PMID- 30867693 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 17 IP - 3 DP - 2019 Mar TI - Effect of baicalin on renal function in patients with diabetic nephropathy and its therapeutic mechanism. PG - 2071-2076 LID - 10.3892/etm.2019.7181 [doi] AB - The present study observed the effect of baicalin on blood glucose and renal function in patients with diabetic nephropathy and explored its mechanism of action. A total of 95 patients diagnosed with diabetic nephropathy by clinical and laboratory examinations were selected and randomly divided into a control and treatment group. The control group included 45 patients who were treated with routine symptomatic treatment. The remaining 50 patients in the treatment group received baicalin, in addition to routine symptomatic treatment. The treatment course was 6 months. Following this, the changes of indicators such as fasting plasma glucose (FPG), glycosylated hemoglobin (HBA1c), aldose reductase (AR) activity, 24-h urinary microalbumin, urinary beta2-microglobulin (beta2-MG) and urinary albumin excretion rate (UAER) were compared before and after treatment; at the same time, the variations of indexes, including superoxide dismutase (SOD), glutathione peroxidase (GSH-px), nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kappaB), transforming growth factor-beta1 (TGF-beta1) and vascular endothelial growth factor (VEGF) were detected. Compared with those in the control group, baicalin had little effect on the treatment group's FPG and HBA1c, but it clearly reduced the AR activity and the difference was significant (P<0.05). Baicalin visibly decreased the 24-h urinary microalbumin, urinary beta2-MG and UAER (P<0.05) and had notable effect on improving renal function. Following treatment, compared with those in the control group, baicalin distinctly increased the levels of SOD and GSH-px (P<0.05) and decreased the content of NF-kappaB and VEGF (P<0.05), however, its impact on the expression of TGF-beta1 was not statistically significant (P>0.05). The results showed that baicalin may improve the renal function in patients with diabetic nephropathy and delay the progression of diabetic nephropathy through various ways, including anti-inflammation and anti-oxidation. FAU - Yang, Mingzheng AU - Yang M AD - Department of Nephrology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, P.R. China. FAU - Kan, Lin AU - Kan L AD - Department of Clinical Laboratory, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, P.R. China. FAU - Wu, Lianye AU - Wu L AD - Department of Nephrology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, P.R. China. FAU - Zhu, Yingchun AU - Zhu Y AD - Department of Nephrology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, P.R. China. FAU - Wang, Qing AU - Wang Q AD - Department of Nephrology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, P.R. China. LA - eng PT - Journal Article DEP - 20190117 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC6396004 OTO - NOTNLM OT - baicalin OT - diabetic nephropathy OT - renal function OT - therapeutic mechanism EDAT- 2019/03/15 06:00 MHDA- 2019/03/15 06:01 PMCR- 2019/01/17 CRDT- 2019/03/15 06:00 PHST- 2017/09/17 00:00 [received] PHST- 2018/11/28 00:00 [accepted] PHST- 2019/03/15 06:00 [entrez] PHST- 2019/03/15 06:00 [pubmed] PHST- 2019/03/15 06:01 [medline] PHST- 2019/01/17 00:00 [pmc-release] AID - ETM-0-0-7181 [pii] AID - 10.3892/etm.2019.7181 [doi] PST - ppublish SO - Exp Ther Med. 2019 Mar;17(3):2071-2076. doi: 10.3892/etm.2019.7181. Epub 2019 Jan 17.