Hindawi Journal of Diabetes Research Volume 2020, Article ID 5710513, 31 pages https://doi.org/10.1155/2020/5710513 Review Article Mechanisms of Herbal Nephroprotection in diabetes mellitus Dorin Dragoș ,1,2 Maria Mirabela Manea ,1,3 Delia Timofte ,4 and Dorin Ionescu 1,2 1Faculty of General Medicine, “Carol Davila” University of Medicine and Pharmacy, str. Dionisie Lupu nr. 37, sect 1, Bucharest 020021, Romania 2Nephrology Clinic of University Emergency Hospital, Splaiul Independentei nr. 169, sect. 5, Bucharest 050098, Romania 3National Institute of Neurology and Cerebrovascular Diseases, Şos. Berceni, Nr. 10-12, Sector 4, Bucharest 041914, Romania 4Dialysis Department of University Emergency Hospital, Splaiul Independentei nr. 169, sect. 5, Bucharest 050098, Romania Correspondence should be addressed to Maria Mirabela Manea;
[email protected] Received 28 January 2020; Revised 24 May 2020; Accepted 6 June 2020; Published 6 July 2020 Academic Editor: Eric Hajduch Copyright © 2020 Dorin Dragoș et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Diabetic nephropathy (DN) is a leading cause of kidney morbidity. Despite the multilayered complexity of the mechanisms involved in the pathogenesis of DN, the conventional treatment is limited to just a few drug classes fraught with the risk of adverse events, including the progression of renal dysfunction. Phytoceuticals offer a promising alternative as they act on the many-sidedness of DN pathophysiology, multitargeting its intricacies. This paper offers a review of the mechanisms underlying the protective action of these phytoagents, including boosting the antioxidant capabilities, suppression of inflammation, averting the proliferative and sclerosing/fibrosing events.