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Updated: Apr 20, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Therapeutic strategies of diabetic nephropathy: recent progress and future perspectives
Meng Lv1, Zhuo Chen1, Gaoyun Hu1
1Department of Medicinal Chemistry, School of Pharmaceutical Sciences, Central South University, 410013 Changsha, Hunan, China.
Abstract:
Diabetic nephropathy (DN) is one of the most common complications of diabetes with high mortality rates worldwide. The treatment of DN has posed a formidable challenge to the scientific community. Simple control of risk factors has been insufficient to cope with the progression of DN. During the process of anti-DN drug discovery, multiple pathogeneses such as oxidative stress, inflammation and fibrosis should all be considered. In this review, the pathogenesis of DN is summarized. The major context focuses on a few small molecules toward the pathogenesis available in animal models and clinical trials for the treatment of DN. The perspectives of novel anti-DN agents and the future directions for the prevention of DN are discussed.
Insights
Diabetic nephropathy (DN) treatment is challenging, as risk factor control is insufficient. This review covers small molecules targeting DN pathogenesis like oxidative stress, inflammation, and fibrosis for future drug discovery.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetic nephropathy (DN) is a major diabetes complication with high mortality.
- Current risk factor control is inadequate for managing DN progression.
- DN involves complex pathogeneses including oxidative stress, inflammation, and fibrosis.
Purpose of the Study:
- To summarize the pathogenesis of diabetic nephropathy.
- To review small molecules targeting DN pathogenesis in preclinical and clinical studies.
- To discuss novel anti-DN agents and future research directions.
Main Methods:
- Literature review of DN pathogenesis.
- Analysis of small molecules investigated for DN treatment in animal models and clinical trials.
- Synthesis of current research and future perspectives on anti-DN drug discovery.
Main Results:
- DN pathogenesis involves multiple interconnected pathways.
- Several small molecules show potential in targeting these pathways.
- Animal models and clinical trials provide insights into therapeutic efficacy.
Conclusions:
- Comprehensive targeting of DN pathogenesis is crucial for effective treatment.
- Small molecules offer promising therapeutic strategies for DN.
- Further research is needed to develop novel anti-DN agents and prevention methods.
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