Conventional and complementary alternative medicine therapies for renal anemia: a literature review

Renal anemia stems mainly from chronic inflammation with elevated hepcidin levels, iron deficiency, and reduced red blood cell lifespan. Inadequate erythropoietin (EPO) production, worsened kidney function, leads to symptoms such as low energy, fatigue, and impaired physical function, significantly...

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Main Authors: Ching-Ming Lu, Yuan-Hsuan Hsu, I-Hsin Lin, Ko-Lin Kuo, Jian-Fu Liao, Hui-Fen Huang, Ping-Hsun Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2024.1342873/full
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author Ching-Ming Lu
Ching-Ming Lu
Yuan-Hsuan Hsu
Yuan-Hsuan Hsu
I-Hsin Lin
Ko-Lin Kuo
Jian-Fu Liao
Hui-Fen Huang
Hui-Fen Huang
Ping-Hsun Lu
Ping-Hsun Lu
author_facet Ching-Ming Lu
Ching-Ming Lu
Yuan-Hsuan Hsu
Yuan-Hsuan Hsu
I-Hsin Lin
Ko-Lin Kuo
Jian-Fu Liao
Hui-Fen Huang
Hui-Fen Huang
Ping-Hsun Lu
Ping-Hsun Lu
author_sort Ching-Ming Lu
collection DOAJ
description Renal anemia stems mainly from chronic inflammation with elevated hepcidin levels, iron deficiency, and reduced red blood cell lifespan. Inadequate erythropoietin (EPO) production, worsened kidney function, leads to symptoms such as low energy, fatigue, and impaired physical function, significantly affecting patients’ quality of life. We conducted a comprehensive search across electronic databases including PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, Airiti library, and Wanfang, to compile recent clinical trials and pilot studies on conventional and complementary alternative medicine approaches for renal anemia. This discussion focuses on the hypoxia-inducible factor prolyl hydroxylase domain (HIF-PHD) axis theory, from lab research to clinical applications. It explores non-extracorporeal treatments for renal anemia, including pharmaceutical interventions, dietary strategies, and complementary and alternative medicine (CAM). The article details the effects of Roxadustat, Ferumoxytol, and Epodion.Clinical studies show that modulating the gut microbiome can reduce inflammation and improve renal anemia. Clinical trials suggest that CAM therapy can improve renal anemia through mechanisms such as enhanced iron metabolism, anti-inflammatory effects, reduced hepcidin levels, and increased EPO and HIF expressions. By synthesizing this information, the review aims to furnish valuable insights and treatment recommendations aimed at ameliorating renal anemia in individuals grappling with chronic kidney disease.
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spelling doaj-art-3b4f4f82036a42059b79ed1ffe93be652025-01-22T17:15:16ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-01-011510.3389/fendo.2024.13428731342873Conventional and complementary alternative medicine therapies for renal anemia: a literature reviewChing-Ming Lu0Ching-Ming Lu1Yuan-Hsuan Hsu2Yuan-Hsuan Hsu3I-Hsin Lin4Ko-Lin Kuo5Jian-Fu Liao6Hui-Fen Huang7Hui-Fen Huang8Ping-Hsun Lu9Ping-Hsun Lu10School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, TaiwanSchool of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, TaiwanSchool of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, TaiwanDivision of Nephrology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, TaiwanDivision of Nephrology, Tai An Hospital, Taipei, TaiwanSchool of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, TaiwanSchool of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, TaiwanDepartment of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, TaiwanRenal anemia stems mainly from chronic inflammation with elevated hepcidin levels, iron deficiency, and reduced red blood cell lifespan. Inadequate erythropoietin (EPO) production, worsened kidney function, leads to symptoms such as low energy, fatigue, and impaired physical function, significantly affecting patients’ quality of life. We conducted a comprehensive search across electronic databases including PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, Airiti library, and Wanfang, to compile recent clinical trials and pilot studies on conventional and complementary alternative medicine approaches for renal anemia. This discussion focuses on the hypoxia-inducible factor prolyl hydroxylase domain (HIF-PHD) axis theory, from lab research to clinical applications. It explores non-extracorporeal treatments for renal anemia, including pharmaceutical interventions, dietary strategies, and complementary and alternative medicine (CAM). The article details the effects of Roxadustat, Ferumoxytol, and Epodion.Clinical studies show that modulating the gut microbiome can reduce inflammation and improve renal anemia. Clinical trials suggest that CAM therapy can improve renal anemia through mechanisms such as enhanced iron metabolism, anti-inflammatory effects, reduced hepcidin levels, and increased EPO and HIF expressions. By synthesizing this information, the review aims to furnish valuable insights and treatment recommendations aimed at ameliorating renal anemia in individuals grappling with chronic kidney disease.https://www.frontiersin.org/articles/10.3389/fendo.2024.1342873/fullchronic kidney diseasediet controldietary supplementcomplementary and alternative medicinerenal anemiaconventional medical therapy
spellingShingle Ching-Ming Lu
Ching-Ming Lu
Yuan-Hsuan Hsu
Yuan-Hsuan Hsu
I-Hsin Lin
Ko-Lin Kuo
Jian-Fu Liao
Hui-Fen Huang
Hui-Fen Huang
Ping-Hsun Lu
Ping-Hsun Lu
Conventional and complementary alternative medicine therapies for renal anemia: a literature review
Frontiers in Endocrinology
chronic kidney disease
diet control
dietary supplement
complementary and alternative medicine
renal anemia
conventional medical therapy
title Conventional and complementary alternative medicine therapies for renal anemia: a literature review
title_full Conventional and complementary alternative medicine therapies for renal anemia: a literature review
title_fullStr Conventional and complementary alternative medicine therapies for renal anemia: a literature review
title_full_unstemmed Conventional and complementary alternative medicine therapies for renal anemia: a literature review
title_short Conventional and complementary alternative medicine therapies for renal anemia: a literature review
title_sort conventional and complementary alternative medicine therapies for renal anemia a literature review
topic chronic kidney disease
diet control
dietary supplement
complementary and alternative medicine
renal anemia
conventional medical therapy
url https://www.frontiersin.org/articles/10.3389/fendo.2024.1342873/full
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