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Innovative Medicines & Omics





                                        REVIEW ARTICLE
                                        Innovative approaches in kidney disease

                                        management: Advances in therapeutics and
                                        treatment strategies



                                                     1
                                        Suchismita Roy * , Palash Mitra 1,2  , Sahadeb Jana 1,2  , Kaberi Kandar 2,3  ,
                                        and Malay Kumar Patsa 1
                                        1 Nutrition Research Laboratory, Department of Paramedical Allied Health Sciences, Midnapore City
                                        College, Midnapore, West Bengal, India
                                        2 Biodiversity and Environmental Studies Research Centre, Midnapore City College  Affiliated to
                                        Vidyasagar University, Midnapore, West Bengal, India
                                        3 Department of Nutrition, Bajkul Milani Mahavidyalaya, Purba Medinipur West Bengal, India



                                        Abstract

                                        The health system is burdened by kidney disease (KD), which has considerable
                                        economic consequences.  The aging population and the rise in  Type  2 diabetes
                                        and hypertension are the main contributing causes. KD is also associated with an
                                        increased risk of cardiovascular diseases (CVDs) morbidity, early mortality, and
                                        reduced quality of life. Recent studies estimate that more than 850 million people
                                        worldwide are affected by kidney-related illnesses each year. Of these, about 3.9
            *Corresponding author:      million individuals are going through dialysis or kidney transplantations, neither of
            Suchismita Roy              which provides an ultimate solution. Alternative therapeutic approaches through
            (suchismitaroy@mcconline.org.in)
                                        medications include the use of angiotensin-converting enzyme inhibitors and
            Citation: Roy S, Mitra P, Jana S,   Angiotensin II receptor blockers, renin inhibitors, anti-inflammatory medicines, and
            Kandar K, Patsa MK. Innovative
            approaches in kidney disease   bioactive phytocompounds isolated from several plants. Plants contain numerous
            management: Advances in     bioactive  compounds  that  are  thought  to  provide  a  variety  of  health  benefits,
            therapeutics and treatment   including potential nephroprotective properties. In this review, recent advancements
            strategies. Innov Med Omics.
            2025;2(1):36-49.            in kidney disease (KD) research will be highlighted, including newly identified causes,
            doi: 10.36922/imo.4969      renal pathophysiological alterations, and current therapeutic approaches.
            Received: September 26, 2024
            1st revised: November 20, 2024  Keywords: Kidney disease; Phytocompounds; Nephroprotective; Anti-inflammatory
            2nd revised: December 12, 2024
            3rd revised: December 16, 2024
            Accepted: December 24, 2024
            Published online: January 20,
            2025                        1. Introduction
            Copyright: © 2025 Author(s).
            This is an Open-Access article   Acute kidney injury (AKI) is a syndrome characterized by reduced urine production and
            distributed under the terms of the   the accumulation of nitrogen metabolism end products, such as urea and creatinine in
            Creative Commons Attribution   renal tubules.  At the initial phase of injury and inflammation, circulating immune cells
                                                  1
            License, permitting distribution,
            and reproduction in any medium,   (T- and B-cells) infiltrate the kidney, drawn in by cytokines, chemokines, and damage-
            provided the original work is   associated molecular patterns (DAMPs) generated by wounded cells. DAMPs contribute
            properly cited.             to a pro-fibrotic environment by interacting with activated monocytes/macrophages,
            Publisher’s Note: AccScience   damaged tubular epithelial cells (TECs), and endothelial cells. This environment
            Publishing remains neutral with   stimulates pericytes to proliferate and differentiate into myofibroblasts, which causes
            regard to jurisdictional claims in
            published maps and institutional   extracellular matrix (ECM) protein deposition, renal fibrosis, and progression to
            affiliations.               chronic kidney disease (CKD). TECs may have a pro-fibrotic phenotype and become


            Volume 2 Issue 1 (2025)                         36                               doi: 10.36922/imo.4969
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