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Updated: Jul 18, 2025

Direct Drug Delivery to Kidney via the Renal Artery
Published on: April 17, 2021
Natural Products in Renal-Associated Drug Discovery
Wasco Wruck1, Afua Kobi Ampem Genfi2, James Adjaye1,3
1Institute for Stem Cell Research and Regenerative Medicine, Medical Faculty, Heinrich Heine University, Moorenstr. 5, 40225 Düsseldorf, Germany.
Abstract:
The global increase in the incidence of kidney failure constitutes a major public health problem. Kidney disease is classified into acute and chronic: acute kidney injury (AKI) is associated with an abrupt decline in kidney function and chronic kidney disease (CKD) with chronic renal failure for more than three months. Although both kidney syndromes are multifactorial, inflammation and oxidative stress play major roles in the diversity of processes leading to these kidney malfunctions. Here, we reviewed various publications on medicinal plants with antioxidant and anti-inflammatory properties with the potential to treat and manage kidney-associated diseases in rodent models. Additionally, we conducted a meta-analysis to identify gene signatures and associated biological processes perturbed in human and mouse cells treated with antioxidants such as epigallocatechin gallate (EGCG), the active ingredient in green tea, and the mushroom Ganoderma lucidum (GL) and in kidney disease rodent models. We identified EGCG- and GL-regulated gene signatures linked to metabolism; inflammation (NRG1, E2F1, NFKB1 and JUN); ion signalling; transport; renal processes (SLC12A1 and LOX) and VEGF, ERBB and BDNF signalling. Medicinal plant extracts are proving to be effective for the prevention, management and treatment of kidney-associated diseases; however, more detailed characterisations of their targets are needed to enable more trust in their application in the management of kidney-associated diseases.
Insights
Medicinal plants with antioxidant and anti-inflammatory properties show promise for managing kidney diseases. Research identified key gene signatures regulated by green tea (EGCG) and mushroom (GL) extracts in kidney cells and models.
Area of Science:
- Nephrology
- Pharmacology
- Genomics
Background:
- Global rise in kidney failure presents a significant public health challenge.
- Kidney diseases, including acute kidney injury (AKI) and chronic kidney disease (CKD), are driven by multifactorial processes, notably inflammation and oxidative stress.
- Medicinal plants possess antioxidant and anti-inflammatory properties with therapeutic potential for kidney disorders.
Purpose of the Study:
- To review medicinal plants with antioxidant and anti-inflammatory properties for treating kidney diseases in rodent models.
- To conduct a meta-analysis identifying gene signatures and biological processes affected by antioxidants (EGCG, GL) in kidney cells and disease models.
- To explore the potential of natural compounds in managing kidney health.
Main Methods:
- Literature review of publications on medicinal plants and kidney disease rodent models.
- Meta-analysis of gene expression data from human/mouse cells treated with epigallocatechin gallate (EGCG) and Ganoderma lucidum (GL).
- Analysis of gene signatures and associated biological pathways in kidney disease contexts.
Main Results:
- Identified EGCG- and GL-regulated gene signatures associated with metabolism, inflammation (NRG1, E2F1, NFKB1, JUN), ion signaling, transport, renal processes (SLC12A1, LOX), and key signaling pathways (VEGF, ERBB, BDNF).
- Highlighted the role of specific genes in cellular processes relevant to kidney function and disease.
- Confirmed the perturbation of biological processes in kidney cells and models upon antioxidant treatment.
Conclusions:
- Medicinal plant extracts demonstrate efficacy in preventing, managing, and treating kidney diseases.
- Further detailed characterization of molecular targets is necessary to enhance confidence in their clinical application.
- Natural compounds offer a promising avenue for kidney disease management, pending deeper mechanistic understanding.
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