Corni Fructus (Cornus officinalis SIEB. et ZUCC.), a traditional medicine, is considered one of the 25 plant-based drugs most frequently used in China, Japan, and Korea. Recent studies have reported that Corni Fructus has a plasma glucose-lowering action in normal rats, along with anti neoplastic and anti-microbial effects.1-3) Moreover, Vareed et al. 4) reported that Corni Fructus has been used for improving liver and kidney functions. The components are total iridoid glycosides such as morroniside and loganin and also a few polyphenols such as cornusiin A, B, and C, monomeric and trimeric hydrolysable tannins, and so on. 5,6) Among them, the total iridoid glycosides are well-known as the main active constituents of Corni Fructus. The total iridoid glycosides of Corni Fructus containing loganin and morroniside inhibit oxidative stress 7) and prevent the renal overdeposition of fibronectin and laminin in an experimental diabetic rat model. 8) In particular, morroniside, one of the most abundant iridoid glycosides in Corni Fructus, has been proven effective in preventing diabetic complications such as diabetic angiopathy and the early stages of diabetic nephropathy by regulating renal mesangial cell growth through inhibiting oxidative stress.9,10) In addition, it exhibits a neuroprotective effect by providing cytoprotection against H 2 O 2 -toxicity in SH-SY5Y cells.
11)Diabetes mellitus is characterized by excessive glucose production. An abnormally elevated blood glucose level leads to oxidative stress and the formation of advanced glycation endproduct (AGE), which have been closely linked to diabetic complications such as neuropathy, retinopathy, and nephropathy.12,13) Especially, diabetics are at increased risk for several types of kidney disease, and the predominant cause of end-stage renal disease in this disorder is diabetic nephropathy.14,15) However, clinical trials suggest that there is no effective treatment for diabetic nephropathy.16) Therefore, prevention of the occurrence and progression of diabetic nephropathy has become a very important issue.Our previous investigations have demonstrated that Hachimi-jio-gan, a Chinese prescription consisting of eight crude drugs, owes it therapeutic potential to ameliorating functional and structural features associated with experimental types 1 and 2 diabetic nephropathy rat models. 17,18) Hachimi-jio-gan showed a preventive effect against kidney damage by reducing renal oxidative injury and the expression of fibronectin and transforming growth factor-b 1 (TGFb 1 ) protein, involved in the pathophysiology of diabetic nephropathy in diabetic rats, and effectively inhibited the progression of chronic renal failure through decreasing uremic toxins, elevating antioxidant enzymes such as superoxide dismutase and catalase activities, and ameliorating histopathological lesions in the kidney. 19,20) In addition, this traditional prescription also alleviated diabetic oxidative stress through the inhibition of lipid peroxidation. 21) Cornus Fructus, one of eight medicina...