UCD Diabetes Research Centre, UCD Conway Institute, School of Medicine and Medical Sciences, University College Dublin Dublin, Ireland.
Front Immunol. 2012 Oct 18;3:318. doi: 10.3389/fimmu.2012.00318. eCollection 2012.
The role of inflammation in the pathogenesis of type 2 diabetes mellitus (T2DM) and its associated complications is increasingly recognized. The resolution of inflammation is actively regulated by endogenously produced lipid mediators such as lipoxins, resolvins, protectins, and maresins. Here we review the potential role of these lipid mediators in diabetes-associated pathologies, specifically focusing on adipose inflammation and diabetic kidney disease, i.e., diabetic nephropathy (DN). DN is one of the major complications of T2DM and we propose that pro-resolving lipid mediators may have therapeutic potential in this context. Adipose inflammation is also an important component of T2DM-associated insulin resistance and altered adipokine secretion. Promoting the resolution of adipose inflammation would therefore likely be a beneficial therapeutic approach in T2DM.
炎症在 2 型糖尿病(T2DM)及其相关并发症的发病机制中的作用正日益受到重视。内源性产生的脂质介质如脂氧素、消退素、保护素和maresin 可积极调节炎症的消退。在这里,我们综述了这些脂质介质在与糖尿病相关的病理中的潜在作用,特别是在脂肪炎症和糖尿病肾病(DN),即糖尿病肾病方面。DN 是 T2DM 的主要并发症之一,我们提出,促解决的脂质介质在这种情况下可能具有治疗潜力。脂肪炎症也是 T2DM 相关胰岛素抵抗和改变的脂肪因子分泌的一个重要组成部分。因此,促进脂肪炎症的消退可能是 T2DM 的一种有益的治疗方法。