2021
DOI: 10.4062/biomolther.2020.204
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Diabetic Nephropathy - a Review of Risk Factors, Progression, Mechanism, and Dietary Management

Abstract: Type 2 diabetes mellitus (T2DM) leads to many health problems like diabetic nephropathy (DN). One of the key factors for chronic kidney disease and end-stage renal disease (ESRD) is T2DM. Extensive work is being done to delineate the pathogenesis of DN and to extend possible remedies. This review is intended to understand the nature of DN risk factors, progression, effects of glycemic levels, and stages of DN. We also explored the novel diagnostic and therapeutic approaches for DN such as gene therapy and stem… Show more

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Cited by 75 publications
(49 citation statements)
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References 79 publications
(73 reference statements)
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“…Therefore, future studies on the progression of DN from stage 1 to stage 5 in the NA-STZ animal model need to be conducted. Moreover, numerous diabetic kidney injury biomarkers, such as those recently reported by Pelle et al [ 46 ] and Natesan et al [ 11 ], have also not been systematically and comprehensively evaluated in this NA-STZ animal model. Most studies use popular kidney injury parameters [ 47 ] such as blood urea nitrogen (BUN), serum cystatin C, creatinine, uric acid, or/and estimated glomerular flow rate (eGFR) for the evaluation of diabetic kidney injury after NA-STZ injections.…”
Section: Renal Pathophysiology In This Na/stz Animal Modelmentioning
confidence: 99%
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“…Therefore, future studies on the progression of DN from stage 1 to stage 5 in the NA-STZ animal model need to be conducted. Moreover, numerous diabetic kidney injury biomarkers, such as those recently reported by Pelle et al [ 46 ] and Natesan et al [ 11 ], have also not been systematically and comprehensively evaluated in this NA-STZ animal model. Most studies use popular kidney injury parameters [ 47 ] such as blood urea nitrogen (BUN), serum cystatin C, creatinine, uric acid, or/and estimated glomerular flow rate (eGFR) for the evaluation of diabetic kidney injury after NA-STZ injections.…”
Section: Renal Pathophysiology In This Na/stz Animal Modelmentioning
confidence: 99%
“…Diabetic nephropathy (DN), also known as diabetic kidney disease (DKD) [ 1 , 2 , 3 ], is a severe complication of diabetes mellitus [ 4 , 5 ]. Approximately 30% of diabetic patients can develop DN [ 6 , 7 , 8 ], which is also a chronic kidney disease and can progress to end-stage renal failure [ 9 , 10 , 11 ]. The hallmarks of DN are kidney hypertrophy [ 12 , 13 , 14 ], mesangial cell proliferation and mesangial matrix accumulation [ 15 , 16 , 17 ], glomerulosclerosis, and persistent levels of proteinuria [ 18 , 19 ].…”
Section: Introductionmentioning
confidence: 99%
“…As a result, clinically visible osteomalacia is suggested to be the “tip of the iceberg”, while the real responsibility of sub-clinical rickets and osteomalacia remain uncertain ( Haboubi and Jones, 2007 ). Calcium deficiency is affected by various factors: a lack of calcium absorption and a lack of vitamin D. Vitamin D deficiency is widespread in Europe, affecting approximately 18% of inhabitants during the winter, though dark-skinned ethnic minorities are at a 3-71 times greater risk ( Cashman et al , 2019 ; Natesan and Kim, 2021a ). The rising prevalence of vitamin D deficiency reflects the trend in osteomalacia, with dark-skinned people being more vulnerable.…”
Section: Rickets/osteomalaciamentioning
confidence: 99%
“…Lipid metabolism-based disorders were classified into five types by Fredrickson’s, based on the pathway and health effects ( Quispe et al ., 2019 ). When compared to a lower level of lipids, a higher amount of lipid accumulation in the body causes more health disorders, which is known as hyperlipidemia ( Natesan and Kim, 2021 ). Hyperlipidemia refers to a group of serious lipid disorders caused by an abnormally high level of unwanted lipids in the blood ( Verma, 2017 ).…”
Section: Lipid Metabolism Disordersmentioning
confidence: 99%