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Diabetes-associated nephropathy (DN), an advancing consequence of diabetes, is the primary trigger for end-stage renal disease (ESRD) globally. Despite advances in traditional medicines like ACE-inhibiting drugs & ARBs, their limited effectiveness highlights the need for novel therapeutic techniques. This study investigates the combined effect of a combination that is berberine HCl and gallic acid, 2 natural substances with complimentary modes of action, in slowing DN development. By activating AMPK and inhibiting NF-κB, the isoquinoline alkaloid berberine HCl decreases oxidative stress, increases insulin sensitivity, and lowers inflammation. Gallic acid is a polyphenolic molecule that scavenges free radicals, modulates inflammatory mediators, and regulates epigenetics to provide strong antioxidant and anti-inflammatory actions. Berberine HCl and gallic acid work in concert to improve nephroprotection by simultaneously addressing inflammation, oxidative stress, and fibrosis brought on by hyperglycemia, according to preclinical research. This study examines the pharmacological characteristics, molecular processes, and therapeutic effectiveness of both drugs, with an emphasis on the combined effects in diabetes animals. We also review current clinical studies, translational hurdles, and future research goals for optimizing this co-treatment strategy. This study demonstrates the potential of gallic acid and berberine HCl as a new, multi-targeted strategy for DN management by combining pre-clinical data and clinical observations. We conclude with clinical practice suggestions, emphasizing the need for more study to establish the synergistic therapy's safety, effectiveness, and long-term advantages.
"Berberine HCl and Gallic Acid: A Multi-Targeted Approach for Diabetic Nephropathy Management", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2455-2631, Vol.10, Issue 9, page no.b211-b244, September-2025, Available :http://www.ijrti.org/papers/IJRTI2509129.pdf
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2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator