OBJECTIVE: To study the effect of dihydromyricetin (DMY) on high glucose (HG)-induced glomerular mesangial cell (MCs) proliferation and fibronectin (FN) accumulation, and explore its mechanism for diabetic nephropathy glomerulosclerosis. METHODS: Cells were divided into normal group (5.5 mmol/L glucose), HG group (30 mmol/L glucose), DMY low-concentration, medium-concentration, high-concentration groups (30 mmol/L glucose+22.5, 45, 90 μmol/L DMY). After incubating 48 h, MTT was used to detect the proliferative activity [reflected by the optical density (OD) value] of cells; molecular docking method was adopted to conduct simulation analysis for DMY binding state with Smad2. Cells were divided into normal group (5.5 mmol/L glucose), HG group (30 mmol/L glucose), DMY group (30 mmol/L glucose+45 μmol/L DMY) and DMY control group (5.5 mmol/L glucose+45 μmol/L DMY). After incubating 5 h, Western blot was used to detect the expression levels of phosphorylated Smad2 (p-Smad2) and extracellular matrix protein FN. RESULTS: Results of MTT detection showed, compared with normal group, OD values in HG group were significantly increased (P<0.05); compared with HG group, OD values in DMY each concentration group were significantly reduced (P<0.05). The Gibbs free energy (ΔG) of DMY and Smad2 protein was -5.64 kJ/mol, Ki was 73.53 μmol/L, and there were hydrogen bond donor and receptor binding in No. 465, 464, 461, 458 amino acid residues. Results of Western blot showed, compared with normal group, expression levels of p-Smad2 and extracellular matrix protein FN in HG group were significantly increased (P<0.05); compared with HG group, expression levels of p-Smad2 and extracellular matrix protein FN in DMY group were significantly decreased (P<0.05). CONCLUSIONS: DMY inhibits HG-induced MCs proliferation and improves diabetic nephropathy glomerulosclerosis by combining with Smad2 and inhibiting Smad2 phosphorylation to reduce the extracellular matrix protein FN expression.