2015
DOI: 10.1900/rds.2015.12.134
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Targeting Mitochondria and Reactive Oxygen Species-Driven Pathogenesis in Diabetic Nephropathy

Abstract: Diabetic kidney disease is one of the major microvascular complications of both type 1 and type 2 diabetes mellitus. Approximately 30% of patients with diabetes experience renal complications. Current clinical therapies can only mitigate the symptoms and delay the progression to end-stage renal disease, but not prevent or reverse it. Oxidative stress is an important player in the pathogenesis of diabetic nephropathy. The activity of reactive oxygen and nitrogen species (ROS/NS), which are by-products of the di… Show more

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Cited by 86 publications
(72 citation statements)
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“…Oxidative stress plays a central role in the development of diabetic nephropathy (29,30). Hyperglycemia increases mitochondrial ROS, which is secondary to the up-regulation of certain NOX subunits that induce progression of diabetic kidney disease (31).…”
Section: Discussionmentioning
confidence: 99%
“…Oxidative stress plays a central role in the development of diabetic nephropathy (29,30). Hyperglycemia increases mitochondrial ROS, which is secondary to the up-regulation of certain NOX subunits that induce progression of diabetic kidney disease (31).…”
Section: Discussionmentioning
confidence: 99%
“…Oxidative stress is an important culprit in the pathogenesis [1,2] and progression [3][4][5] of CKD, but also in cardiovascular disease, a major complication of CKD and the major cause of death among patients undergoing dialysis treatment [16], as well as in diabetes mellitus, 1 important cause of CKD, in which it is well established that the intracellular environment is oxidized [1,17]. Importantly, CKD affects red blood cell and platelets that are activated and produce reactive oxygen species, which in turn activates intracellular redox enzymes, for example, superoxide dismutase, catalase, glutathione peroxidase, transferases, and glutathione reductase [6], showing and increased redox imbalance in platelets and red blood cells of CKD patients [5,6,[18][19][20][21].…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, CKD affects red blood cell and platelets that are activated and produce reactive oxygen species, which in turn activates intracellular redox enzymes, for example, superoxide dismutase, catalase, glutathione peroxidase, transferases, and glutathione reductase [6], showing and increased redox imbalance in platelets and red blood cells of CKD patients [5,6,[18][19][20][21]. Markers of protein and lipid peroxidation, for example, malondialdehyde (MDA/TBARS), advanced glycation end products including pentosidine [7,8], advanced oxidation protein products [1,5] are also altered in CKD; however, to date, there are no redox markers that are readily used in the point-of-care testing.…”
Section: Discussionmentioning
confidence: 99%
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“…In virtually all of these oxidative stress-linked dysfunctions, antioxidants have proven to be very valuable in their treatment [13,[16][17][18][19]. In addition to specific antioxidants such as coenzyme Q10, alpha lipoic acid and vitamin E, certain natural products have been shown to be effective treatments in regard to these specific diseases [20][21][22][23][24].…”
Section: Introductionmentioning
confidence: 99%