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. 2023 Jul 7;14:1219598. doi: 10.3389/fimmu.2023.1219598

Figure 3.

Figure 3

Basic overview of possible pathological events leading to DN. Chronic hyperglycemia leading to cellular damage increases DAMPs and PAMPs. This encourages inflammatory cells such as monocytes, macrophages, T cells and neutrophils to begin a positive feedback loop of immune cell recruitment and inflammation. This leads to kidney fibrosis and a decline in kidney function, leading to DN.