Lee Hyun Soon, Song Chi Young
Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.
Am J Nephrol. 2009;29(1):62-70. doi: 10.1159/000151277. Epub 2008 Aug 8.
Glomerulosclerosis frequently complicates most renal diseases and is characterized by mesangial matrix accumulation. Oxidized low-density lipoprotein (Ox-LDL) could induce oxidative stress and profibrotic gene expression in mesangial cells. This article will review our current understanding of the pathogenetic mechanisms of lipid-mediated glomerulosclerosis, emphasizing the fibrogenic signaling cascades triggered by Ox-LDL. In addition, therapeutic strategies to prevent the development of Ox-LDL-mediated glomerulosclerosis will be discussed.
肾小球硬化症常使大多数肾脏疾病复杂化,其特征是系膜基质积聚。氧化型低密度脂蛋白(Ox-LDL)可诱导系膜细胞产生氧化应激和促纤维化基因表达。本文将综述我们目前对脂质介导的肾小球硬化症发病机制的理解,重点阐述由Ox-LDL触发的促纤维化信号级联反应。此外,还将讨论预防Ox-LDL介导的肾小球硬化症发展的治疗策略。