PMID- 24475422 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140624 LR - 20240109 IS - 2251-8363 (Print) IS - 2251-8819 (Electronic) IS - 2251-8363 (Linking) VI - 2 IP - 1 DP - 2013 Jan TI - Diabetic nephropathy and antioxidants. PG - 20-7 LID - 10.5812/nephropathol.9093 [doi] AB - CONTEXT: Oxidative stress has crucial role in pathogenesis of diabetic nephropathy (DN). Despite satisfactory results from antioxidant therapy in rodent, antioxidant therapy showed conflicting results in combat with DN in diabetic patients. EVIDENCE ACQUISITIONS: Directory of Open Access Journals (DOAJ), Google Scholar,Pubmed (NLM), LISTA (EBSCO) and Web of Science have been searched. RESULTS: Treatment of DN in human are insufficient with rennin angiotensin system (RAS) blockers, so additional agent ought to combine with this management. Meanwhile based on DN pathogenesis and evidences in experimental and human researches, the antioxidants are the best candidate. New multi-property antioxidants may be improved human DN that show high power antioxidant capacity, long half-life time, high permeability to mitochondrion, improve body antioxidants enzymes activity and anti-inflammatory effects. CONCLUSIONS: Based on this review and our studies on diabetic rats, rosmarinic acid a multi-property antioxidant may be useful in DN patients, but of course, needs to be proven in clinical trials studies. FAU - Tavafi, Majid AU - Tavafi M AD - Department of Anatomy, Lorestan University of Medical Sciences, Faculty of Medicine, Khoram Abad, Iran. LA - eng PT - Journal Article PT - Review DEP - 20130101 PL - Iran TA - J Nephropathol JT - Journal of nephropathology JID - 101611182 PMC - PMC3886179 OTO - NOTNLM OT - Antioxidants OT - Diabetic nephropathy OT - Oxidative stress EDAT- 2014/01/30 06:00 MHDA- 2014/01/30 06:01 PMCR- 2013/01/01 CRDT- 2014/01/30 06:00 PHST- 2012/10/07 00:00 [received] PHST- 2012/10/15 00:00 [accepted] PHST- 2014/01/30 06:00 [entrez] PHST- 2014/01/30 06:00 [pubmed] PHST- 2014/01/30 06:01 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - 10.5812/nephropathol.9093 [doi] PST - ppublish SO - J Nephropathol. 2013 Jan;2(1):20-7. doi: 10.5812/nephropathol.9093. Epub 2013 Jan 1.