Sen Utpal, Pushpakumar Sathnur
Department of Physiology, University of Louisville School of Medicine, Louisville, Kentucky
Department of Physiology, University of Louisville School of Medicine, Louisville, Kentucky.
Am J Physiol Renal Physiol. 2016 Jan 15;310(2):F119-22. doi: 10.1152/ajprenal.00299.2015. Epub 2015 Nov 4.
Chronic kidney disease is associated with vasculitis and is also an independent risk factor for peripheral vascular and coronary artery disease in diabetic patients. Despite optimal management, a significant number of patients progress toward end-stage renal disease (ESRD), a suggestion that the disease mechanism is far from clear. A reduction in hydrogen sulfide (H2S) has been suggested to play a vital role in diabetic vascular complications including diabetic nephropathy (DN). This mini-review highlights the recent findings on the role of H2S in mitigating abnormal extracellular matrix metabolism in DN. A discussion on the development of the newer slow-releasing H2S compounds and its therapeutic potential is also included.
慢性肾脏病与血管炎相关,也是糖尿病患者外周血管疾病和冠状动脉疾病的独立危险因素。尽管进行了最佳管理,但仍有相当数量的患者进展为终末期肾病(ESRD),这表明该疾病的发病机制尚不清楚。有研究表明,硫化氢(H2S)减少在包括糖尿病肾病(DN)在内的糖尿病血管并发症中起关键作用。本综述重点介绍了H2S在减轻DN异常细胞外基质代谢中作用的最新研究结果。还讨论了新型缓释H2S化合物的开发及其治疗潜力。