The most problematic issue in clinical nephrology worldwide is the relentless and progressive increase in patients with end-stage
renal disease (ESRD). Diabetic nephropathy has considerable impact on society in the areas of public health and social economy;
many scientists are involved in research for the elucidation of the pathogenesis of diabetic nephropathy and for the prevention
and cure of the disease. In contrast, diabetic nephropathy was a neglected or ignored disease in the historical era, and few
dedicated physicians recognized the disease process of diabetic nephropathy. In this review, we look back on the history of
basic and clinical research on diabetic nephropathy and survey the recent progress of the research, especially focusing on
the contribution of Japanese scientists.
Keywords Diabetic nephropathy - History - Molecular mechanisms - Clinical trials
Presented at the 37th Western Regional Meeting of the Japanese Society of Nephrology.