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Metabolism, Gastrointestinal, Endocrinology and Reproductive Systems

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This research proposal explores NOX5 inhibition as a therapeutic approach for diabetic nephropathy, including experimental design and analysis.










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Uploaded on
June 1, 2025
Number of pages
14
Written in
2024/2025
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Exam (elaborations)
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NOX5 and Mitochondrial Dysfunction in Diabetic Nephropathy




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Title: “NOX5 and Mitochondrial Dysfunction in Diabetic Nephropathy”

Understanding Diabetic Nephropathy

Diabetic nephropathy (DN), a leading cause of end-stage renal disease (ESRD), is one of

the most severe and costly complications of both type 1 and type 2 diabetes mellitus.

Characterized by persistent albuminuria, declining glomerular filtration rate (GFR), and

increased blood pressure, DN significantly impairs kidney function and quality of life (Jha et al.,

2022). The condition develops over the years, progressing through stages of microalbuminuria to

overt proteinuria and eventually leading to renal fibrosis and failure. With global diabetes

prevalence on the rise, DN is becoming increasingly burdensome in both developing and

developed healthcare systems.

Traditionally, the focus has been on hyperglycemia-induced damage to glomerular cells,

but recent advances have shifted attention to molecular and mitochondrial mechanisms involved

in disease progression. Mitochondrial dysfunction and oxidative stress have emerged as key

contributors to renal injury. These cellular disruptions impair energy homeostasis and lead to the

generation of reactive oxygen species (ROS), which damage the glomeruli, tubules, and vascular

components of the kidney (Wang et al., 2021). Recently, NOX5 has become a focus of interest

because it is believed to contribute to diabetic nephropathy. Unlike other NOX forms, NOX5 is

managed by calcium and tied to inflammation, fibrosis, and mitochondrial damage, according to

recent studies by Jandeleit-Dahm et al. (2024) and Zhang et al. (2024). Overactive NOX5 in

kidney cells may bring about inflammation and fibrosis, so it is currently being considered for

therapy in DN (Jha et al., 2023). Investigating how NOX5 and mitochondria influence DN opens

up a fresh opportunity for designing medications that can stop or reverse kidney damage in

people with diabetes.
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