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March 28, 2026Kidney International Reports0 citationsOpen Access

Wcn26-7941 the Impact of Comprehensive Medication Management on Clinical Outcomes in Patients With Type 2 Diabetes and Chronic Kidney Disease

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HOHelena OrehovačkiMKMateja KuljanacLBLucija Ana Bićanić

Key Points

  • To evaluate the effect of comprehensive medication management on clinical outcomes in patients with type 2 diabetes and chronic kidney disease.
  • Administered kaempferol (KEF) to animal models with type 2 diabetes and chronic kidney disease
  • Analyzed renal function and architecture post-treatment
  • Measured levels of specific proteins and inflammatory markers using western blot analysis
  • Decreased levels of shh pathway-related proteins
  • Reduction in inflammatory and fibrotic markers
  • Improved renal architecture and function
  • Alleviation of fibrosis and ECM deposition in the kidney

Abstract

peroxidation, and enhanced endogenous antioxidant enzymes.It also alleviated histopathological alterations and ECM accumulation in the mesangial region while normalizing mRNA levels of Shh, Gli1, nephrin, desmin, NF-B, and TGF-1.Rats administered with KEF have lowered the shh pathway related proteins, inflammatory and fibrotic markers, validated by western blot analysis showed the downregulation of pathway targeted proteins. Conclusion:In conclusion, the results indicate protective role of KEF against DKD via inhibiting Shh pathway and its downstream effector Gli-1, KEF thereby, reducing fibrosis, ECM deposition, and inflammation.Both in vitro and in vivo findings confirmed improved renal architecture and function, along with decreased inflammation and fibrosis.These results highlight kaempferol as a promising phytotherapeutic agent for the prevention and management of DKD, offering a multi-targeted strategy to counter hyperglycemia-driven renal injury and progression toward end-stage renal disease.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.

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Cite This Study

Orehovački et al. (2026) studied this question.

synapsesocial.com/papers/69c770888bbfbc51511e0a83https://doi.org/10.1016/j.ekir.2026.104646
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