中药成分治疗糖尿病肾病的研究进展

Progress on Effective Components of Traditional Chinese Medicine Indiabetic Nephropathy

  • 摘要: 糖尿病肾病(DN)作为2型糖尿病等一系列疾病的严重并发症之一,也是终末期肾病的主要病因,在全球的发病率居高不下。其病理特征表现在肾小球纤维化,肾小球和肾小管基底膜增厚,细胞外基质聚集以及间质细胞不断增生。虽然DN的发病机制尚未完全阐明,但是最近一些研究指出氧化应激、炎症、肾动脉高滤过以及肾损伤等机制参与其中。虽然针对以上机制研发的药物具有一定的治疗效果,但同时伴随着产生了一系列的副反应。近年来中药在治疗DN中表现出巨大的潜力,本文综述了目前临床前对DN具有治疗效果的中药成分,为中药在临床治疗DN提供新的治疗策略参考。

     

    Abstract: Diabetic nephropathy (DN), as a serious complication of type 2 diabetes mellitus (T2DM), is the major cause of end-stage renal disease with high mortality worldwide. The progressive kidney disorder is pathologically characterized by glomerular fibrosis, thickened glomerular and tubular basement membranes, mesangial cells expansion, accumulation of the extracellular matrix and increased mesangial hypertrophy. Although the exact causative factor of DN remains unclear, several mechanisms have been postulated, such as oxidative stress, increased inflammation, renal hyperfiltration and renal injury. Therefore, lots of synthesized drugs were developed to focus on these therapeutic targets to cure DN. However, clinical severe side effects have emerged following the treatments. Traditional Chinese medicine has showed the advantages to remedy DN for its natural and safe character. This review will highlight the classic and effective components of traditional Chinese medicine to cure diabetic nephropathy in preclinical researches to offer new therapeutic strategies for an adequate pharmacotherapy of DN.

     

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