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Kidney function modulation via multi-herb synergy is a therapeutic concept describing the concerted use of multiple herbs, each contributing different bioactive compounds that interact with several molecular targets and pathways involved in kidney pathology. This approach aims to achieve additive or synergistic effects in improving kidney function, reducing fibrosis, alleviating inflammation, and protecting against oxidative stress. Commonly studied herbs include Salvia miltiorrhiza, Vitis vinifera (grape seed), Rheum palmatum (rhubarb), Cordyceps sinensis, and others containing active ingredients such as tanshinone IIA, rhein, curcumin, quercetin, and beta-sitosterol. Multi-herb strategies are associated with improved kidney function in experimental and some clinical studies, but caution is needed regarding possible adverse reactions and inconsistent quality or dosing of herbal mixtures.
Anti-inflammatory pathways (e.g., inhibition of TNF-α, IL-6); Antioxidant pathways (activation of Nrf2, reduction of ROS); Modulation of immune cell function (increase regulatory T cells, reduce proliferation of mesangial cells); Regulation of fibrosis (modulation of TGF-β1, Smad); Inhibition of renin-angiotensin system (RAS); Modulation of metabolic pathways (lipid and glucose metabolism)
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