2019
DOI: 10.3390/molecules24152857
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Hydrogen Sulfide: Recent Progression and Perspectives for the Treatment of Diabetic Nephropathy

Abstract: Diabetic kidney disease develops in approximately 40% of diabetic patients and is a major cause of chronic kidney diseases (CKD) and end stage kidney disease (ESKD) worldwide. Hydrogen sulfide (H2S), the third gasotransmitter after nitric oxide (NO) and carbon monoxide (CO), is synthesized in nearly all organs, including the kidney. Though studies on H2S regulation of renal physiology and pathophysiology are still in its infancy, emerging evidence shows that H2S production by renal cells is reduced under disea… Show more

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Cited by 78 publications
(59 citation statements)
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References 193 publications
(251 reference statements)
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“…The role of hydrogen sulfide in chronic and acute kidney disease is considered to be context-dependent [89,90]. The protective role of the metabolite was shown in models of ischemia-reperfusion and obstructive kidney injury [90], as well as in kidney impairments caused by diabetes and renovascular hypertension [91,92]. On the other hand, controversial data were obtained on the role of H 2 S, when using nephrotoxic cisplatin [89].…”
Section: Discussionmentioning
confidence: 99%
“…The role of hydrogen sulfide in chronic and acute kidney disease is considered to be context-dependent [89,90]. The protective role of the metabolite was shown in models of ischemia-reperfusion and obstructive kidney injury [90], as well as in kidney impairments caused by diabetes and renovascular hypertension [91,92]. On the other hand, controversial data were obtained on the role of H 2 S, when using nephrotoxic cisplatin [89].…”
Section: Discussionmentioning
confidence: 99%
“…The major renal structural changes in DN include mesangial hyperplasia, thickening of the glomerular and tubular basement membrane, and glomerular sclerosis. The clinical manifestation of DN includes persistent proteinuria, increased blood pressure, and edema [18]. The causes of DN involve changes in renal hemodynamics, hypoxia and excessive activation of the renin-angiotensinaldosterone system (RAAS), oxidative stress, inflammation, mitochondrial dysfunction, podocyte autophagy, and genetic and epigenetic regulation [19].…”
Section: Pathophysiology Of Dnmentioning
confidence: 99%
“…Renal fibrosis is the ultimate pathological change of DKD. It is caused by a variety of mechanisms including renal hemodynamic changes, oxidative stress, inflammatory response, hypoxia, and activation of the renin-angiotensin-aldosterone system (RAAS) [ 9 , 10 ]. The kidney is a high metabolic organ; increasing evidence indicates that reactive oxygen species (ROS) overproduction is a common cause of kidney metabolic changes and hemodynamic changes [ 11 ].…”
Section: Introductionmentioning
confidence: 99%