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Updated: Nov 19, 2025

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Advances in understanding the innate immune-associated diabetic kidney disease
Shengfeng Wan1, Shengkai Wan2, Xiaojing Jiao1
1Department of Nephrology, Henan Provincial Key Laboratory of Kidney Disease and Immunology, Henan Provincial People's Hospital (Zhengzhou University People's Hospital), Zhengzhou, China.
Abstract:
Millions of human deaths occur annually due to chronic kidney disease, caused by diabetic kidney disease (DKD). Despite having effective drugs controlling the hyperglycemia and high blood pressure, the incidence of DKD is increasing, which indicates the need for the development of novel therapies to control DKD. In this article, we discussed the recent advancements in the basic innate immune mechanisms in renal tissues triggered under the diabetes environment, leading to the pathogenesis and progression of DKD. We also summarized the currently available innate immune molecules-targeting therapies tested against DKD in clinical and preclinical settings, and highlighted additional drug targets that could potentially be employed for the treatment of DKD. The improved understanding of the disease pathogenesis may open avenues for the development of novel therapies to rein in DKD, which consequently, can reduce morbidity and mortality in humans in the future.
Insights
Diabetic kidney disease (DKD) is a growing cause of death, necessitating new treatments. This study reviews innate immunity in DKD and discusses novel therapeutic targets for better patient outcomes.
Area of Science:
- Nephrology
- Immunology
- Endocrinology
Background:
- Diabetic kidney disease (DKD) contributes significantly to chronic kidney disease mortality.
- Despite existing treatments for hyperglycemia and hypertension, DKD incidence continues to rise.
- Understanding innate immune responses in the kidney is crucial for DKD pathogenesis.
Purpose of the Study:
- To review recent advancements in innate immune mechanisms underlying DKD.
- To summarize current therapies targeting innate immune molecules in DKD.
- To identify potential novel therapeutic targets for DKD treatment.
Main Methods:
- Review of current literature on innate immunity and DKD.
- Analysis of preclinical and clinical studies on innate immune-targeting therapies.
- Identification of emerging drug targets based on disease pathogenesis.
Main Results:
- Diabetes triggers specific innate immune pathways in renal tissues, driving DKD progression.
- Several innate immune molecules are being investigated as therapeutic targets for DKD.
- New potential drug targets for DKD treatment have been identified.
Conclusions:
- A deeper understanding of DKD pathogenesis, particularly innate immunity, is essential.
- Targeting innate immune mechanisms offers promising avenues for novel DKD therapies.
- Developing new treatments can reduce DKD-related morbidity and mortality.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Acute Kidney Injury IV: Diagnostic Studies and Prevention
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Chronic Kidney Disease III: Interprofessional Care
Acute Kidney Injury II: Pathophysiology
Chronic Kidney Disease II: Clinical Manifestations

