Inflammatory mechanisms in diabetic nephropathy: emerging insights and targeted therapeutics

Feb 2, 2026Frontiers in medicine

Inflammation in diabetic kidney disease: new findings and treatments

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Abstract

Diabetic kidney disease (DKD) is a major contributor to end-stage renal disease (ESRD) globally, highlighting the importance of inflammation in its development.

  • Chronic inflammation plays a critical role in the pathogenesis of DKD, shifting the focus from traditional metabolic and hemodynamic factors.
  • Recent advances identify various inflammatory mechanisms involved in DKD, including the activation of inflammatory pathways and impaired cellular functions.
  • Emerging diagnostic biomarkers are being developed through omics technologies and artificial intelligence to improve the identification of DKD.
  • Therapeutic strategies focusing on inflammation include sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide-1 receptor agonists (GLP-1RAs), which have shown renal benefits.
  • A multifaceted approach integrating multi-omics data and combined therapies may enhance the management of DKD.

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