Department of Physiology, University Health Sciences Center (Centro Universitario de Ciencias de la Salud), University of Guadalajara. Guadalajara, Jalisco, Mexico.
Iran J Kidney Dis. 2020 Mar;14(2):81-94.
Diabetic nephropathy (ND) is the leading cause of end-stage renal disease and oxidative stress (OS) has been recognized as a key factor in the pathogenesis and progression. Hyperglycemia, reactive oxygen species, advanced glycation end products, arterial pressure, insulin resistance, decrease in nitric oxide, inflammatory markers, and cytokines, among others; are involved in the presence of OS on ND. This revision focus on diverse studies in experimental and human models with diabetes and DN that has been demonstrated beneficial effects of different dietary antioxidant as resveratrol, curcumin, selenium, soy, catechins, α-lipoic acid, coenzyme Q10, omega-3 fatty acids, zinc, vitamins E and C, on OS and the capacity for antioxidant response. Therefore, this interventions could have a positive clinical impact on DN.
糖尿病肾病(DN)是终末期肾病的主要原因,氧化应激(OS)已被认为是发病机制和进展中的关键因素。高血糖、活性氧、糖基化终产物、动脉压、胰岛素抵抗、一氧化氮减少、炎症标志物和细胞因子等,都与 ND 中的 OS 有关。这篇综述重点介绍了在糖尿病和 DN 的实验和人类模型中进行的多项研究,这些研究表明,白藜芦醇、姜黄素、硒、大豆、儿茶素、α-硫辛酸、辅酶 Q10、ω-3 脂肪酸、锌、维生素 E 和 C 等不同饮食抗氧化剂对 OS 和抗氧化反应能力具有有益的影响。因此,这些干预措施可能对 DN 产生积极的临床影响。