Evidence map›Paper›PMID 41821729›Full record

ReviewFrontiers in endocrinology2026

Traditional Chinese medicine in the treatment of diabetic kidney disease: the mechanisms of signaling pathways regulations.

Wencan Li, Chaoqi Lei, Qinxuan Wu, Keqian Chen, Zheng Liu, Qichang Xing, Xiang Liu, Jiani Zhang

Abstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Modulation of the gut microbiota by traditional Chinese medicine to attenuate chemotherapy-induced toxicity in gastric cancer: a review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  2. Review
  3. 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

8 authors.

Wencan Li *Department of Clinical Pharmacy, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.
Chaoqi Lei *Department of Traditional Chinese Medicine, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.
Qinxuan WuHunan Provincial Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, the "Double-First Class" Application Characteristic Discipline of Hunan Province (Pharmaceutical Science), Changsha Medical University, Changsha, Hunan, China.
Keqian ChenDepartment of Clinical Pharmacy, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.
Zheng LiuDepartment of Clinical Pharmacy, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.
Qichang XingDepartment of Clinical Pharmacy, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.
Xiang LiuDepartment of Clinical Pharmacy, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.
Jiani ZhangDepartment of Clinical Pharmacy, The Central Hospital of Xiangtan (The Affiliated Hospital of Hunan University), Xiangtan, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic kidney disease (DKD) represents a diabetes-driven microvascular complication characterized by renal physiological and metabolic disorders and is considered a top-ranking trigger of progression to end-stage renal disease and death in diabetic patients. Although the drugs commonly used in clinical practice for DKD provide some renal protection, their toxic side effects and limited ability to halt further progression of the disease remain unsatisfactory. Traditional Chinese medicine (TCM) brings centuries of accumulated practice and distinct therapeutic strengths to the management of chronic diseases with complex pathogenesis such as DKD. Its characteristics of multi-target and multi-pathway intervention establish a solid material basis for DKD therapy, while its low toxicity profile aligns well with the chronic nature of DKD. This review elaborates on the therapeutic potential of examining TCM's impact on DKD through the prism of cellular signaling pathways and reveals that the Nrf2, TGF-β/Smad, NF-κB/NLRP3, MAPK, and PI3K/AKT signaling pathways warrant particular attention in the TCM treatment of DKD. The TCM agents involved include astragaloside IV, Shengqing Jiangzhuo formula, Huangkui capsule, Fuxin granules, Liuwei Dihuang pill,

Indexed as

Diabetic NephropathiesDrugs, Chinese HerbalMedicine, Chinese TraditionalSignal TransductionAnimalsHumansDrugs, Chinese Herbaldiabetic kidney diseasediabetic nephropathymechanismsignaling pathwaytraditional Chinese medicine

Identifiers

PMID41821729
PMCPMC12975479

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.