肿瘤坏死因子受体信号通路:将肾脏疾病的动物模型与人类慢性肾脏病联系起来。

The Signaling Pathway of TNF Receptors: Linking Animal Models of Renal Disease to Human CKD.

机构信息

Associate Laboratory i4HB-Institute for Health and Bioeconomy, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.

UCIBIO-Applied Molecular Biosciences Unit, Laboratory of Biochemistry, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.

出版信息

Int J Mol Sci. 2022 Mar 18;23(6):3284. doi: 10.3390/ijms23063284.

Abstract

Chronic kidney disease (CKD) has been recognized as a global public health problem. Despite the current advances in medicine, CKD-associated morbidity and mortality remain unacceptably high. Several studies have highlighted the contribution of inflammation and inflammatory mediators to the development and/or progression of CKD, such as tumor necrosis factor (TNF)-related biomarkers. The inflammation pathway driven by TNF-α, through TNF receptors 1 (TNFR1) and 2 (TNFR2), involves important mediators in the pathogenesis of CKD. Circulating levels of TNFRs were associated with changes in other biomarkers of kidney function and injury, and were described as predictors of disease progression, cardiovascular morbidity, and mortality in several cohorts of patients. Experimental studies describe the possible downstream signaling pathways induced upon TNFR activation and the resulting biological responses. This review will focus on the available data on TNFR1 and TNFR2, and illustrates their contributions to the pathophysiology of kidney diseases, their cellular and molecular roles, as well as their potential as CKD biomarkers. The emerging evidence shows that TNF receptors could act as biomarkers of renal damage and as mediators of the disease. Furthermore, it has been suggested that these biomarkers could significantly improve the discrimination of clinical CKD prognostic models.

摘要

慢性肾脏病(CKD)已被公认为全球公共卫生问题。尽管目前医学取得了进步,但 CKD 相关的发病率和死亡率仍然高得不可接受。多项研究强调了炎症和炎症介质在 CKD 的发生和/或进展中的作用,例如肿瘤坏死因子(TNF)相关生物标志物。由 TNF-α驱动的炎症途径,通过 TNF 受体 1(TNFR1)和 2(TNFR2),涉及 CKD 发病机制中的重要介质。循环 TNFRs 水平与肾功能和损伤的其他生物标志物的变化相关,并在几个患者队列中被描述为疾病进展、心血管发病率和死亡率的预测指标。实验研究描述了 TNFR 激活后可能诱导的下游信号通路以及由此产生的生物学反应。这篇综述将重点介绍关于 TNFR1 和 TNFR2 的现有数据,并说明它们对肾脏疾病病理生理学的贡献、它们的细胞和分子作用,以及它们作为 CKD 生物标志物的潜力。新兴证据表明,TNF 受体可以作为肾脏损伤的生物标志物和疾病的介质。此外,有人提出这些生物标志物可以显著提高临床 CKD 预后模型的区分度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8286/8950598/014d04e4e5bf/ijms-23-03284-g001.jpg

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