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肾间质淋巴管生成与肾纤维化。

Renal Interstitial Lymphangiogenesis in Renal Fibrosis.

机构信息

Department of Nephrology, Tongji Hospital Affiliated with Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

Adv Exp Med Biol. 2019;1165:543-555. doi: 10.1007/978-981-13-8871-2_27.

Abstract

The basic physiological functions of the lymphatic system include absorption of water and macromolecular substances in the interstitial fluid to maintain the fluid homeostasis, promoting the intestinal absorption of nutrients such as lipids and vitamins from food. Recent studies have found that lymphangiogenesis is associated with some pathological conditions, such as tumor metastasis, injury repair, and chronic inflammation. For a long time, the study of lymphatic vessels (LVs) has been stagnant because of the lack of lymphatic-specific cytology and molecular markers. Renal interstitial lymphangiogenesis is found in patients with chronic kidney disease (CKD) and a series of animal models of renal fibrosis. Intervention of the formation or maturation of LVs in renal tissue of CKD may reduce the drainage of inflammatory cells, attenuate chronic inflammation, delay the progression of renal fibrosis, and improve renal function. This review will summarize the latest findings on renal interstitial lymphangiogenesis in CKD.

摘要

淋巴系统的基本生理功能包括吸收间质液中的水和大分子物质,以维持液体平衡,促进食物中脂质和维生素等营养物质的肠道吸收。最近的研究发现,淋巴管生成与一些病理状况有关,如肿瘤转移、损伤修复和慢性炎症。由于缺乏淋巴管特异性细胞学和分子标志物,长期以来,淋巴管(LVs)的研究一直停滞不前。在慢性肾脏病(CKD)患者和一系列肾纤维化动物模型中发现了肾间质淋巴管生成。干预 CKD 肾组织中 LV 的形成或成熟可能会减少炎症细胞的引流,减轻慢性炎症,延缓肾纤维化的进展,改善肾功能。本综述将总结 CKD 中肾间质淋巴管生成的最新发现。

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