PMID- 35874522 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220726 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 13 DP - 2022 TI - A Glimpse of Inflammation and Anti-Inflammation Therapy in Diabetic Kidney Disease. PG - 909569 LID - 10.3389/fphys.2022.909569 [doi] LID - 909569 AB - Diabetic kidney disease (DKD) is a common complication of diabetes mellitus and a major cause of end-stage kidney disease (ESKD). The pathogenesis of DKD is very complex and not completely understood. Recently, accumulated evidence from in vitro and in vivo studies has demonstrated that inflammation plays an important role in the pathogenesis and the development of DKD. It has been well known that a variety of pro-inflammatory cytokines and related signaling pathways are involved in the procession of DKD. Additionally, some anti-hyperglycemic agents and mineralocorticoid receptor antagonists (MRAs) that are effective in alleviating the progression of DKD have anti-inflammatory properties, which might have beneficial effects on delaying the progression of DKD. However, there is currently a lack of systematic overviews. In this review, we focus on the novel pro-inflammatory signaling pathways in the development of DKD, including the nuclear factor kappa B (NF-kappaB) signaling pathway, toll-like receptors (TLRs) and myeloid differentiation primary response 88 (TLRs/MyD88) signaling pathway, adenosine 5'-monophosphate-activated protein kinase (AMPK) signaling pathways, inflammasome activation, mitochondrial DNA (mtDNA) release as well as hypoxia-inducible factor-1(HIF-1) signaling pathway. We also discuss the related anti-inflammation mechanisms of metformin, finerenone, sodium-dependent glucose transporters 2 (SGLT2) inhibitors, Dipeptidyl peptidase-4 (DPP-4) inhibitors, Glucagon-like peptide-1 (GLP-1) receptor agonist and traditional Chinese medicines (TCM). CI - Copyright (c) 2022 Liu, Yang, Li, Luo, Yang, Li, Liu and Sun. FAU - Liu, Chongbin AU - Liu C AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. AD - Hunan Key Laboratory of kidney Disease and Blood Purification, Changsha, China. FAU - Yang, Ming AU - Yang M AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. AD - Hunan Key Laboratory of kidney Disease and Blood Purification, Changsha, China. FAU - Li, Li AU - Li L AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. AD - Hunan Key Laboratory of kidney Disease and Blood Purification, Changsha, China. FAU - Luo, Shilu AU - Luo S AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. FAU - Yang, Jinfei AU - Yang J AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. FAU - Li, Chenrui AU - Li C AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. FAU - Liu, Huafeng AU - Liu H AD - Guangdong Provincial Key Laboratory of Autophagy and Major Chronic Non-communicable Diseases & Institute of Nephrology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China. FAU - Sun, Lin AU - Sun L AD - Department of Nephrology, The Second Xiangya Hospital, Central South Unibersity, Changsha, China. AD - Hunan Key Laboratory of kidney Disease and Blood Purification, Changsha, China. LA - eng PT - Journal Article PT - Review DEP - 20220706 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC9298824 OTO - NOTNLM OT - anti-Inflammation OT - anti-hyperglycemic OT - diabetic kidney disease OT - inflammation OT - mineralocorticoid receptor antagonists OT - signaling pathway OT - traditional Chinese medicine COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/07/26 06:00 MHDA- 2022/07/26 06:01 PMCR- 2022/07/06 CRDT- 2022/07/25 03:54 PHST- 2022/04/04 00:00 [received] PHST- 2022/05/18 00:00 [accepted] PHST- 2022/07/25 03:54 [entrez] PHST- 2022/07/26 06:00 [pubmed] PHST- 2022/07/26 06:01 [medline] PHST- 2022/07/06 00:00 [pmc-release] AID - 909569 [pii] AID - 10.3389/fphys.2022.909569 [doi] PST - epublish SO - Front Physiol. 2022 Jul 6;13:909569. doi: 10.3389/fphys.2022.909569. eCollection 2022.