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Updated: Aug 5, 2025

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The Role of Histone Modifications in the Pathogenesis of Diabetic Kidney Disease
Christodoula Kourtidou1, Konstantinos Tziomalos1
1First Propedeutic Department of Internal Medicine, AHEPA Hospital, Medical School, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.
Abstract:
Diabetic kidney disease (DKD) is the leading cause of chronic kidney disease. The pathogenesis of DKD is multifactorial, with several molecular pathways implicated. Recent data suggest that histone modification plays an important role in the development and progression of DKD. Histone modification appears to induce oxidative stress, inflammation and fibrosis in the diabetic kidney. In the present review, we summarize the current knowledge on the association between histone modification and DKD.
Insights
Histone modification is increasingly recognized as a key factor in diabetic kidney disease (DKD) development. This review explores how these epigenetic changes contribute to DKD progression through oxidative stress, inflammation, and fibrosis.
Area of Science:
- Nephrology
- Molecular Biology
- Epigenetics
Background:
- Diabetic kidney disease (DKD) is the primary cause of chronic kidney disease globally.
- DKD pathogenesis involves multiple complex molecular pathways.
- Emerging evidence highlights the significant role of histone modification in DKD.
Approach:
- This review synthesizes current research on the link between histone modification and DKD.
- It examines the molecular mechanisms by which histone modifications impact kidney tissue.
- Focuses on how these epigenetic alterations contribute to DKD pathology.
Key Points:
- Histone modifications are implicated in inducing oxidative stress within the diabetic kidney.
- These epigenetic changes promote inflammatory responses contributing to DKD.
- Histone modification is a significant driver of fibrosis in the diabetic kidney.
Conclusions:
- Understanding the role of histone modification is crucial for deciphering DKD pathogenesis.
- Targeting histone modification pathways may offer novel therapeutic strategies for DKD.
- Further research into epigenetic mechanisms is vital for combating diabetic kidney disease.
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