天然产物研究与开发 ›› 2026, Vol. 38 ›› Issue (6): 1353-1363.doi: 10.16333/j.1001-6880.2026.6.019 cstr: 32307.14.1001-6880.2026.6.019

• 综述 • 上一篇    下一篇

中药多酚类成分干预AGE-RAGE信号通路改善糖尿病肾病的研究进展

王宇欣1†,王荣申1,3†*,李爱平2,李万忠1,3*   

  1. 1山东第二医科大学药学院,潍坊 261053;2潍坊市精神卫生中心,潍坊 261000;3山东第二医科大学 分子药理学与转化研究山东省高校重点实验室,潍坊 261053
  • 出版日期:2026-06-26 发布日期:2026-06-24
  • 基金资助:
    国家自然科学基金(82304700);山东省自然科学基金(ZR2021MH124);山东省中医药科技项目(2020Q057);大别山道地药材种质改良与利用湖北省重点实验室开放基金(202520304)

Mechanism of polyphenols from traditional Chinese medicine against diabetic nephropathy by modulating AGE-RAGE signaling pathway:a review

WANG Yu-xin1,WANG Rong-shen1,3*,LI Ai-ping2,LI Wan-zhong1,3*   

  1. 1School of Pharmacy,Shandong Second Medical University,Weifang 261053,China;2Weifang Mental Health Center,Weifang 261000,China;3Key Laboratory of Molecular Pharmacology and Translational Research,Shandong Second Medical University,Weifang 261053,China
  • Online:2026-06-26 Published:2026-06-24

摘要:

糖尿病肾病(diabetic nephropathy,DN)是糖尿病常见的微血管并发症之一,发病机制复杂,涉及多种病理生理过程。晚期糖基化终末产物(advanced glycation end product,AGE)及其受体(receptor of AGE,RAGE)信号通路在DN发生发展中起关键作用,可激活一系列下游信号,引发氧化应激和炎症反应,进而加剧肾脏病变。近年来,研究发现槲皮素、山柰酚、杨梅素、黄芩素、黄芩苷、汉黄芩素、山柰苷、芦丁、姜黄素、白藜芦醇、表没食子儿茶素没食子酸酯等多酚类成分通过调控AGE-RAGE信号通路干预DN,在防治DN方面具有良好研发前景。目前,虽然中药多酚类成分防治DN的体内外研究众多,但未见特异性针对AGE-RAGE信号通路干预DN的综述。基于此,本文对近年来国内外AGE-RAGE信号通路在DN中的作用机制和多酚类成分干预DN研究进行梳理归纳,以期为阐明其分子机制及研发DN防治药物提供借鉴。

关键词: 中药多酚, 糖尿病肾病, AGE, RAGE

Abstract:

Diabetic nephropathy (DN) is a common microvascular complications of diabetes mellitus (DM),and its pathogenesis is complex and involves multiple pathophysiological processes.The advanced glycation end product (AGE)-receptor for AGE (RAGE) signaling pathway is a key signaling pathway in the occurrence and development of DN,which can activate downstream signaling,triggering oxidative stress and inflammatory responses,and further aggravating renal damage.Recent studies had shown that polyphenols such as quercetin,kaempferol,myricetin,baicalein,baicalin,wogonin,kaempferitrin,rutin,curcumin,resveratrol,and epigallocatechin gallate,can play a therapeutic role in the treatment of DN by regulating the AGE-RAGE signaling pathway and hold promising prospects for future drug development.Although there are numerous studies in vivo and in vitro on the prevention and treatment of DN using polyphenols from traditional Chinese medicine,there is a lack of review specifically addressing the intervention of the AGE-RAGE signaling pathway in DN.Therefore,this article summarizes the mechanisms of the AGE-RAGE signaling pathway in DN in recent years and the research on the intervention of polyphenols in DN,in order to provide references for analyzing and explaining its molecular mechanisms and developing drugs for the treatment of DN.

Key words: polyphenols from traditional Chinese medicine, diabetic nephropathy, AGE, RAGE

中图分类号:  R285