Evidence map›Paper›PMID 42577952›Full record

ReviewRSC medicinal chemistry2026

Natural products in diabetic nephropathy: mechanisms and structure-activity relationships.

Yueyang Wang, Jieming Li, Youjia Tian, Shiyu Kong, Yuanfang Kong, Kechao Wang, Lifeng Zhu, Xu Shen, Chunhong Dong

Abstract readReview
In one paragraph

Review in RSC medicinal chemistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yueyang WangHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.ORCID https://orcid.org/0009-0008-0473-0816
Jieming LiHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.
Youjia TianHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.
Shiyu KongHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.
Yuanfang KongHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.ORCID https://orcid.org/0000-0002-9220-4275
Kechao WangHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.
Lifeng ZhuHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.
Xu ShenHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.
Chunhong DongHenan University of Chinese Medicine Zhengzhou 450046 China kongyf@hactcm.edu.cn chunhong_dong@hactcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic nephropathy (DN), a major microvascular complication of diabetes mellitus, is a leading cause of end-stage renal disease and represents a significant threat to global public health. Currently, clinical management primarily relies on hypoglycemic, antihypertensive, and lipid-lowering agents. Although these therapies can slow the progression of DN, their overall efficacy remains limited due to adverse side effects, poor target specificity, and the multifactorial pathogenesis of the disease. Natural products, predominantly derived from medicinal plants, possess diverse chemical scaffolds and are characterized by multi-target pharmacological actions and broad therapeutic potential. These compounds exert beneficial effects through modulation of key pathological processes, including oxidative stress, inflammatory responses, autophagy, ferroptosis, and renal fibrosis. A literature search was conducted in PubMed and Web of Science for articles published between 2017 and 2025 using keywords including "diabetic nephropathy", "diabetic kidney disease", "natural products", "polyphenols", "phenolic acids", "flavonoids", "flavonols", "flavones", "isoflavones", "iridoids", "saponins", "triterpenoids", "lignans", "stilbenes", "curcuminoids", "quinones", "alkaloids", "phenylethanoid glycosides", "autophagy", "ferroptosis", "NLRP3 inflammasome", "NF-κB", "Nrf2", "PI3K/Akt", "TGF-β/Smad", and "mechanisms". The pharmacological mechanisms of major natural product classes in DN are summarized, covering oxidative stress, inflammation, autophagy, and ferroptosis pathways. In contrast to existing reviews, this study categorizes anti-diabetic nephropathy natural products by chemical scaffold and offers a preliminary structure-activity relationship (SAR) analysis, thereby elucidating the potential link between structural features and pharmacological mechanisms. This provides a new research direction for future target identification and the development of novel anti-diabetic nephropathy agents.

Identifiers

PMID42577952
PMCPMC13455647

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.