce
NF-κB-P65
(P
<
.01),
inhibit
NF-κB-p65
translocation,
chemokine
.01).HQH
inhibiting
NF-κB
pathway,
reducing
level
pro-inflammatory
cytokines,
alleviating
glucose-induced
injury
cells.
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
15
Published: April 29, 2024
Diabetic
kidney
disease
(DKD),
a
significant
complication
associated
with
diabetes
mellitus,
presents
limited
treatment
options.
The
progression
of
DKD
is
marked
by
substantial
lipid
disturbances,
including
alterations
in
triglycerides,
cholesterol,
sphingolipids,
phospholipids,
droplets,
and
bile
acids
(BAs).
Altered
metabolism
serves
as
crucial
pathogenic
mechanism
DKD,
potentially
intertwined
cellular
ferroptosis,
lipophagy,
reprogramming,
immune
modulation
gut
microbiota
(thus
impacting
the
liver-kidney
axis).
elucidation
these
mechanisms
opens
new
potential
therapeutic
pathways
for
management.
This
research
explores
link
between
disruptions
onset.
Heliyon,
Journal Year:
2024,
Volume and Issue:
10(9), P. e29871 - e29871
Published: April 18, 2024
Diabetes
mellitus
(DM)
is
a
metabolic
illness
defined
by
elevated
blood
glucose
levels,
mediating
various
tissue
alterations,
including
the
dysfunction
of
vital
organs.
can
lead
to
many
consequences
that
specifically
affect
brain,
heart,
and
kidneys.
These
issues
are
known
as
neuropathy,
cardiomyopathy,
nephropathy,
respectively.
Inflammation
acknowledged
pivotal
biological
mechanism
contributes
development
diabetes
consequences.
NF-κB
modulates
inflammation
immune
system
at
cellular
level.
Its
abnormal
regulation
has
been
identified
in
several
clinical
situations,
cancer,
inflammatory
bowel
illnesses,
cardiovascular
diseases,
Mellitus
(DM).
The
purpose
this
review
evaluate
potential
impact
on
complications
associated
with
DM.
Enhanced
activity
promotes
inflammation,
resulting
harm
compromised
organ
performance.
Phytochemicals,
which
therapeutic
molecules,
potentially
decline
level,
therefore
alleviating
progression
problems
correlated
More
importantly,
be
influenced
factors,
such
TLR4
Highlighting
these
factors
facilitate
novel
therapies
future.
Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: April 10, 2024
As
the
quality
of
life
improves,
incidence
diabetes
mellitus
and
its
microvascular
complications
(DMC)
continues
to
increase,
posing
a
threat
people's
health
wellbeing.
Given
limitations
existing
treatment,
there
is
an
urgent
need
for
novel
approaches
prevent
treat
DMC.
Autophagy,
pivotal
mechanism
governing
metabolic
regulation
in
organisms,
facilitates
removal
dysfunctional
proteins
organelles,
thereby
sustaining
cellular
homeostasis
energy
generation.
Anomalous
states
pancreatic
β-cells,
podocytes,
Müller
cells,
cardiomyocytes,
Schwann
cells
DMC
are
closely
linked
autophagic
dysregulation.
Natural
products
have
property
being
multi-targeted
can
affect
autophagy
hence
progression
terms
nutrient
perception,
oxidative
stress,
endoplasmic
reticulum
inflammation,
apoptosis.
This
review
consolidates
recent
advancements
understanding
pathogenesis
via
proposes
perspectives
on
treating
by
either
stimulating
or
inhibiting
using
natural
products.
Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: March 6, 2024
Affected
by
aging,
the
elderly
diabetes
patients
have
many
pathological
characteristics
different
from
young
people,
including
more
complications,
vascular
cognitive
impairment,
osteoporosis,
and
sarcopenia.
This
article
will
explore
their
pathogenesis
mechanism
of
Traditional
Chinese
medicine
(TCM)
intervention,
use
method
systematic
review
to
evaluate
clinical
application
TCM
in
diabetes.
International Urology and Nephrology,
Journal Year:
2023,
Volume and Issue:
56(4), P. 1449 - 1463
Published: Oct. 10, 2023
Abstract
Objective
The
etiopathogenesis
of
diabetes
nephropathy
(DN)
has
not
yet
been
fully
clarified.
Finding
effective
treatments
to
prevent
renal
failure
in
DN
patients
become
the
main
focus
research
recent
years.
Circular
RNA
(circRNA)
shown
play
a
momentous
role
progression.
Based
on
this,
we
aimed
investigate
potential
mechanism
by
which
urine-derived
stem
cell
(USC)-derived
exosome
circRNA
ATG7
(Exo-ATG7)
mediates
Methods
Exosomes
from
USCs
were
isolated
and
identified.
rat
model
was
established
intraperitoneally
injecting
60
mg/kg
streptozotocin.
protein
expression
levels
measured
Western
blot
immunofluorescence.
HE
Masson
staining
used
evaluate
injury,
related
genes
detected
RT-qPCR.
Results
CircRNA
significantly
downregulated
model,
extracellular
vesicles
improved
function
reduced
inflammation
rats.
However,
after
knocking
down
USCs-derived
ATG7,
improvement
therapeutic
effect
rats
lost.
In
addition,
overexpression
facilitated
switching
macrophages
pro-inflammatory
M1
phenotype
anti-inflammatory
M2
both
vivo
vitro.
Mechanistically,
upregulation
can
alleviate
damage
Importantly,
promotes
macrophage
polarization
regulating
SOCS1/STAT3
signaling
pathway
through
miR-4500.
animal
experiments
also
confirmed
that
USC
cells,
extracted
exosome-treated
could
weaken
exosomes.
Conclusion
Our
results
indicate
USC-derived
exosomal
facilitates
mediated
miR-4500,
thereby
inhibiting
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2024,
Volume and Issue:
14
Published: May 8, 2024
Diabetic
nephropathy
(DN)
is
one
of
the
main
complications
diabetes
and
a
major
cause
end-stage
renal
disease,
which
has
severe
impact
on
quality
life
patients.
Strict
control
blood
sugar
pressure,
including
use
renin–angiotensin–aldosterone
system
inhibitors,
can
delay
progression
diabetic
but
cannot
prevent
it
from
eventually
developing
into
disease.
In
recent
years,
many
studies
have
shown
close
relationship
between
gut
microbiota
imbalance
occurrence
development
DN.
This
review
discusses
latest
research
findings
correlation
microbial
metabolites
in
DN,
manifestations
DN
patients,
application
diagnosis
their
role
disease
progression,
so
on,
to
elucidate
prevention
provide
theoretical
basis
methods
for
clinical
treatment.
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
15
Published: July 23, 2024
Diabetic
nephropathy
(DN)
is
a
microvascular
complication
of
diabetes
mellitus.
The
progressive
damage
to
glomeruli,
tubules,
and
interstitium
in
the
kidneys
can
lead
development
chronic
kidney
disease
(CKD)
end-stage
renal
(ESRD).
Most
energy
we
need
comes
from
mitochondria.
Mitochondria
are
best
known
as
sites
for
production
respiratory
ATP
essential
eukaryotic
life.
pathogenesis
DN
involves
variety
factors,
such
altered
haemodynamics,
oxidative
stress,
inflammation,
studies
animal
models
suggest
that
mitochondrial
dysfunction
plays
an
important
role
DN.
Traditional
Chinese
medicine
(TCM)
has
history
more
than
2,500
years
rich
experience
remarkable
efficacy
treatment
Recent
have
found
TCM
may
great
potential
regulating
This
review
will
elucidate
main
causes
relationship
with
DN,
explore
depth
mechanisms
protect
by
improving
dysfunction.
Current
pharmacological
treatments
patients
do
not
prevent
inevitable
progression
ESRD.
With
herbs,
expected
be
most
promising
candidate
continue
learn
about
incorporate
current
advances
extraction
techniques.