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The Potential of Naturally Derived Compounds for Treating Chronic Kidney Disease: A Review of Autophagy and Cellular
Yoong Mond Teh1, Siti Aisyah Mualif1, Nur Izzati Mohd Noh2
1Department of Biomedical Engineering and Health Science, Faculty of Electrical Engineering, University Technology Malaysia (UTM), Johor Bahru 81310, Malaysia.
Abstract:
Chronic kidney disease (CKD) is characterized by irreversible progressive worsening of kidney function leading to kidney failure. CKD is viewed as a clinical model of premature aging and to date, there is no treatment to reverse kidney damage. The well-established treatment for CKD aims to control factors that may aggravate kidney progression and to provide kidney protection effects to delay the progression of kidney disease. As an alternative, Traditional Chinese Medicine (TCM) has been shown to have fewer adverse effects for CKD patients. However, there is a lack of clinical and molecular studies investigating the mechanisms by which natural products used in TCM can improve CKD. In recent years, autophagy and cellular senescence have been identified as key contributors to aging and age-related diseases. Exploring the potential of natural products in TCM to target these processes in CKD patients could slow disease progression. A better understanding of the characteristics of these natural products and their effects on autophagy and cellular senescence through clinical studies, coupled with the use of these products as complementary therapy alongside mainstream treatment, may maximize therapeutic benefits and minimize adverse effects for CKD patients. While promising, there is currently a lack of thorough research on the potential synergistic effects of these natural products. This review examines the use of natural products in TCM as an alternative treatment for CKD and discusses their active ingredients in terms of renoprotection, autophagy, and cellular senescence.
Insights
Traditional Chinese Medicine (TCM) offers natural products as a complementary therapy for chronic kidney disease (CKD). These products may target cellular senescence and autophagy to slow CKD progression and reduce adverse effects.
Area of Science:
- Nephrology
- Pharmacology
- Gerontology
Background:
- Chronic kidney disease (CKD) is a progressive condition with no cure, often linked to premature aging.
- Current treatments focus on managing progression and protecting kidneys, but alternative therapies are sought.
- Autophagy and cellular senescence are implicated in aging and CKD, presenting therapeutic targets.
Purpose of the Study:
- To review natural products used in Traditional Chinese Medicine (TCM) for CKD treatment.
- To explore the mechanisms of TCM natural products targeting autophagy and cellular senescence in CKD.
- To assess the potential of TCM as a complementary therapy for CKD.
Main Methods:
- Literature review of studies on TCM natural products and CKD.
- Analysis of active ingredients and their effects on renoprotection.
- Examination of impacts on autophagy and cellular senescence pathways.
Main Results:
- TCM natural products show potential for renoprotection in CKD.
- Evidence suggests these products can modulate autophagy and cellular senescence.
- Limited research exists on synergistic effects and comprehensive clinical validation.
Conclusions:
- Natural products in TCM may offer a renoprotective, complementary approach to CKD management.
- Targeting autophagy and cellular senescence with TCM is a promising avenue for slowing CKD progression.
- Further clinical and molecular research is needed to validate efficacy and understand synergistic actions.
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