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解析炎症在糖尿病肾病发病机制中的作用。

Unraveling the Role of Inflammation in the Pathogenesis of Diabetic Kidney Disease.

机构信息

Division of Diabetes, Metabolism, and Endocrinology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo 105-8461, Japan.

Department of Endocrinology and Diabetes Mellitus, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan.

出版信息

Int J Mol Sci. 2019 Jul 10;20(14):3393. doi: 10.3390/ijms20143393.

Abstract

Diabetic kidney disease (DKD) remains the leading cause of end-stage renal disease (ESRD) and is therefore a major burden on the healthcare system. Patients with DKD are highly susceptible to developing cardiovascular disease, which contributes to increased morbidity and mortality rates. While progress has been made to inhibit the acceleration of DKD, current standards of care reduce but do not eliminate the risk of DKD. There is growing appreciation for the role of inflammation in modulating the process of DKD. The focus of this review is on providing an overview of the current status of knowledge regarding the pathologic roles of inflammation in the development of DKD. Finally, we summarize recent therapeutic advances to prevent DKD, with a focus on the anti-inflammatory effects of newly developed agents.

摘要

糖尿病肾病(DKD)仍然是终末期肾病(ESRD)的主要原因,因此给医疗保健系统带来了巨大负担。DKD 患者极易发生心血管疾病,这导致发病率和死亡率上升。尽管在抑制 DKD 加速方面已经取得了进展,但目前的护理标准只能降低而不能消除 DKD 的风险。人们越来越认识到炎症在调节 DKD 过程中的作用。本综述的重点是概述目前关于炎症在 DKD 发展中的病理作用的知识现状。最后,我们总结了最近预防 DKD 的治疗进展,重点介绍了新开发药物的抗炎作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/603d/6678414/6620c1566266/ijms-20-03393-g001.jpg

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