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. 2021 May 28;2021:9941791. doi: 10.1155/2021/9941791

Table 2.

The potential mechanisms of the four main compounds in the treatment of DPN.

Compound Mechanism Model Reference
Quercetin Increased BDNF, NGF, and Bcl-2, inhibited caspase-3 Diabetic rats [33]
Maintained the density of the general neuronal population, reduced the loss of interosseous neurons, antioxidant Diabetic rats [34]
Activated the Nrf-2/HO-1 pathway, inhibited the NF-κB pathway, and inhibited iNOS, COX-2, IL-6, and TNF-α DRG cells [35]
Upregulated Beclin-1 and LC3 protein expression levels, increased cell proliferation, and upregulated autophagy Schwann cells [36]
Reduced total cholesterol and TBARS levels, increased HDL-cholesterol, SOD, CAT, and GSH-Px activity Db/db mice [37]
Luteolin Upregulated protein levels of Nrf2 and HO-1, improved nerve conduction velocity and nerve blood flow Diabetic rats [38]
Improved the levels of blood glucose, HbA 1c, insulin, and HOMR-IR KK-Ay mice [39]
Reduced mRNA expression of SREBP-1c, TNF-α
Kaempferol Regulated oxidative and nitrosative stress and reduced the formation of AGEs Diabetic rats [40]
Reduced ROS production and inhibited caspase-3 activation PC12 cells [41]
Reduction IL-1β, TNF-α, IC, and ROS and inhibited neuroimmune activation of microglia Diabetic mice [42]
Formononetin Inhibited islet B cell apoptosis and promoted islet B cell regeneration, insulin secretion, hepatic glycogen synthesis, and hepatic glycolysis Diabetic mice [43]
Controlled hyperglycemia and increased expression of SIRT1 and NGF Diabetic rats [44]
Increased SIRT1 expression and reduced blood glucose Diabetic rats [45]