Evidence map›Paper›PMID 42778934›Full record

ReviewChinese medicine2026

Natural product therapy in diabetic kidney disease: emerging multiomics-mediated signalling pathway and molecular target.

Kai-En Wang, Qing-Qing Yu, Wen-Feng Wang, Yan-Ni Wang, Jie Yang, Hua Miao, Li-Min Liu, Ying-Yong Zhao

Abstract readReview
In one paragraph

Review in Chinese medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kai-En Wang *School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, 310053, Zhejiang, China.
Qing-Qing Yu *School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, 310053, Zhejiang, China.
Wen-Feng Wang *School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, 310053, Zhejiang, China.
Yan-Ni Wang *Department of Clinical Research, Xianyang Hospital of Yan'an University, No. 38, Middle Section, Wenlin Road, Xianyang, 712000, Shaanxi, China.
Jie YangDepartment of Nephrology, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Hua MiaoSchool of Pharmaceutical Sciences, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, 310053, Zhejiang, China. mh77@nwu.edu.cn.
Li-Min LiuSchool of Pharmaceutical Sciences, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, 310053, Zhejiang, China. liulimin@nwu.edu.cn.
Ying-Yong ZhaoSchool of Pharmaceutical Sciences, Zhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, 310053, Zhejiang, China. zyy@nwu.edu.cn.

Funding

National Natural Science Foundation of China 82274192National Natural Science Foundation of China 82474062Shaanxi Key Science and Technology Plan Project 2023-ZDLSF-26Shaanxi Natural Science Basic Research Program 2025JC-YBQN-1210Zhejiang Provincial Natural Science Foundation LHZSZ25H270001
6 · The paper itself

Abstract

Diabetic kidney disease (DKD) is one of the most common microvascular complications of diabetes, with high mortality and morbidity, and is a major cause of progression to end-stage renal disease (ESRD). Although inhibitors or blockers of renin-angiotensin system blockers have a beneficial effect on the treatment of DKD, most patients progress to ESRD and ultimately require renal replacement therapies. Extensive studies have suggested that natural products, as a mainly new drug source, has been demonstrated to be an important therapy for the prevention and treatment of DKD. Based on genomics, transcriptomics, proteomics and metabolomics technologies, the dysregulation of targeting multiomics-associated gut microbiota, non-coding RNAs, altered proteome and endogenous metabolites has recognized as a promising therapy for DKD. This review summarizes natural products, including traditional Chinese medicine formulas (Qitu Qushi formula, Jin Gui Ren Qi Pill and Huangkui capsules), single herbal extracts (Salvia miltiorrhiza, Korean red ginseng, Abelmoschus manihot flowers) and natural compounds (magnesium lithospermate B, thonningianin A germacrone, triptolide, hesperetin, astragaloside IV, icariin and kaempferol) as well as natural polysaccharides, protect against DKD by regulating novel multiomics-associated molecular mechanisms, including gut microbiota dysbiosis, aberrant non-coding RNAs transcription, and disorder of endogenous metabolites and associated with downstream diverse signals, such as IκB/NF-κB, JAK/STAT, MAPK and NLRP3-mediated inflammation pathways, AGEs/RAGE and Keap1/Nrf2-mediated oxidative stress pathways, PI3K/AKT/mTOR, AMPK and endoplasmic reticulum stress-mediated energy/autophagy pathways and TGF-β/Smad and Wnt/β-catenin-mediated fibrosis pathways. Therefore, the underlying molecular mechanism by which natural products ameliorate DKD by reshaping GM dysbiosis, restoring aberrant expression of ncRNAs and regulating metabolite disorder will provide new therapeutic targets for treatment of DKD of natural products. These findings expand our understanding of therapeutic effects of natural products on DKD and provide valuable information for clinical application of natural products. This review presents a concept-driven therapeutic strategy for DKD treatment and management.

Indexed as

AGE/RAGE pathwayDiabetic kidney diseaseGenomicsGut microbiotaMetabolomicsMultiomicsNatural productsNon-coding RNAsTraditional Chinese medicineTranscriptomics

Identifiers

PMID42778934
PMCPMC13599269

What Socratic holds

Textmetadata
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.