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Kidney function modulation via herbal compounds

Molecular classification
Other
01

Overview

The phrase "Kidney function modulation via herbal compounds" refers to the overarching approach of using herbal medicines and their bioactive components to influence renal health—either by protecting against or treating kidney damage. This is not a single molecular target but a therapeutic paradigm exploiting multiple herbal constituents’ actions on targets such as inflammatory pathways, oxidative stress responses, mitochondrial function, and microbial metabolites. Numerous single herbs (like Astragalus membranaceus, Salvia miltiorrhiza, Vitis vinifera) and multi-herb formulas are investigated for anti-inflammatory, antioxidant, anti-fibrotic, immunomodulatory, and mitochondrial effects that can slow CKD progression or protect against acute injury. However, these actions are produced through various and often overlapping mechanisms targeting multiple molecular pathways rather than a unique, well-defined molecular entity[6][5][3][2][1]. Consequently, the term describes a therapeutic strategy, not a canonical biological target.

Other names
Herbal modulation of kidney functionHerbal nephroprotectionRenoprotective herbal therapy
02

Mechanism of action

Anti-inflammatory signaling inhibition, such as Rac1/PAK1/p38MAPK pathway; Antioxidant effect via Nrf2-ARE and Keap1-Nrf2-ARE pathway activation; Modulation of gut microbiota to reduce uremic toxins and inflammation; Inhibition of fibrosis-related protein expression and pathways (e.g., TGF-β, mTOR, PI3K/Akt, AMPK); Promotion of mitochondrial oxidative defense and function; Downregulation of pro-oxidant and pro-fibrotic mediators

03

Biological functions

Immune responseAnti-inflammatory effectAntioxidant activityFibrosis reductionModulation of mitochondrial functionModulation of gut microbiota
04

Disease associations

Chronic kidney disease (CKD)Diabetic kidney disease (DKD)Renal fibrosisAcute kidney injury (AKI)Other kidney diseases
05

Safety considerations

Potential for herbal nephrotoxicity in misused or non-professionally prescribed compounds[4]Quality control and standardization challenges for herbal mixtures[4]Limited long-term safety data and study generalizability; risk of adverse effects varies with specific herbs and context[4]
06

Interacting drugs

Astragaloside IV (from Astragalus membranaceus)[6]

6 more in the full profile.

07

Biomarkers

Serum creatinine (Cr)Estimated glomerular filtration rate (eGFR)Urinary albumin/protein levelsHbA1c (in diabetes-related studies)[3]Inflammatory and fibrosis markers (e.g., TGF-β1, collagen IV, α-smooth muscle actin)[5][3]

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