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活性羰基物种:心脏和肺部的糖尿病并发症。

Reactive Carbonyl Species: Diabetic Complication in the Heart and Lungs.

机构信息

College of Rehabilitation and Sports Medicine, Jinzhou Medical University, Jinzhou, Liaoning, 121001, China.

Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.

出版信息

Trends Endocrinol Metab. 2019 Aug;30(8):546-556. doi: 10.1016/j.tem.2019.05.005. Epub 2019 Jun 25.

Abstract

Abnormal chemical reactions in hyperglycemia alter normal metabolic processes in diabetes, which is a key process in the production of reactive carbonyls species (RCS). Increasing the concentration of RCS may result in carbonyl/oxidative stress in both the diabetic heart and lung. Ryanodine receptors (RyRs) not only play a key role in heart contraction, including rhythmic contraction and relaxation of the heart, but they are also important for controlling the airway smooth muscle. RCS modifies RyRs, resulting in RyRs dysfunction, which is involved in important mechanisms in diabetic complications. Very little is known about the mechanistic relationship between the heart and lung in diabetes. This review highlights new findings on the pathophysiological mechanisms and discusses potential approaches to treatment for these complications.

摘要

高血糖引起的异常化学反应改变了糖尿病患者的正常代谢过程,这是产生反应羰基物质(RCS)的关键过程。RCS 浓度的增加可能导致糖尿病心脏和肺部的羰基/氧化应激。兰尼碱受体(RyRs)不仅在心脏收缩中发挥关键作用,包括心脏的有节奏收缩和舒张,而且对于控制气道平滑肌也很重要。RCS 修饰 RyRs,导致 RyRs 功能障碍,这涉及到糖尿病并发症的重要机制。关于糖尿病中心脏和肺部之间的机制关系知之甚少。本文综述了这些并发症的病理生理机制的新发现,并讨论了潜在的治疗方法。

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