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Diabetic Nephropathy: Significance of Determining Oxidative Stress and Opportunities for Antioxidant Therapies

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Review Pharmacology & Pharmacy

Recent advances in drug discovery for diabetic kidney disease

Chhanda Charan Danta et al.

Summary: This review addresses the pathophysiological mechanisms, new drug targets, and potential therapeutic compounds for DKD. While some positive results have been shown in controlling DKD progression, treatment regimens to reduce mortality in patients with DKD globally have not been well developed. Therefore, the discovery of new therapeutic targets and effective target-based drugs is urgently needed.

EXPERT OPINION ON DRUG DISCOVERY (2021)

Article Biochemistry & Molecular Biology

Curcumin reverses diabetic nephropathy in streptozotocin-induced diabetes in rats by inhibition of PKCβ/p66Shc axis and activation of FOXO-3a

Jozaa Z. ALTamimi et al.

Summary: Curcumin can prevent kidney damage in diabetic rats through a variety of mechanisms, including improvement of renal tubules and mitochondria, reduction of inflammatory cytokines levels, enhancement of mitochondrial function markers, suppression of oxidative stress and apoptosis, among others.

JOURNAL OF NUTRITIONAL BIOCHEMISTRY (2021)

Article Biochemistry & Molecular Biology

The Correlation between Selenium-Dependent Glutathione Peroxidase Activity and Oxidant/Antioxidant Balance in Sera of Diabetic Patients with Nephropathy

Abdulateef Altuhafi et al.

Summary: This study evaluated the role of glutathione peroxidase in regulating oxidant/antioxidant levels in diabetic patients with nephropathy. The results showed significantly lower GPx activity in diabetic patients, and a negative correlation between total oxidants, lipid peroxidation, and GPx. The findings suggest a relationship between decreased GPx activity and diabetic nephropathy.

REPORTS OF BIOCHEMISTRY AND MOLECULAR BIOLOGY (2021)

Article Biochemistry & Molecular Biology

Nephroprotective effects of polyherbal extract via attenuation of the severity of kidney dysfunction and oxidative damage in the diabetic experimental model

Mohd Adnan Kausar et al.

Summary: This study examined the nephroprotective efficacy of a polyherbal extract in a diabetic rat model induced by STZ. The results showed that the extract improved glycemic condition, glomerular function, and inflammation and oxidative stress markers. The findings suggest that the polyherbal extract could be a potential pharmaceutical drug for diabetes mellitus, but further long-term studies or clinical trials are needed for validation.

CELLULAR AND MOLECULAR BIOLOGY (2021)

Review Urology & Nephrology

Mitochondrial quality control in kidney injury and repair

Chengyuan Tang et al.

Summary: Mitochondria play crucial roles in eukaryotic cells, and dysfunction can lead to kidney diseases. Protecting mitochondrial homeostasis may prevent and treat kidney injury, representing a potential therapeutic strategy.

NATURE REVIEWS NEPHROLOGY (2021)

Review Biochemistry & Molecular Biology

Inflammation and Oxidative Stress in Diabetic Kidney Disease: The Targets for SGLT2 Inhibitors and GLP-1 Receptor Agonists

Agata Winiarska et al.

Summary: The incidence of diabetic kidney disease (DKD) in patients with type 2 diabetes is increasing globally. Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor (GLP-1R) agonists have been shown to have nephroprotective effects in patients with established DKD, beyond just improving metabolic control of diabetes. The interactions of these agents with inflammation and oxidative stress appear to have a universal mechanism of organ protection in diabetes and other diseases.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2021)

Article Nutrition & Dietetics

A Phase IIb Randomized Controlled Trial Investigating the Effects of Tocotrienol-Rich Vitamin E on Diabetic Kidney Disease

Yan Yi Koay et al.

Summary: The study evaluated the effects of tocotrienol-rich vitamin E supplementation on DKD patients over a 12-month period, showing significant improvements in renal function for patients with stage 3 CKD. The supplementation reduced serum creatinine levels and improved eGFR for these patients, indicating potential renoprotective effects of tocotrienols.

NUTRIENTS (2021)

Review Biochemistry & Molecular Biology

Catalytic Antioxidants in the Kidney

Yu Ah Hong et al.

Summary: Reactive oxygen and nitrogen species play crucial roles in kidney injuries, making antioxidant agents, especially catalytic antioxidants that mimic antioxidant enzymes, effective in combating oxidative stress-related kidney diseases. Research has shown the effectiveness of several catalytic antioxidants in treating disease models associated with oxidative stress.

ANTIOXIDANTS (2021)

Review Biology

Oxidative Stress and Inflammation in Renal and Cardiovascular Complications of Diabetes

Amelia Charlton et al.

Summary: The progressive nature of type 2 diabetes mellitus leads to micro- and macro-vascular complications, including renal and cardiovascular disease, which are major causes of premature morbidity and mortality in diabetic patients. Oxidative stress and inflammation are considered major drivers in the pathogenesis of diabetic complications, and emerging therapies target these crucial pathways to alleviate the burden of the diseases.

BIOLOGY-BASEL (2021)

Review Pharmacology & Pharmacy

Pharmacology of apocynin: a natural acetophenone

Shreya R. Savla et al.

Summary: Apocynin is a naturally occurring acetophenone found in the roots of certain plants. Various modifications have been made to enhance its absorption and effectiveness, making it useful for treating a variety of disorders. It primarily acts as an NADPH oxidase inhibitor, but also has off-target effects and diverse mechanisms of action against different diseases.

DRUG METABOLISM REVIEWS (2021)

Review Urology & Nephrology

Pathophysiology of diabetic kidney disease: impact of SGLT2 inhibitors

Ralph A. DeFronzo et al.

Summary: Diabetic kidney disease is a leading cause of kidney failure globally, with over 50% of individuals entering dialysis or transplant programmes in the USA affected by it. Hyperglycaemia is the primary factor in its development, leading to various pathophysiological disturbances that contribute to progressive glomerular sclerosis and declining renal function. Multiple agents used in combination are likely to be needed to effectively slow the progression of the disease.

NATURE REVIEWS NEPHROLOGY (2021)

Review Endocrinology & Metabolism

The effect of vitamin C supplementation on lipid profile of type 2 diabetic patients: a systematic review and meta-analysis of clinical trials

Amare Abera Tareke et al.

Summary: The study found that vitamin C supplementation did not significantly impact the lipid profiles of diabetic patients, but could reduce triglyceride levels and other secondary outcomes. Factors such as younger age, longer treatment duration, and higher dose of vitamin C may play a role in the effectiveness of supplementation.

DIABETOLOGY & METABOLIC SYNDROME (2021)

Article Chemistry, Medicinal

Role of Oxidative Stress and Reduced Endogenous Hydrogen Sulfide in Diabetic Nephropathy

Arslan Hussain Lodhi et al.

Summary: This study demonstrated the antioxidant potential of H2S and captopril in the treatment of streptozotocin-induced diabetic nephropathy. The results showed that treatment with these compounds improved renal hemodynamics and oxidative stress markers, with a more pronounced effect observed in combined treatment groups.

DRUG DESIGN DEVELOPMENT AND THERAPY (2021)

Article Endocrinology & Metabolism

Ferroptosis Enhanced Diabetic Renal Tubular Injury via HIF-1α/HO-1 Pathway in db/db Mice

Xiaomeng Feng et al.

Summary: The study found that ferroptosis aggravated diabetic nephropathy and damaged renal tubules in db/db mice through the HIF-1 alpha/HO-1 pathway.

FRONTIERS IN ENDOCRINOLOGY (2021)

Review Biochemistry & Molecular Biology

Coenzyme Q10 Analogues: Benefits and Challenges for Therapeutics

Juan M. Suarez-Rivero et al.

Summary: Coenzyme Q(10) is a key player in mitochondrial function with antioxidant properties, but its analogues with improved characteristics like water solubility and enhanced mitochondrial accumulation may potentially surpass its current role. Recent studies have shown that some of these analogues could outperform CoQ(10) in treating specific diseases.

ANTIOXIDANTS (2021)

Article Endocrinology & Metabolism

Association of Vitamin D Deficiency with Diabetic Nephropathy

So-hyeon Hong et al.

Summary: The study found that vitamin D deficiency is common among Korean T2DM patients, and is associated with microalbuminuria and HDL level, and positively related to diabetic nephropathy.

ENDOCRINOLOGY AND METABOLISM (2021)

Review Biochemistry & Molecular Biology

AGE/RAGE in diabetic kidney disease and ageing kidney

Xia-Qing Wu et al.

Summary: Diabetic kidney disease is a major cause of chronic kidney disease, and controlling blood glucose is effective in preventing it. However, the formation of AGEs related to high glucose plays a central role in the pathogenesis of DKD, causing oxidative stress and inflammation.

FREE RADICAL BIOLOGY AND MEDICINE (2021)

Review Genetics & Heredity

An updated pharmacological insight of resveratrol in the treatment of diabetic nephropathy

Ke-Xue Li et al.

Summary: Phytochemicals, including resveratrol, have emerged as alternative therapies with therapeutic effects on various pathologies, including diabetic kidney disease. Resveratrol has been found to have a broad spectrum of health benefits, particularly in ameliorating chronic or acute kidney injury in the renal system. Further research is needed to overcome limitations, such as poor bioavailability, and improve the efficacy of resveratrol in diabetic nephropathy therapy.
Review Cell Biology

Mitochondria in Diabetic Kidney Disease

Amna Ayesha Ahmad et al.

Summary: Diabetic kidney disease (DKD) is the leading cause of end stage renal disease (ESRD) in the USA, with a multifactorial pathogenesis involving activation of multiple signaling pathways that lead to various pathological changes, mainly driven by alterations in mitochondrial bioenergetics. Understanding the role of bioenergetics in the progression of DKD may offer novel therapeutic approaches to delay progression to ESRD.
Article Endocrinology & Metabolism

Incidence and risk factors for mortality and end-stage renal disease in people with type 2 diabetes and diabetic kidney disease: a population-based cohort study in the UK

Antonio Gonzalez-Perez et al.

Summary: This study aimed to determine the incidence and risk factors for all-cause/CVD mortality and ESRD among people with type 2 diabetes with/without DKD in the UK population. Results showed that individuals with DKD had higher risks of all-cause and CVD mortality, while specific risk factors for ESRD in the DKD cohort included reduced renal function, high material deprivation, cancer, and non-insulin glucose-lowering drugs.

BMJ OPEN DIABETES RESEARCH & CARE (2021)

Review Biochemistry & Molecular Biology

Are Antioxidants Useful in Preventing the Progression of Chronic Kidney Disease?

Alfredo G. Casanova et al.

Summary: Antioxidant therapy appears to reduce the progression of chronic kidney disease, with pentoxifylline and bardoxolone methyl showing the most robust protection. However, individual variability and potential off-target effects introduce uncertainty regarding the role of oxidative stress in CKD progression and the effectiveness of antioxidant therapy. Personalized antioxidant therapy based on individual factors is necessary for optimal treatment outcomes.

ANTIOXIDANTS (2021)

Review Endocrinology & Metabolism

The Role of Alpha-lipoic Acid Supplementation in the Prevention of Diabetes Complications: A Comprehensive Review of Clinical Trials

Sarah Jeffrey et al.

Summary: Alpha-lipoic acid acts as a significant antioxidant in preventing diabetes and complications. Clinical trials have shown positive results in treating diabetic neuropathy, nephropathy, cardiomyopathy, and erectile dysfunction through ALA supplementation. Antioxidants like ALA play a crucial role in treating diabetes-related conditions by inhibiting oxidative stress.

CURRENT DIABETES REVIEWS (2021)

Review Endocrinology & Metabolism

Molecular Aspects in the Potential of Vitamins and Supplements for Treating Diabetic Neuropathy

Tina Okdahl et al.

Summary: Although few randomized controlled trials have shown beneficial efficacy of some dietary supplements on objective primary endpoints and subjective patient-reported outcomes for diabetic neuropathy, there is currently no medical cure and prevention is crucial. Patients are turning to dietary supplements with purported neuroprotective properties, but their effects are often not evidence-based and in need of further scientific testing.

CURRENT DIABETES REPORTS (2021)

Article Endocrinology & Metabolism

Kidney disease in diabetes: From mechanisms to clinical presentation and treatment strategies

Carlo Alberto Ricciardi et al.

Summary: Metabolic and haemodynamic perturbations play a key role in the development and progression of diabetic kidney disease (DKD). Controlling metabolic, lipid, and blood pressure levels is crucial in slowing the progression of DKD. Therapies targeting haemodynamic perturbations, such as inhibitors of the renin-angiotensin-aldosterone system (RAAS) and SGLT2 inhibitors, have shown success in the prevention and management of DKD.

METABOLISM-CLINICAL AND EXPERIMENTAL (2021)

Review Endocrinology & Metabolism

Effects of valsartan combined with α-lipoic acid on renal function in patients with diabetic nephropathy: a systematic review and meta-analysis

Fangfang Sun et al.

Summary: The combination of valsartan and alpha-lipoic acid can significantly reduce urinary albumin levels and oxidative stress, increase antioxidant capacity, and alleviate renal function damage in patients with DN.

BMC ENDOCRINE DISORDERS (2021)

Review Biotechnology & Applied Microbiology

Diabetic Nephropathy: Challenges in Pathogenesis, Diagnosis, and Treatment

Nur Samsu

Summary: Diabetic nephropathy is the leading cause of end-stage renal disease worldwide and diagnosis and treatment pose challenges, requiring additional therapeutic interventions. In addition to standard therapy, vitamin D receptor activators, incretin-related drugs, and therapies targeting inflammation may also be promising for preventing the progression of DN.

BIOMED RESEARCH INTERNATIONAL (2021)

Article Medicine, Research & Experimental

Lipid peroxidation processes in men with type 1 diabetes mellitus following α-lipoic acid treatment

Marina A. Darenskaya et al.

Summary: In men with type 1 diabetes mellitus, treatment with alpha-lipoic acid led to improvements in lipid metabolism parameters, lipid peroxidation, and antioxidant defense reactions.

AIMS MEDICAL SCIENCE (2021)

Article Medicine, Research & Experimental

Content of Carbonyl Compounds and Parameters of Glutathione Metabolism in Men with Type 1 Diabetes Mellitus at Preclinical Stages of Diabetic Nephropathy

M. A. Darenskaya et al.

Summary: This study investigated the relationship between carbonyl compounds and components of the glutathione system in young men with type 1 diabetes mellitus at different stages of diabetic nephropathy. The findings showed alterations in levels of certain markers in patients with mild albuminuria.

BULLETIN OF EXPERIMENTAL BIOLOGY AND MEDICINE (2021)

Article Medicine, General & Internal

Relationship of serum vitamin D levels with diabetic microvascular complications in patients with type 2 diabetes mellitus

Wei-Jing Zhao et al.

Summary: The study found that vitamin D deficiency is independently associated with a higher risk of DPN and DN in T2DM patients, but not DR. Additionally, vitamin D deficiency may serve as a potential predictor for both the occurrence and severity of DPN and DN.

CHINESE MEDICAL JOURNAL (2021)

Article Biochemistry & Molecular Biology

Inhibition of ferroptosis by up-regulating Nrf2 delayed the progression of diabetic nephropathy

Shuangwen Li et al.

Summary: Our research demonstrated the involvement of ferroptosis in the development of DN, and up-regulating Nrf2 with fenofibrate treatment inhibited diabetes-related ferroptosis, delaying the progression of DN. This study provided a new perspective on the development mechanism of DN and offered a new approach to delay the progression of DN.

FREE RADICAL BIOLOGY AND MEDICINE (2021)

Review Pharmacology & Pharmacy

Pharmacological basis and new insights of resveratrol action in the cardiovascular system

Chak Kwong Cheng et al.

BRITISH JOURNAL OF PHARMACOLOGY (2020)

Article Endocrinology & Metabolism

Administration of coenzyme Q10 to a diabetic rat model: changes in biochemical, antioxidant, and histopathological indicators

Jerine S. Peter et al.

INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES (2020)

Article Biochemistry & Molecular Biology

NADPH Oxidase Inhibition: Preclinical and Clinical Studies in Diabetic Complications

Sofia Urner et al.

ANTIOXIDANTS & REDOX SIGNALING (2020)

Article Pharmacology & Pharmacy

Curcumin induces stabilization of Nrf2 protein through Keap1 cysteine modification

Jun Wan Shin et al.

BIOCHEMICAL PHARMACOLOGY (2020)

Review Biochemistry & Molecular Biology

Metabolic memory and diabetic nephropathy: Beneficial effects of natural epigenetic modifiers

Kriti Kushwaha et al.

BIOCHIMIE (2020)

Article Biotechnology & Applied Microbiology

A light microscopic investigation of the renoprotective effects of α-lipoic acid and α-tocopherol in an experimental diabetic rat model

Elif Kayhan Kustepe et al.

BIOTECHNIC & HISTOCHEMISTRY (2020)

Review Biochemistry & Molecular Biology

Inflammation and Oxidative Stress in Chronic Kidney Disease-Potential Therapeutic Role of Minerals, Vitamins and Plant-Derived Metabolites

Shara Francesca Rapa et al.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2020)

Review Endocrinology & Metabolism

Chronic Diabetes Complications: The Need to Move beyond Classical Concepts

Didac Mauricio et al.

TRENDS IN ENDOCRINOLOGY AND METABOLISM (2020)

Review Medicine, Research & Experimental

A review on the potential of Resveratrol in prevention and therapy of diabetes and diabetic complications

Dan-Dan Huang et al.

BIOMEDICINE & PHARMACOTHERAPY (2020)

Article Medicine, Research & Experimental

Resveratrol ameliorates inflammatory and oxidative stress in type 2 diabetic Goto-Kakizaki rats

Katarzyna Szkudelska et al.

BIOMEDICINE & PHARMACOTHERAPY (2020)

Review Endocrinology & Metabolism

Pathophysiologic mechanisms in diabetic kidney disease: A focus on current and future therapeutic targets

Jonatan Barrera-Chimal et al.

DIABETES OBESITY & METABOLISM (2020)

Review Biochemistry & Molecular Biology

Curcumin and Colorectal Cancer: From Basic to Clinical Evidences

Maria Pricci et al.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2020)

Review Food Science & Technology

Health Benefits and Molecular Mechanisms of Resveratrol: A Narrative Review

Xiao Meng et al.

Article Biochemistry & Molecular Biology

Role of Nrf2 dysfunction in the pathogenesis of diabetic nephropathy: Therapeutic prospect of epigallocatechin-3-gallate

Thangarajeswari Mohan et al.

FREE RADICAL BIOLOGY AND MEDICINE (2020)

Review Biochemistry & Molecular Biology

The Role of Glutathione in Protecting against the Severe Inflammatory Response Triggered by COVID-19

Francesca Silvagno et al.

ANTIOXIDANTS (2020)

Review Nutrition & Dietetics

Resveratrol: Evidence for Its Nephroprotective Effect in Diabetic Nephropathy

Vemana Gowd et al.

ADVANCES IN NUTRITION (2020)

Review Medicine, Research & Experimental

Contrast-induced nephropathy and oxidative stress: mechanistic insights for better interventional approaches

Prit Kusirisin et al.

JOURNAL OF TRANSLATIONAL MEDICINE (2020)

Editorial Material Biochemistry & Molecular Biology

Oxidative Stress: Concept and Some Practical Aspects

Helmut Sies

ANTIOXIDANTS (2020)

Review Biochemistry & Molecular Biology

Oxidative Stress Markers in Chronic Kidney Disease with Emphasis on Diabetic Nephropathy

Nina Vodosek Hojs et al.

ANTIOXIDANTS (2020)

Review Biochemistry & Molecular Biology

Mitochondrial Glutathione: Recent Insights and Role in Disease

Montserrat Mari et al.

ANTIOXIDANTS (2020)

Review Immunology

Reactive Oxygen Species: Drivers of Physiological and Pathological Processes

Javier Checa et al.

JOURNAL OF INFLAMMATION RESEARCH (2020)

Review Medicine, Research & Experimental

AGE/RAGE signaling-mediated endoplasmic reticulum stress and future prospects in non-coding RNA therapeutics for diabetic nephropathy

Nutthapoom Pathomthongtaweechai et al.

BIOMEDICINE & PHARMACOTHERAPY (2020)

Review Urology & Nephrology

Diabetic Kidney Disease: Challenges, Advances, and Opportunities

Ya Chen et al.

KIDNEY DISEASES (2020)

Review Endocrinology & Metabolism

Global trends in diabetes complications: a review of current evidence

Jessica L. Harding et al.

DIABETOLOGIA (2019)

Review Endocrinology & Metabolism

The Global Burden of Diabetic Kidney Disease: Time Trends and Gender Gaps

Bernadette Thomas

CURRENT DIABETES REPORTS (2019)

Review Endocrinology & Metabolism

Diabetes in developing countries

Anoop Misra et al.

JOURNAL OF DIABETES (2019)

Review Cell Biology

Circulating Oxidative Stress Biomarkers in Clinical Studies on Type 2 Diabetes and Its Complications

Elisabetta Bigagli et al.

OXIDATIVE MEDICINE AND CELLULAR LONGEVITY (2019)

Review Pharmacology & Pharmacy

Diabetic nephropathy: an insight into molecular mechanisms and emerging therapies

Annabelle M. Warren et al.

EXPERT OPINION ON THERAPEUTIC TARGETS (2019)

Review Cell Biology

Oxidative Stress and Advanced Lipoxidation and Glycation End Products (ALEs and AGEs) in Aging and Age-Related Diseases

Nurbubu T. Moldogazieva et al.

OXIDATIVE MEDICINE AND CELLULAR LONGEVITY (2019)

Review Biochemistry & Molecular Biology

Insights on the Use of α-Lipoic Acid for Therapeutic Purposes

Bahare Salehi et al.

BIOMOLECULES (2019)

Article Endocrinology & Metabolism

CoQ10 ameliorates mitochondrial dysfunction in diabetic nephropathy through mitophagy

Jia Sun et al.

JOURNAL OF ENDOCRINOLOGY (2019)

Review Endocrinology & Metabolism

Diabetic nephropathy: recent advances in pathophysiology and challenges in dietary management

Mahaboob Khan Sulaiman

DIABETOLOGY & METABOLIC SYNDROME (2019)

Article Endocrinology & Metabolism

Curcumin Analogs Reduce Stress and Inflammation Indices in Experimental Models of Diabetes

Saumik Biswas et al.

FRONTIERS IN ENDOCRINOLOGY (2019)

Article Medicine, General & Internal

Clinical Trial of the Effects of Coenzyme Q10 Supplementation on Biomarkers of Inflammation and Oxidative Stress in Diabetic Hemodialysis Patients

Melika Fallah et al.

INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE (2019)

Article Endocrinology & Metabolism

The effects of vitamin D supplementation on lipid profiles and oxidative indices among diabetic nephropathy patients with marginal vitamin D status

Maliheh Barzegari et al.

DIABETES & METABOLIC SYNDROME-CLINICAL RESEARCH & REVIEWS (2019)

Review Biochemistry & Molecular Biology

Coenzyme Q10 and Degenerative Disorders Affecting Longevity: An Overview

David Mantle et al.

ANTIOXIDANTS (2019)