International Journal of Pharmacy and Pharmacology

ISSN 2326-7267

International Journal of Pharmacy and Pharmacology ISSN: 2326-7267 Vol. 3 (9), pp. 001-008, September, 2012. © International Scholars Journals

Review

Pathogenesis of diabetic kidney disease: Review of cellular aspects of renal lesions

Mohanad Naji Sahib*, Shaymaa Abdalwahed Abdulameer, Noorizan Abd.Aziz and Yahaya Hassan

School of Pharmaceutical Sciences, University Sains Malaysia, Minden 1800, Pulau Penang, Penang, Malaysia.

Accepted 22 July, 2012

Abstract

Diabetic kidney disease (diabetic nephropathy) is the most common cause of end-stage renal failure disease in some parts of the world, and is associated with increased cardiovascular mortality and morbidity. This review, based on database resources, was undertaken to review the extracellular and intracellular mechanisms involved in the progression of this disease. Growth factors and, signaling pathways, in addition to, hemodynamic and cellular changes play an important role in the pathogenesis of nephropathy from high glucose level to more complicated biochemical abnormalities. As a conclusion, the understanding of the pathophysiology of diabetic kidney is very complex and heterogeneous and remains poorly understood. But it is important to consider oxygen reactive species and glucose level as the key elements to terminal renal failure or to arrest the progression of this serious disease

Key words: Diabetic, nephropathy, cellular and hemodynamic changes.