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Updated: Mar 25, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Diabetes and Kidney Disease: Role of Oxidative Stress
Jay C Jha1, Claudine Banal1, Bryna S M Chow1
11 Diabetic Complications Division, JDRF Danielle Alberti Memorial Centre for Diabetic Complications, Baker IDI Heart and Diabetes Institute , Melbourne, Australia .
Significance:
Intrarenal oxidative stress plays a critical role in the initiation and progression of diabetic kidney disease (DKD). Enhanced oxidative stress results from overproduction of reactive oxygen species (ROS) in the context of concomitant, insufficient antioxidant pathways. Renal ROS production in diabetes is predominantly mediated by various NADPH oxidases (NOXs), but a defective antioxidant system as well as mitochondrial dysfunction may also contribute. Recent Advances: Effective agents targeting the source of ROS generation hold the promise to rescue the kidney from oxidative damage and prevent subsequent progression of DKD. Critical Issues and Future Directions: In the present review, we summarize and critically analyze molecular and cellular mechanisms that have been demonstrated to be involved in NOX-induced renal injury in diabetes, with particular focus on the role of increased glomerular injury, the development of albuminuria, and tubulointerstitial fibrosis, as well as mitochondrial dysfunction. Furthermore, novel agents targeting NOX isoforms are discussed. Antioxid. Redox Signal. 25, 657-684.
Insights
Diabetic kidney disease (DKD) is driven by oxidative stress from reactive oxygen species (ROS), primarily via NADPH oxidases (NOXs). Targeting ROS sources offers a promising strategy to protect kidneys and prevent DKD progression.
Area of Science:
- Nephrology
- Oxidative Stress Research
- Diabetology
Background:
- Diabetic kidney disease (DKD) pathogenesis involves intrarenal oxidative stress.
- Overproduction of reactive oxygen species (ROS) overwhelms antioxidant pathways.
- NADPH oxidases (NOXs) are key mediators of renal ROS production in diabetes.
Purpose of the Study:
- To review molecular and cellular mechanisms of NOX-induced renal injury in diabetes.
- To analyze the role of oxidative stress in glomerular injury, albuminuria, and fibrosis.
- To discuss novel therapeutic agents targeting NOX isoforms for DKD.
Main Methods:
- Literature review and critical analysis of existing research.
- Focus on molecular pathways and cellular mechanisms.
- Examination of studies investigating NOX isoforms and oxidative stress in DKD.
Main Results:
- Increased ROS production via NOX enzymes contributes significantly to DKD.
- Oxidative stress exacerbates glomerular injury, albuminuria, and tubulointerstitial fibrosis.
- Mitochondrial dysfunction is implicated in diabetes-induced renal oxidative damage.
Conclusions:
- Targeting ROS generation, particularly NOX pathways, is a promising therapeutic strategy for DKD.
- Understanding NOX-induced mechanisms is crucial for developing effective treatments.
- Novel agents targeting specific NOX isoforms may offer kidney protection in diabetic patients.
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