1.辽宁中医药大学 中西医结合学院,沈阳 110847
2.中国医科大学 附属第一医院,沈阳 110001
3.辽宁中医药大学 第一临床学院,沈阳 110847
4.辽宁中医药大学 附属医院,沈阳 110032
文晓晨,博士,在站博士后,助理研究员,从事中西医结合防治糖尿病及其并发症的研究,E-mail:wenxiaochen6@163.com
王英,博士,副教授,从事中医药防治代谢性疾病的基础研究,Email:896806199@qq.com
收稿:2025-02-21,
录用:2025-05-28,
网络首发:2025-05-29,
纸质出版:2026-06-05
移动端阅览
文晓晨,王英,刘若实等.中药干预线粒体功能障碍治疗糖尿病肾病研究进展[J].中国实验方剂学杂志,2026,32(11):300-311.
WEN Xiaochen,WANG Ying,LIU Ruoshi,et al.Traditional Chinese Medicine Intervening Mitochondrial Dysfunction for Treatment of Diabetic Kidney Disease: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):300-311.
文晓晨,王英,刘若实等.中药干预线粒体功能障碍治疗糖尿病肾病研究进展[J].中国实验方剂学杂志,2026,32(11):300-311. DOI: 10.13422/j.cnki.syfjx.20251995.
WEN Xiaochen,WANG Ying,LIU Ruoshi,et al.Traditional Chinese Medicine Intervening Mitochondrial Dysfunction for Treatment of Diabetic Kidney Disease: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):300-311. DOI: 10.13422/j.cnki.syfjx.20251995.
糖尿病肾病是糖尿病的微血管并发症,发病机制复杂,其中线粒体功能障碍被认为是糖尿病肾病发生发展的核心。以线粒体为靶点,调节线粒体的能量代谢、线粒体氧化应激、线粒体自噬和线粒体动力学功能已成为防治糖尿病肾病的潜在策略,应用前景较好。中医药具有介导线粒体功能障碍防治糖尿病肾病的巨大潜力。该文深入探讨了线粒体功能障碍的多种形式与糖尿病肾病之间的内在联系,总结了多种中药化合物和中药复方靶向线粒体功能障碍防治糖尿病肾病的研究现状。希冀为糖尿病肾病的防治和中医药研发提供新的靶点与策略。
Diabetic kidney disease (DKD) is a microvascular complication of diabetes, with a complex pathogenesis, in which mitochondrial dysfunction is considered to be the core of DKD development. Taking mitochondria as a target to regulate mitochondrial energy metabolism, mitochondrial oxidative stress, mitophagy, and mitochondrial dynamic function represents a promising strategy for the DKD prevention and treatment, with good prospects in clinical application. Traditional Chinese medicine (TCM) has great potential to mediate mitochondrial dysfunction in the DKD prevention and treatment. This article deeply explores the intrinsic relationship between various forms of mitochondrial dysfunction and DKD, and summarizes the current research status of various Chinese herbal compounds and Chinese herbal formulas in targeting mitochondrial dysfunction for the DKD prevention and treatment. This article aims to provide new targets and strategies for the DKD prevention and treatment, and the research and development of TCM.
中华医学会糖尿病学分会微血管并发症学组 . 中国糖尿病肾脏病防治指南(2021年版) [J]. 中华糖尿病学杂志 , 2021 , 13 ( 8 ): 762 - 784 .
Microvascular Complications Group of Chinese Diabetes Society . Chinese guideline for the prevention and treatment of diabetic kidney disease (2021 edition) [J]. Chin J Diabetes Mellitus , 2021 , 13 ( 8 ): 762 - 784 .
李小会 , 陈丽名 , 谭颖颖 . 2022年版糖尿病肾病病证结合诊疗指南解读 [J]. 现代中医药 , 2022 , 42 ( 5 ): 6 - 10 .
LI X H , CHEN L M , TAN Y Y . Interpretation of the 2022 edition of guidelines for the diagnosis and treatment of diabetic kidney disease based on disease and syndrome combination [J]. Mod Tradit Chin Med , 2022 , 42 ( 5 ): 6 - 10 .
NATHAN D M , BAYLESS M , CLEARY P , et al . Diabetes control and complications trial/epidemiology of diabetes interventions and complications study at 30 years:Advances and contributions [J]. Diabetes , 2013 , 62 ( 12 ): 3976 - 3986 .
顾悦 , 郑琳琳 , 郭登洲 . 基于AKAP1/Drp1信号通路探讨当归补血汤对糖尿病肾病大鼠足细胞线粒体分裂及凋亡的影响 [J]. 中国实验方剂学杂志 , 2024 , 30 ( 15 ): 38 - 45 .
GU Y , ZHENG L L , GUO D Z . Effect of Danggui buxue tang on mitochondrial fission and apoptosis of podocytes in diabetic kidney disease rats based on AKAP1/Drp1 signaling pathway [J]. Chin J Exp Tradit Med Form , 2024 , 30 ( 15 ): 38 - 45 .
LI J , SUN Y B Y , CHEN W , et al . Smad4 promotes diabetic nephropathy by modulating glycolysis and OXPHOS [J]. EMBO Rep , 2020 , 21 ( 2 ): e48781 .
VERCELLINO I , SAZANOV L A . The assembly,regulation and function of the mitochondrial respiratory chain [J]. Nat Rev Mol Cell Biol , 2022 , 23 ( 2 ): 141 - 161 .
姚美桦 , 黄浩 . 线粒体呼吸链超级复合物研究进展 [J]. 生物学教学 , 2024 , 49 ( 8 ): 2 - 5 .
YAO M H , HUANG H . Advances in mitochondrial respiratory chain supercomplexes [J]. Biol Teach , 2024 , 49 ( 8 ): 2 - 5 .
FORBES J M , THORBURN D R . Mitochondrial dysfunction in diabetic kidney disease [J]. Nat Rev Nephrol , 2018 , 14 ( 5 ): 291 - 312 .
AUDZEYENKA I , RACHUBIK P , ROGACKA D , et al . Insulin induces bioenergetic changes and alters mitochondrial dynamics in podocytes [J]. J Endocrinol , 2024 , 261 ( 3 ): e230357 .
CHEN M F , LIOU S S , KAO S T , et al . Erianin protects against high glucose-induced oxidative injury in renal tubular epithelial cells [J]. Food Chem Toxicol , 2019 , 126 : 97 - 105 .
王苑蓉 , 叶大杰 . 马齿笕多糖对高脂饲料联合链脲佐菌素诱导的糖尿病肾病大鼠的作用及机制 [J]. 广西医科大学学报 , 2018 , 35 ( 8 ): 1050 - 1053 .
WANG Y R , YE D J . Effect and mechanism of Portulaca oleracea polysaccharide on diabetic kidney disease rats induced by high-fat diet combined with streptozotocin [J]. J Guangxi Med Univ , 2018 , 35 ( 8 ): 1050 - 1053 .
COUGHLAN M T , THORBURN D R , PENFOLD S A , et al . RAGE-induced cytosolic ROS promote mitochondrial superoxide generation in diabetes [J]. J Am Soc Nephrol , 2009 , 20 ( 4 ): 742 - 752 .
MISE K , LONG J , GALVAN D L , et al . NDUFS4 regulates cristae remodeling in diabetic kidney disease [J]. Nat Commun , 2024 , 15 ( 1 ): 1965 .
GUAN S S , SHEU M L , WU C T , et al . ATP synthase subunit- β down-regulation aggravates diabetic nephropathy [J]. Sci Rep , 2015 , 5 : 14561 .
D'EGIDIO F , CASTELLI V , CIMINI A , et al . Cell rearrangement and oxidant/antioxidant imbalance in Huntington's disease [J]. Antioxidants (Basel) , 2023 , 12 ( 3 ): 571 .
TANAKA M , OZAWA T . Strand asymmetry in human mitochondrial DNA mutations [J]. Genomics , 1994 , 22 ( 2 ): 327 - 335 .
SHARMA P , SAMPATH H . Mitochondrial DNA integrity:Role in health and disease [J]. Cells , 2019 , 8 ( 2 ): 100 .
SMITH P R , DRONSFIELD M J , MIJOVIC C H , et al . The mitochondrial tRNA [Leu(UUR)] A to G 3243 mutation is associated with insulin-dependent and non-insulin-dependent diabetes in a Chinese population [J]. Diabet Med , 1997 , 14 ( 12 ): 1026 - 1031 .
张玉媛 , 加孜热亚·再依拿提 , 杜丹阳 , 等 . 携带A3243G突变基因糖尿病患者家系分析三例报道 [J]. 中国糖尿病杂志 , 2021 , 29 ( 5 ): 384 - 389 .
ZHANG Y Y , JAZIREYA ZAINAT , DU D Y , et al . Analysis of three pedigrees of diabetic patients carrying A3243G mutation [J]. Chin J Diabetes , 2021 , 29 ( 5 ): 384 - 389 .
KAKIMOTO M , INOGUCHI T , SONTA T , et al . Accumulation of 8-hydroxy-2′-deoxyguanosine and mitochondrial DNA deletion in kidney of diabetic rats [J]. Diabetes , 2002 , 51 ( 5 ): 1588 - 1595 .
PARK K S , SONG J H , LEE K U , et al . Peripheral blood mitochondrial DNA content correlates with lipid oxidation rate during euglycemic clamps in healthy young men [J]. Diabetes Res Clin Pract , 1999 , 46 ( 2 ): 149 - 154 .
SINGH R , HATTERSLEY A T , HARRIES L W . Reduced peripheral blood mitochondrial DNA content is not a risk factor for type 2 diabetes [J]. Diabet Med , 2007 , 24 ( 7 ): 784 - 787 .
DENG X , YANG G , ZHENG X , et al . Plasma mtDNA copy numbers are associated with GSTK1 expression and inflammation in type 2 diabetes [J]. Diabet Med , 2020 , 37 ( 11 ): 1874 - 1878 .
YUZEFOVYCH L V , PASTUKH V M , RUCHKO M V , et al . Plasma mitochondrial DNA is elevated in obese type 2 diabetes mellitus patients and correlates positively with insulin resistance [J]. PLoS One , 2019 , 14 ( 10 ): e0222278 .
AL-KAFAJI G , ALHADAAN A , KAMAL A , et al . Peripheral blood mitochondrial DNA copy number as a novel potential biomarker for diabetic nephropathy in type 2 diabetes patients [J]. Exp Ther Med , 2018 , 16 ( 2 ): 1483 - 1492 .
CAO H , WU J , LUO J , et al . Urinary mitochondrial DNA:A potential early biomarker of diabetic nephropathy [J]. Diabetes Metab Res Rev , 2019 , 35 ( 4 ): e3131 .
DEL DOTTO V , ULLAH F , DI MEO I , et al . SSBP1 mutations cause mtDNA depletion underlying a complex optic atrophy disorder [J]. J Clin Invest , 2020 , 130 ( 1 ): 108 - 125 .
FILOGRANA R , MENNUNI M , ALSINA D , et al . Mitochondrial DNA copy number in human disease:The more the better? [J]. FEBS Lett , 2021 , 595 ( 8 ): 976 - 1002 .
WU W Y , WANG Z X , LI T S , et al . SSBP1 drives high fructose-induced glomerular podocyte ferroptosis via activating DNA-PK/p53 pathway [J]. Redox Biol , 2022 , 52 : 102303 .
HUANG Y , CHI J , WEI F , et al . Mitochondrial DNA:A new predictor of diabetic kidney disease [J]. Int J Endocrinol , 2020 , 2020 : 3650937 .
CHEN T H , WANG H C , CHANG C J , et al . Mitochondrial glutathione in cellular redox homeostasis and disease manifestation [J]. Int J Mol Sci , 2024 , 25 ( 2 ): 1314 .
BONNEFONT-ROUSSRLOT D , BASTARD J P , JAUDON M C , et al . Consequences of the diabetic status on the oxidant/antioxidant balance [J]. Diabetes Metab , 2000 , 26 ( 3 ): 163 - 176 .
WILLIAMS M D , VAN REMMEN H , CONRAD C C , et al . Increased oxidative damage is correlated to altered mitochondrial function in heterozygous manganese superoxide dismutase knockout mice [J]. J Biol Chem , 1998 , 273 ( 43 ): 28510 - 28515 .
AL-GADI I S , HAAS R H , FALK M J , et al . Endocrine disorders in primary mitochondrial disease [J]. J Endocr Soc , 2018 , 2 ( 4 ): 361 - 373 .
王晓晨 , 迟坤 , 杜军霞 , 等 . 胰岛素样生长因子结合蛋白2对高血糖环境诱导人足细胞凋亡的影响及机制研究 [J]. 解放军医学院学报 , 2024 , 45 ( 6 ): 610 - 617 .
WANG X C , CHI K , DU J X , et al . Effect of insulin-like growth factor binding protein 2 on human podocyte apoptosis induced by hyperglycemia and its mechanism [J]. Acad J Chin PLA Med Sch , 2024 , 45 ( 6 ): 610 - 617 .
王延海 , 张雷明 , 冯艳艳 . 大黄素改善高糖条件中人肾小球血管内皮细胞炎症、氧化应激及凋亡作用的研究 [J]. 中国临床药理学杂志 , 2023 , 39 ( 10 ): 1422 - 1426 .
WANG Y H , ZHANG L M , FENG Y Y . Effect of emodin on inflammation,oxidative stress and apoptosis of human renal glomerular endothelial cells under high glucose condition [J]. Chin J Clin Pharmacol , 2023 , 39 ( 10 ): 1422 - 1426 .
高治 , 巩永凤 , 王明霞 . 线粒体靶向抗氧化剂SKQ1对糖尿病小鼠肾损伤的治疗作用与机制 [J]. 滨州医学院学报 , 2024 , 47 ( 1 ): 1 - 7 .
GAO Z , GONG Y F , WANG M X . Therapeutic effect and mechanism of mitochondria-targeted antioxidant SKQ1 on renal injury in diabetic mice [J]. J Binzhou Med Univ , 2024 , 47 ( 1 ): 1 - 7 .
WANG Y , YANG J , CHANG X , et al . Isoliquiritigenin alleviates diabetic kidney disease via oxidative stress and the TLR4/NF- κ B/NLRP3 inflammasome pathway [J]. Mol Nutr Food Res , 2024 , 68 ( 16 ): e2400215 .
YANG H , XIE T , LI D , et al . Tim-3 aggravates podocyte injury in diabetic nephropathy by promoting macrophage activation via the NF- κ B/TNF- α pathway [J]. Mol Metab , 2019 , 23 : 24 - 36 .
TAKATA T , ARAKI S , TSUCHIYA Y , et al . Oxidative stress orchestrates MAPK and nitric-oxide synthase signal [J]. Int J Mol Sci , 2020 , 21 ( 22 ): 8750 .
DIXON S J , LEMBERG K M , LAMPRECHT M R , et al . Ferroptosis:An iron-dependent form of nonapoptotic cell death [J]. Cell , 2012 , 149 ( 5 ): 1060 - 1072 .
LI J , CAO F , YIN H L , et al . Ferroptosis:Past,present and future [J]. Cell Death Dis , 2020 , 11 ( 2 ): 88 .
WANG Y , BI R , QUAN F , et al . Ferroptosis involves in renal tubular cell death in diabetic nephropathy [J]. Eur J Pharmacol , 2020 , 888 : 173574 .
FANG X , SONG J , CHEN Y , et al . LncRNA SNHG1 knockdown inhibits hyperglycemia induced ferroptosis via miR-16-5p/ACSL4 axis to alleviate diabetic nephropathy [J]. J Diabetes Investig , 2023 , 14 ( 9 ): 1056 - 1069 .
LI Q , LIAO J , CHEN W , et al . NAC alleviative ferroptosis in diabetic nephropathy via maintaining mitochondrial redox homeostasis through activating SIRT3-SOD2/Gpx4 pathway [J]. Free Radic Biol Med , 2022 , 187 : 158 - 170 .
LI S , ZHENG L , ZHANG J , et al . Inhibition of ferroptosis by up-regulating Nrf2 delayed the progression of diabetic nephropathy [J]. Free Radic Biol Med , 2021 , 162 : 435 - 449 .
LIU Y , CUI H , MEI C , et al . Sirtuin4 alleviates severe acute pancreatitis by regulating HIF-1 α /HO-1 mediated ferroptosis [J]. Cell Death Dis , 2023 , 14 ( 10 ): 694 .
FENG X , WANG S , SUN Z , et al . Ferroptosis enhanced diabetic renal tubular injury via HIF-1 α /HO-1 pathway in db/db mice [J]. Front Endocrinol (Lausanne) , 2021 , 12 : 626390 .
LEI G , ZHUANG L , GAN B . Targeting ferroptosis as a vulnerability in cancer [J]. Nat Rev Cancer , 2022 , 22 ( 7 ): 381 - 396 .
KLEELE T , REY T , WINTER J , et al . Distinct fission signatures predict mitochondrial degradation or biogenesis [J]. Nature , 2021 , 593 ( 7859 ): 435 - 439 .
LIU S , LI X , WEN R , et al . Increased thromboxane/prostaglandin receptors contribute to high glucose-induced podocyte injury and mitochondrial fission through ROCK1-Drp1 signaling [J]. Int J Biochem Cell Biol , 2022 , 151 : 106281 .
BAEK J , LEE YH , JEONG H Y , et al . Mitochondrial quality control and its emerging role in the pathogenesis of diabetic kidney disease [J]. Kidney Res Clin Pract , 2023 , 42 ( 5 ): 546 - 560 .
NOONE J , ROCHFORT K D , O'SULLIVAN F , et al . SIRT4 is a regulator of human skeletal muscle fatty acid metabolism influencing inner and outer mitochondrial membrane-mediated fusion [J]. Cell Signal , 2023 , 112 : 110931 .
CAO Y , CHEN Z , HU J , et al . Mfn2 regulates high glucose-induced MAMs dysfunction and apoptosis in podocytes via PERK pathway [J]. Front Cell Dev Biol , 2021 , 9 : 769213 .
ONISHI M , YAMANO K , SATO M , et al . Molecular mechanisms and physiological functions of mitophagy [J]. EMBO J , 2021 , 40 ( 3 ): e104705 .
吉鸿飞 . PINK1介导的线粒体自噬在糖尿病小鼠足细胞氧化应激损伤中的作用及机制研究 [D]. 郑州 : 郑州大学 , 2017 .
JI H F . The role and mechanism of PINK1-mediated mitophagy in oxidative stress injury of podocytes in diabetic mice [D]. Zhengzhou : Zhengzhou University , 2017 .
陈驰 , 胡大军 , 张盛 , 等 . 鼠尾草酸调节PINK1/Parkin信号通路对高糖诱导大鼠肾小球系膜细胞的影响 [J]. 中国老年学杂志 , 2023 , 43 ( 23 ): 5830 - 5834 .
CHEN C , HU D J , ZHANG S , et al . Effect of carnosic acid on high glucose-induced rat glomerular mesangial cells by regulating PINK1/Parkin signaling pathway [J]. Chin J Gerontol , 2023 , 43 ( 23 ): 5830 - 5834 .
LUTZ A K , EXNER N , FETT M E , et al . Loss of parkin or PINK1 function increases Drp1-dependent mitochondrial fragmentation [J]. J Biol Chem , 2009 , 284 ( 34 ): 22938 - 22951 .
付夜平 , 杨芳 , 孙鑫 , 等 . 补肾健脾法对OP大鼠肌骨中ULK1/FUNDC1介导的线粒体自噬的影响 [J]. 中国骨质疏松杂志 , 2024 , 30 ( 7 ): 953 - 958 .
FU Y P , YANG F , SUN X , et al . Effect of Bushen Jianpi method on ULK1/FUNDC1-mediated mitophagy in muscle and bone of osteoporosis rats [J]. Chin J Osteoporos , 2024 , 30 ( 7 ): 953 - 958 .
ZHENG T , WANG H Y , CHEN Y , et al . Src activation aggravates podocyte injury in diabetic nephropathy via suppression of FUNDC1-mediated mitophagy [J]. Front Pharmacol , 2022 , 13 : 897046 .
EGAN D F , SHACKELFORD D B , MIHAYLOVA M M , et al . Phosphorylation of ULK1 (hATG1) by AMP-activated protein kinase connects energy sensing to mitophagy [J]. Science , 2011 , 331 ( 6016 ): 456 - 461 .
ZHANG C S , LIN S C . AMPK promotes autophagy by facilitating mitochondrial fission [J]. Cell Metab , 2016 , 23 ( 3 ): 399 - 401 .
FAN Y , YANG Q , YANG Y , et al . Sirt6 suppresses high glucose-induced mitochondrial dysfunction and apoptosis in podocytes through AMPK activation [J]. Int J Biol Sci , 2019 , 15 ( 3 ): 701 - 713 .
FENG J , LU C , DAI Q , et al . SIRT3 facilitates amniotic fluid stem cells to repair diabetic nephropathy through protecting mitochondrial homeostasis by modulation of mitophagy [J]. Cell Physiol Biochem , 2018 , 46 ( 4 ): 1508 - 1524 .
GORMAN G S , CHINNERY P F , DIMAURO S , et al . Mitochondrial diseases [J]. Nat Rev Dis Primers , 2016 , 2 : 16080 .
费成璆 , 吴雪平 , 高琴 , 等 . SIRT1/PGC-1 α 在高糖状态下线粒体氧化应激损伤致足细胞凋亡中的作用 [J]. 中国中西医结合肾病杂志 , 2023 , 24 ( 8 ):669-673, 753 - 754 .
FEI C Q , WU X P , GAO Q , et al . Role of SIRT1/PGC-1 α in podocyte apoptosis induced by mitochondrial oxidative stress injury under high glucose condition [J]. Chin J Integr Tradit West Nephrol , 2023 , 24 ( 8 ):669-673, 753 - 754 .
张沥文 . PGC-1 α 及其相关转录因子在糖尿病肾病及肾脏衰老中作用的研究 [D]. 上海 : 上海交通大学 , 2018 .
ZHANG L W . Role of PGC-1 α and its related transcription factors in diabetic kidney disease and kidney aging [D]. Shanghai : Shanghai Jiao Tong University , 2018 .
AHN B H , KIM H S , SONG S , et al . A role for the mitochondrial deacetylase Sirt3 in regulating energy homeostasis [J]. Proc Natl Acad Sci USA , 2008 , 105 ( 38 ): 14447 - 14452 .
YU Y , JIA Y Y , LI H J . Sodium butyrate improves mitochondrial function and kidney tissue injury in diabetic kidney disease via the AMPK/PGC-1 α pathway [J]. Ren Fail , 2023 , 45 ( 2 ): 2287129 .
FONTECHA-BARRIUSO M , MARTIN-SANCHEZ D , MARTINEZ-MORENO J M , et al . The role of PGC-1 α and mitochondrial biogenesis in kidney diseases [J]. Biomolecules , 2020 , 10 ( 2 ): 347 .
QI W , KEENAN H A , LI Q , et al . Pyruvate kinase M2 activation may protect against the progression of diabetic glomerular pathology and mitochondrial dysfunction [J]. Nat Med , 2017 , 23 ( 6 ): 753 - 762 .
WANG M Z , CAI Y F , FANG Q J , et al . Inhibition of ferroptosis of renal tubular cells with total flavones of Abelmoschus manihot alleviates diabetic tubulopathy [J]. Anat Rec (Hoboken) , 2023 , 306 ( 12 ): 3199 - 3213 .
朱开梅 , 唐丽霞 , 赵文鹏 , 等 . 槲皮素脂质体对糖尿病肾病氧化应激和TGF- β 1 /Smad7通路的影响 [J]. 安徽医科大学学报 , 2017 , 52 ( 3 ): 319 - 323 .
ZHU K M , TANG L X , ZHAO W P , et al . Effect of quercetin liposomes on oxidative stress and TGF- β 1 /Smad7 pathway in diabetic kidney disease [J]. Acta Univ Med Anhui , 2017 , 52 ( 3 ): 319 - 323 .
姜一凡 , 李小荣 , 耿嘉逸 , 等 . 槲皮素通过抑制HMGB1/RAGE/NF- κ B信号通路减轻糖尿病引起的大鼠肾脏损伤 [J]. 南方医科大学学报 , 2024 , 44 ( 9 ): 1769 - 1775 .
JIANG Y F , LI X R , GENG J Y , et al . Quercetin attenuates diabetes-induced renal injury in rats by inhibiting HMGB1/RAGE/NF- κ B signaling pathway [J]. J South Med Univ , 2024 , 44 ( 9 ): 1769 - 1775 .
ZHU X , ZHANG C , LIU L , et al . Senolytic combination of dasatinib and quercetin protects against diabetic kidney disease by activating autophagy to alleviate podocyte dedifferentiation via the Notch pathway [J]. Int J Mol Med , 2024 , 53 ( 3 ): 26 .
ZHANG L , WANG X , CHANG L , et al . Quercetin improves diabetic kidney disease by inhibiting ferroptosis and regulating the Nrf2 in streptozotocin-induced diabetic rats [J]. Ren Fail , 2024 , 46 ( 1 ): 2327495 .
ZHU Z , LUAN G , PENG S , et al . Huangkui capsule attenuates diabetic kidney disease through the induction of mitophagy mediated by STING1/PINK1 signaling in tubular cells [J]. Phytomedicine , 2023 , 119 : 154975 .
DE OLIVEIRA M R , NABAVI S F , HABTEMARIAM S , et al . The effects of baicalein and baicalin on mitochondrial function and dynamics:A review [J]. Pharmacol Res , 2015 , 100 : 296 - 308 .
马乐宜 . 黄芩苷改善糖尿病肾脏病氧化应激和炎症反应损伤的机制研究 [D]. 武汉 : 华中科技大学 , 2022 .
MA L Y . Mechanism of baicalin in ameliorating oxidative stress and inflammatory injury in diabetic kidney disease [D]. Wuhan : Huazhong University of Science and Technology , 2022 .
尹青桥 , 夏瑗瑜 , 陈杰 , 等 . 黄芩苷通过抑制miR-141激活Sirt1/Nrf2信号改善小鼠糖尿病肾病 [J]. 武汉大学学报:医学版 , 2019 , 40 ( 2 ): 186 - 191 .
YIN Q Q , XIA Y Y , CHEN J , et al . Baicalin ameliorates diabetic kidney disease in mice by inhibiting miR-141 and activating Sirt1/Nrf2 signaling [J]. J Wuhan Univ:Med Ed , 2019 , 40 ( 2 ): 186 - 191 .
HUANG D , SHEN P , WANG C , et al . Calycosin plays a protective role in diabetic kidney disease through the regulation of ferroptosis [J]. Pharm Biol , 2022 , 60 ( 1 ): 990 - 996 .
白宇 , 杨丽霞 , 贺云 , 等 . 当归多糖通过TLR4/NF- κ B信号通路对糖尿病肾病大鼠的影响 [J]. 中成药 , 2021 , 43 ( 3 ): 755 - 760 .
BAI Y , YANG L X , HE Y , et al . Effect of Angelica sinensis polysaccharide on diabetic kidney disease rats via TLR4/NF- κ B signaling pathway [J]. Chin Tradit Pat Med , 2021 , 43 ( 3 ): 755 - 760 .
王江侠 , 杨丽霞 , 米登海 , 等 . 当归多糖对糖尿病肾病KK-Ay小鼠肾脏AMPK信号通路及线粒体自噬的影响 [J]. 中草药 , 2023 , 54 ( 10 ): 3189 - 3196 .
WANG J X , YANG L X , MI D H , et al . Effect of Angelica sinensis polysaccharide on AMPK signaling pathway and mitophagy in kidney of KK-Ay mice with diabetic kidney disease [J]. Chin Tradit Herb Drugs , 2023 , 54 ( 10 ): 3189 - 3196 .
刘赫 , 李函舟 , 张辉 , 等 . 黄精多糖对糖尿病肾病大鼠铁死亡的影响 [J]. 中国中医药信息杂志 , 2023 , 30 ( 8 ): 126 - 130 .
LIU H , LI HZ , ZHANG H , et al . Effect of Polygonatum sibiricum polysaccharide on ferroptosis in diabetic kidney dis ease rats [J]. Chin J Inf Tradit Chin Med , 2023 , 30 ( 8 ): 126 - 130 .
秦炜 , 张宇 . 黄芪多糖对糖尿病肾病足细胞铁死亡介导的线粒体损伤的影响 [J]. 中医学报 , 2025 , 40 ( 2 ): 236 - 247 ..
QIN W , ZHANG Y . Effect of Astragalus polysaccharide on ferroptosis-mediated mitochondrial damage in podocytes of diabetic kidney disease [J]. J Chin Med , 2025 , 40 ( 2 ): 236 - 247 .
徐雪垠 . 黄芪多糖通过AMPK/SIRT1/PGC-1 α 途径对糖尿病肾病肾小管上皮细胞线粒体的影响 [J]. 山东医药 , 2020 , 60 ( 5 ): 33 - 37 .
XU X Y . Effect of Astragalus polysaccharide on mitochondria of renal tubular epithelial cells in diabetic kidney disease via AMPK/SIRT1/PGC-1 α pathway [J]. Shandong Med J , 2020 , 60 ( 5 ): 33 - 37 .
郭福团 , 许雄伟 , 潘建峰 , 等 . 桑枝多糖对糖尿病肾病大鼠肾脏组织抗氧化作用的影响 [J]. 中国医院药学杂志 , 2016 , 36 ( 23 ): 2058 - 2061 .
GUO F T , XU X W , PAN J F , et al . Effect of Ramulus mori polysaccharide on renal antioxidant function in diabetic kidney disease rats [J]. Chin J Hosp Pharm , 2016 , 36 ( 23 ): 2058 - 2061 .
祝建华 , 颜晓勇 , 吴佳洵 , 等 . 桑枝多糖在糖尿病小鼠肾脏损害中的保护作用及氧化应激相关机制研究 [J]. 临床和实验医学杂志 , 2018 , 17 ( 6 ): 564 - 568 .
ZHU J H , YAN X Y , WU J X , et al . Protective effect of Ramulus mori polysaccharide on renal damage in diabetic mice and its mechanism related to oxidative stress [J]. J Clin Exp Med , 2018 , 17 ( 6 ): 564 - 568 .
HE J Y , HONG Q , CHEN B X , et al . Ginsenoside Rb 1 alleviates diabetic kidney podocyte injury by inhibiting aldose reductase activity [J]. Acta Pharmacol Sin , 2022 , 43 ( 2 ): 342 - 353 .
曲萌 , 黄睿 , 鞠欣达 , 等 . 人参皂苷Rh 1 通过激活Nrf2/HO-1信号通路对糖尿病小鼠肾脏损伤的改善作用 [J]. 吉林大学学报:医学版 , 2024 , 50 ( 6 ): 1565 - 1571 .
QU M , HUANG R , JU X D , et al . Ameliorative effect of ginsenoside Rh 1 on renal injury in diabetic mice by activating Nrf2/HO-1 signaling pathway [J]. J Jilin Univ (Med Ed) , 2024 , 50 ( 6 ): 1565 - 1571 .
WU Y , DENG H , SIN J , et al . Poricoic acid A induces mitophagy to ameliorate podocyte injury in diabetic kidney disease via downregulating FUNDC1 [J]. J Biochem Mol Toxicol , 2023 , 37 ( 12 ): e23503 .
WANG H Q , WU H X , SHI W Q , et al . Triptolide attenuates renal slit diagram to tight junction transition in diabetic kidney disease by regulating Nrf2-Ferroptosis pathway [J]. Am J Chin Med , 2024 , 52 ( 7 ): 2161 - 2185 .
LI X Y , WANG S S , HAN Z , et al . Triptolide restores autophagy to alleviate diabetic renal fibrosis through the miR-141-3p/PTEN/Akt/mTOR pathway [J]. Mol Ther Nucleic Acids , 2017 , 9 : 48 - 56 .
LIU Y , HU Z , XING H , et al . Renoprotective effects of oleanolic acid and its possible mechanisms in rats with diabetic kidney disease [J]. Biochem Biophys Res Commun , 2022 , 636 ( Pt 1 ): 1 - 9 .
裴翔 , 刘丹 , 欧阳茹 , 等 . 黄芪甲苷对小鼠2型糖尿病肾损伤的保护作用及其基于线粒体质量控制网络的作用 [J]. 中国老年学杂志 , 2022 , 42 ( 24 ): 6064 - 6067 .
PEI X , LIU D , OUYANG R , et al . Protective effect of astragaloside Ⅳ on type 2 diabetic renal injury in mice and its mechanism based on mitochondrial quality control network [J]. Chin J Gerontol , 2022 , 42 ( 24 ): 6064 - 6067 .
SHEN Q , FANG J , GUO H , et al . Astragaloside IV attenuates podocyte apoptosis through ameliorating mitochondrial dysfunction by up-regulated Nrf2-ARE/TFAM signaling in diabetic kidney disease [J]. Free Radic Biol Med , 2023 , 203 : 45 - 57 .
XUE H , LI P , LUO Y , et al . Salidroside stimulates the Sirt1/PGC-1 α axis and ameliorates diabetic nephropathy in mice [J]. Phytomedicine , 2019 , 54 : 240 - 247 .
LIU W , LI F , GUO D , et al . Schisandrin B alleviates renal tubular cell epithelial-mesenchymal transition and mitochondrial dysfunction by kielin/chordin-like protein upregulation via Akt pathway inactivation and adenosine 5′-monophosphate (AMP)-activated protein kinase pathway activation in diabetic kidney disease [J]. Molecules , 2023 , 28 ( 23 ): 7851 .
LIU X , ZHANG X , CAI X , et al . Effects of curcumin on high glucose-induced epithelial-to-mesenchymal transition in renal tubular epithelial cells through the TLR4-NF- κ B signaling pathway [J]. Diabetes Metab Syndr Obes , 2021 , 14 : 929 - 940 .
鲁馨迪 , 刘菊 , 刘泉杉 , 等 . 姜黄素对高糖下肾小管上皮细胞线粒体自噬的影响 [J]. 锦州医科大学学报 , 2024 , 45 ( 3 ): 25 - 28,41 .
LU X D , LIU J , LIU Q S , et al . Effect of curcumin on mitophagy of renal tubular epithelial cells under high glucose condition [J]. J Jinzhou Med Univ , 2024 , 45 ( 3 ): 25 - 28,41 .
DOU Y , HUANG R , LI Q , et al . Oxyberberine,an absorbed metabolite of berberine,possess superior hypoglycemic effect via regulating the PI3K/Akt and Nrf2 signaling pathways [J]. Biomed Pharmacother , 2021 , 137 : 111312 .
QIN X , JIANG M , ZHAO Y , et al . Berberine protects against diabetic kidney disease via promoting PGC-1 α -regulated mitochondrial energy homeostasis [J]. Br J Pharmacol , 2020 , 177 ( 16 ): 3646 - 3661 .
QIN X , ZHAO Y , GONG J , et al . Berberine protects glomerular podocytes via inhibiting Drp1-mediated mitochondrial fission and dysfunction [J]. Theranostics , 2019 , 9 ( 6 ): 1698 - 1713 .
余江毅 , 倪青 , 刘苏 . 糖尿病肾病病证结合诊疗指南 [J]. 中医杂志 , 2022 , 63 ( 2 ): 190 - 197 .
YU J Y , NI Q , LIU S . Guidelines for the diagnosis and treatment of diabetic kidney disease based on disease and syndrome combination [J]. J Tradit Chin Med , 2022 , 63 ( 2 ): 190 - 197 .
谭颖颖 , 屈直 , 张琪 . 六味地黄丸含药血清减低高糖诱导的肾小管上皮细胞的氧化损伤和凋亡的研究 [J]. 时珍国医国药 , 2015 , 26 ( 7 ): 1566 - 1569 .
TAN Y Y , QU Z , ZHANG Q . Liuwei dihuang wan medicated serum reduces oxidative damage and apoptosis of renal tubular epithelial cells induced by high glucose [J]. Lishizhen Med Mater Med Res , 2015 , 26 ( 7 ): 1566 - 1569 .
陶鹏宇 , 张悦 . 六味地黄丸通过调控NF- κ B及TGF- β /Smad双信号通路减轻糖尿病肾病炎症及纤维化 [J]. 广州中医药大学学报 , 2019 , 36 ( 2 ): 245 - 250 .
TAO P Y , ZHANG Y . Liuwei dihuang wan alleviates inflammation and fibrosis in diabetic kidney disease by regulating NF- κ B and TGF- β /Smad dual signaling pathways [J]. J Guangzhou Univ Tradit Chin Med , 2019 , 36 ( 2 ): 245 - 250 .
吴源陶 , 王智槟 , 傅馨莹 , 等 . 参芪地黄汤介导ACSL4/LPCAT3/ALOX15轴抑制花生四烯酸相关性铁死亡改善小鼠糖尿病肾病肾功能 [J]. 中国实验方剂学杂志 , 2025 , 31 ( 12 ): 140 - 149 .
WU Y T , WANG Z B , FU X Y , et al . Shenqi Dihuang tang inhibits arachidonic acid-related ferroptosis via ACSL4/LPCAT3/ALOX15 axis to improve renal function in diabetic kidney disease mice [J]. Chin J Exp Tradit Med Form , 2025 , 31 ( 12 ): 140 - 149 .
王智槟 , 邹晓玲 , 邹译娴 , 等 . 基于Nrf2/HO-1/GPX4信号轴探讨参芪地黄汤抑制高糖诱导人肾小管上皮细胞铁死亡的作用机制 [J]. 中国中药杂志 , 2023 , 48 ( 19 ): 5337 - 5344 .
WANG Z B , ZOU X L , ZOU Y X , et al . Mechanism of Shenqi Dihuang decoction in inhibiting high glucose-induced ferroptosis of human renal tubular epithelial cells based on Nrf2/HO-1/GPX4 signaling axis [J]. China J Chin Mater Med , 2023 , 48 ( 19 ): 5337 - 5344 .
赵哲 , 陈光顺 , 白敏 , 等 . 基于Nrf2/HO-1/GPX4信号通路探讨真武汤改善脾肾阳虚型糖尿病肾病小鼠的作用机制 [J]. 中国实验方剂学杂志 , 2024 , 30 ( 15 ): 29 - 37 .
ZHAO Z , CHEN G S , BAI M , et al . Mechanism of Zhenwu tang in ameliorating diabetic kidney disease mice with spleen-kidney yang deficiency based on Nrf2/HO-1/GPX4 signaling pathway [J]. Chin J Exp Tradit Med Form , 2024 , 30 ( 15 ): 29 - 37 .
靳玉秋 , 陈光顺 , 白敏 , 等 . 真武汤调控ROCK/IKK/NF- κ B通路关键分子表达改善脾肾阳虚型DN小鼠肾脏炎症损伤的机制研究 [J]. 中国中药杂志 , 2023 , 48 ( 18 ): 5041 - 5048 .
JIN Y Q , CHEN G S , BAI M , et al . Mechanism of Zhenwu tang in regulating ROCK/IKK/NF- κ B pathway key molecule expression to ameliorate renal inflammatory injury in DN mice with spleen-kidney yang deficiency [J]. China J Chin Mater Med , 2023 , 48 ( 18 ): 5041 - 5048 .
张圆圆 , 靳培培 , 宋婧雅 , 等 . 基于氧化应激和缺氧探讨加味真武汤对HK-2细胞线粒体生物合成的影响 [J]. 中华中医药杂志 , 2024 , 39 ( 7 ): 3663 - 3668 .
ZHANG Y Y , JIN P P , SONG J Y , et al . Effect of Jiawei Zhenwu tang on mitochondrial biogenesis in HK-2 cells based on oxidative stress and hypoxia [J]. China J Tradit Chin Med Pharm , 2024 , 39 ( 7 ): 3663 - 3668 .
高彦彬 , 刘铜华 , 李平 . 糖尿病肾病中医防治指南 [J]. 中国中医药现代远程教育 , 2011 , 9 ( 4 ): 151 - 153 .
GAO Y B , LIU T H , LI P . Guidelines for the prevention and treatment of diabetic kidney disease in traditional Chinese medicine [J]. Chin J Mod Distance Educ Tradit Chin Med , 2011 , 9 ( 4 ): 151 - 153 .
靳贺超 , 强家维 , 张冠文 , 等 . 当归补血汤通过改善足细胞线粒体功能障碍减轻糖尿病肾病大鼠氧化应激及炎症反应 [J]. 中国实验方剂学杂志 , 2022 , 28 ( 3 ): 31 - 40 .
JIN H C , QIANG J W , ZHANG G W , et al . Danggui buxue tang attenuates oxidative stress and inflammatory response in diabetic kidney disease rats by improving podocyte mitochondrial dysfunction [J]. Chin J Exp Tradit Med Form , 2022 , 28 ( 3 ): 31 - 40 .
叶太生 . 基于miR-21靶向Akt/mTOR信号通路探讨补气生血法调控自噬防治早期糖尿病肾病临床和实验研究 [D]. 武汉 : 湖北中医药大学 , 2019 .
YE T S . Clinical and experimental study on Buqi Shenghua method regulating autophagy via miR-21 targeting Akt/mTOR signaling pathway in prevention and treatment of early diabetic kidney disease [D]. Wuhan : Hubei University of Chinese Medicine , 2019 .
吕树泉 , 潘保朝 , 刘爱茹 , 等 . 三黄益肾胶囊调控NF- κ B信号通路减轻糖尿病肾病大鼠炎症反应的机制研究 [J]. 世界中医药 , 2024 , 19 ( 10 ): 1406 - 1413 .
LYU S Q , PAN B C , LIU A R , et al . Mechanism of Sanhuang Yishen capsules in alleviating inflammatory response in diabetic kidney disease rats by regulating NF- κ B signaling pathway [J]. World Chin Med , 2024 , 19 ( 10 ): 1406 - 1413 .
LI H , WANG Y , SU X , et al . San-Huang-Yi-Shen capsule ameliorates diabetic kidney disease through inducing PINK1/Parkin-mediated mitophagy and inhibiting the activation of NLRP3 signaling pathway [J]. J Diabetes Res , 2022 , 2022 : 2640209 .
王生化 , 何信用 , 郑思成 , 等 . 益糖康调控JAK2/STAT3信号通路抑制炎症预防糖尿病肾病的研究 [J]. 中华中医药学刊 , 2021 , 39 ( 12 ): 145 - 149,291 .
WANG S H , HE X Y , ZHENG S C , et al . Yitang kang prevents diabetic kidney disease by regulating JAK2/STAT3 signaling pathway to inhibit inflammation [J]. Chin Arch Tradit Chin Med , 2021 , 39 ( 12 ): 145 - 149,291 .
李艳春 . 中药复方益糖康调控SLC7A11/GPX4介导的铁死亡防治糖尿病肾脏损伤的机制研究 [D]. 沈阳 : 辽宁中医药大学 , 2022 .
LI YC . Mechanism of Chinese herbal compound Yitang kang in preventing and treating diabetic kidney injury by regulating SLC7A11/GPX4-mediated ferroptosis [D]. Shenyang : Liaoning University of Traditional Chinese Medicine , 2022 .
程玥凤 , 于嘉祥 , 张瀚文 , 等 . 中药复方益糖康颗粒通过AGE-RAGE轴介导SIRT1调控PI3K/Akt/FoxO1信号通路促进足细胞自噬的机制 [J]. 中国实验方剂学杂志 , 2024 , 30 ( 17 ): 113 - 121 .
CHENG Y F , YU J X , ZHANG H W , et al . Mechanism of Chinese herbal compound Yitang kang granules in promoting podocyte autophagy via AGE-RAGE axis-mediated SIRT1 regulating PI3K/Akt/FoxO1 signaling pathway [J]. Chin J Exp Tradit Med Form , 2024 , 30 ( 17 ): 113 - 121 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
