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Mechanisms of the Effects of Polyphenols on Diabetic Nephropathy
Masumi Kamiyama1, Kotoe Iijima1, Rema Okuzawa1
1Department of Food and Nutrition, Jumonji University, 2-1-28, Sugasawa, Niiza 352-8510, Saitama, Japan.
Abstract:
Diabetic nephropathy is a major challenge in medicine. While a variety of mechanisms underlie the onset and progression of diabetic nephropathy, oxidative stress is critical because it promotes inflammation and creates a vicious cycle that induces podocyte injury, extracellular matrix accumulation, glomerulosclerosis, epithelial-mesenchymal transition, tubular atrophy, and proteinuria. There are various treatments for diabetic nephropathy, and each has its own limitations. Although the exact mechanisms by which polyphenols suppress diabetic nephropathy have not been elucidated, they may have antioxidant, anti-inflammatory, antifibrotic, and/or anti-apoptotic effects. They may also suppress endoplasmic reticulum stress and ameliorate mitochondrial dysfunction and dyslipidemia. Dietary polyphenols may be able to prevent the onset and slow the progression of diabetic nephropathy; they include resveratrol, quercetin, isoflavones, catechins, and anthocyanidins and have antioxidant, anti-inflammatory, antifibrotic, and anti-apoptotic effects through multiple molecular targets. Furthermore, they have shown few side effects. However, further research is needed to fully elucidate the molecular mechanisms by which polyphenols exert their effects and to clarify their optimal therapeutic use. In this review, we summarize reports published in the past five years regarding their effects on diabetic nephropathy and provide an overview of the potential of polyphenols.
Insights
Dietary polyphenols show promise in combating diabetic nephropathy by reducing oxidative stress and inflammation. Further research is needed to fully understand their therapeutic potential and optimal use.
Area of Science:
- Nephrology
- Pharmacology
- Nutritional Science
Background:
- Diabetic nephropathy is a significant medical issue driven by oxidative stress, leading to kidney damage.
- Existing treatments for diabetic nephropathy have limitations.
- Oxidative stress triggers inflammation, podocyte injury, glomerulosclerosis, and other pathological changes.
Purpose of the Study:
- To review recent findings on the effects of dietary polyphenols on diabetic nephropathy.
- To explore the potential mechanisms by which polyphenols may prevent or slow disease progression.
- To highlight the therapeutic potential of polyphenols in managing diabetic nephropathy.
Main Methods:
- Literature review of studies published within the last five years.
- Analysis of research on various dietary polyphenols, including resveratrol, quercetin, isoflavones, catechins, and anthocyanidins.
- Examination of proposed molecular targets and pathways affected by polyphenols.
Main Results:
- Polyphenols exhibit antioxidant, anti-inflammatory, antifibrotic, and anti-apoptotic properties.
- Potential mechanisms include suppressing endoplasmic reticulum stress, improving mitochondrial function, and ameliorating dyslipidemia.
- Dietary polyphenols may prevent the onset and slow the progression of diabetic nephropathy with few reported side effects.
Conclusions:
- Dietary polyphenols represent a promising avenue for managing diabetic nephropathy.
- Further investigation is required to elucidate specific molecular mechanisms and determine optimal therapeutic strategies.
- Polyphenols offer potential benefits through multiple molecular targets and pathways.
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