Xiong Shihong, Qi Ting, Gong Na, Yang Cheng
Department of Nephrology, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei 430064, China.
Department of Nephrology, Puren Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei 430081, China.
Evid Based Complement Alternat Med. 2021 Oct 27;2021:6166528. doi: 10.1155/2021/6166528. eCollection 2021.
Chronic kidney disease (CKD) is a progressive damage of renal structure and function caused by various reasons. Its course is long and irreversible. CKD can be divided into 5 stages according to the glomerular filtration rate (GFR). Early detection and early intervention of CKD can reduce the complications of patients and improve the survival rate. Retinol-binding protein 4 (RBP4) is a small molecule transporter. Receptor for advanced glycation end products (RAGE) is a multi-ligand transmembrane signal transduction receptor discovered in recent years. Soluble RAGE (sRAGE) is a new splicing heterogeneity of RAGE. Our results show that serum RBP4 is increased while sRAGE is decreased in CKD patients, both of which are closely related to the severity of CKD. The combined use of serum RBP4 and sRAGE has a high diagnostic value for CKD and can provide a reliable diagnostic basis for the clinic.
慢性肾脏病(CKD)是由各种原因引起的肾脏结构和功能的进行性损害。其病程漫长且不可逆转。根据肾小球滤过率(GFR),CKD可分为5个阶段。CKD的早期检测和早期干预可减少患者并发症并提高生存率。视黄醇结合蛋白4(RBP4)是一种小分子转运蛋白。晚期糖基化终末产物受体(RAGE)是近年来发现的一种多配体跨膜信号转导受体。可溶性RAGE(sRAGE)是RAGE的一种新的剪接异构体。我们的结果表明,CKD患者血清RBP4升高而sRAGE降低,两者均与CKD的严重程度密切相关。血清RBP4和sRAGE联合使用对CKD具有较高的诊断价值,可为临床提供可靠的诊断依据。