Review Article

Protective Effect and Possible Mechanisms of Artemisinin and Its Derivatives for Diabetic Nephropathy: A Systematic Review and Meta-Analysis in Animal Models

Table 2

Subgroup analyses in the association of BUN and SCr with the ex ante parameters.

ComparisonSubgroupNo. of studiesSMD [95% CI] for meta-analysis for heterogeneity

BUN
 Modeling methodsSTZ7-2.76 [-4.09, -1.43]<0.000184%<0.00001
4-4.49 [-5.18, -3.80]<0.000010%0.98
 Artemisinins typesArtesunate5-3.74 [-5.42, -2.06]<0.000189%<0.00001
Dihydroartemisinin1-0.90 [-1.65, -0.16]0.02//
Artemisinin5-5.43 [-8.42, -2.44]0.000488%<0.00001
 Route of administrationBy intragastric8-2.82 [-4.00, -1.64]<0.0000189%<0.00001
By SIJ3-9.26 [-11.97, -6.54]<0.000010%0.63
 Duration of treatment≤8 weeks10-3.64 [-4.98, -2.31]<0.0000190%<0.00001
>8 weeks1-4.32 [-5.90, -2.74]<0.00001//
SCr
 Modeling methodsSTZ7-2.69 [-3.90, -1.47]<0.000181%<0.0001
4-2.83 [-3.35, -2.31]<0.000010%0.73
 Artemisinins typesArtesunate5-2.53 [-3.23, -1.83]<0.0000155%0.06
Dihydroartemisinin1-0.65 [-1.37, -0.08]0.08//
Artemisinin5-4.16 [-6.21, -2.10]<0.000178%0.001
 Route of administrationBy intragastric8-2.20 [-2.90, -1.50]<0.0000174%0.003
By SIJ3-6.10 [-9.01, -3.20]<0.000156%0.10
 Duration of treatment≤8 weeks10-2.76 [-3.66, -1.86]<0.0000180%<0.00001
>8 weeks1-2.48 [-3.63, -1.34]<0.0001//

Abbreviations: BUN: blood urea nitrogen; CI: confidence interval; HFD: high-fat diet; SCr: serum creatinine; SIJ: single intraperitoneal injection; SMD: standard mean difference; STZ: streptozotocin.