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尿毒症毒性的演变观点。

The Evolving View of Uremic Toxicity.

机构信息

Nephrology and Transplantation Unit, University Hospitals Leuven, 30000 Leuven, Belgium.

Laboratory of Nephrology, Katholieke Universiteit Leuven, 30000 Leuven, Belgium.

出版信息

Toxins (Basel). 2022 Apr 12;14(4):274. doi: 10.3390/toxins14040274.

DOI:10.3390/toxins14040274
PMID:35448883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9031373/
Abstract

Indoxyl sulfate, closely related to indigo, a dye valued for it binding to cloth, has been recognized as a protein-bound solute bound to albumin, present in increased concentration in the serum of patients with impaired glomerular filtration (13). The early studies of Niwa identified indoxyl sulfate as a toxin capable of accelerating the rate of renal damage in subtotal nephrectomized rats (18). Over the past decade other protein-bound solutes have been identified in the plasma of patients with impaired glomerular filtration. Although the early studies, focused on the kidney, identified indoxyl sulfate as a toxic waste product dependent on the kidney for its removal, subsequent observations have identified organic anion transporters on many non-renal tissue, leading to the view that indoxyl sulfate is part of a systemic signaling system.

摘要

硫酸吲哚酚,与靛蓝密切相关,是一种用于染布的染料,已被确认为与白蛋白结合的蛋白质结合物,存在于肾小球滤过功能受损患者的血清中,浓度升高 (13)。Niwa 的早期研究发现硫酸吲哚酚是一种能够加速部分肾切除大鼠肾脏损伤速度的毒素 (18)。在过去的十年中,其他与蛋白质结合的溶质已在肾小球滤过功能受损患者的血浆中被鉴定出来。虽然早期的研究集中在肾脏上,发现硫酸吲哚酚是一种依赖肾脏清除的有毒代谢产物,但随后的观察结果在许多非肾脏组织中发现了有机阴离子转运蛋白,这导致了硫酸吲哚酚是一种系统信号系统的一部分的观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/ef5d22288acd/toxins-14-00274-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/b9e87a7cabd4/toxins-14-00274-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/c95b978310c3/toxins-14-00274-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/de76a81728e4/toxins-14-00274-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/ef5d22288acd/toxins-14-00274-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/b9e87a7cabd4/toxins-14-00274-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/c95b978310c3/toxins-14-00274-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/de76a81728e4/toxins-14-00274-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/9031373/ef5d22288acd/toxins-14-00274-g004.jpg

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引用本文的文献

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Indoxyl sulfate induces apoptosis in mononuclear blood cells via mitochondrial pathway.硫酸吲哚酚通过线粒体途径诱导单核血细胞凋亡。
Sci Rep. 2023 Aug 28;13(1):14044. doi: 10.1038/s41598-023-40824-z.
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Efficient selective removal of uremic toxin precursor by olefin-linked covalent organic frameworks for nephropathy treatment.通过烯烃连接的共价有机框架高效选择性去除尿毒症毒素前体用于肾病治疗。
Nat Commun. 2023 May 16;14(1):2805. doi: 10.1038/s41467-023-38427-3.

本文引用的文献

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The Systems Biology of Drug Metabolizing Enzymes and Transporters: Relevance to Quantitative Systems Pharmacology.药物代谢酶和转运体的系统生物学:与定量系统药理学的相关性。
Clin Pharmacol Ther. 2020 Jul;108(1):40-53. doi: 10.1002/cpt.1818. Epub 2020 Apr 11.
2
Role of the Aryl Hydrocarbon Receptor in Environmentally Induced Skin Aging and Skin Carcinogenesis.芳香烃受体在环境诱导的皮肤衰老和皮肤癌变中的作用。
Int J Mol Sci. 2019 Nov 28;20(23):6005. doi: 10.3390/ijms20236005.
3
Remote sensing and signaling in kidney proximal tubules stimulates gut microbiome-derived organic anion secretion.
肾脏近端小管中的遥感和信号刺激肠道微生物组衍生的有机阴离子分泌。
Proc Natl Acad Sci U S A. 2019 Aug 6;116(32):16105-16110. doi: 10.1073/pnas.1821809116. Epub 2019 Jul 24.
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The fascinating history of urine examination.尿液检查的迷人历史。
J Am Soc Cytopathol. 2014 Mar-Apr;3(2):103-107. doi: 10.1016/j.jasc.2013.12.005. Epub 2013 Dec 25.
5
Key Role for the Organic Anion Transporters, OAT1 and OAT3, in the in vivo Handling of Uremic Toxins and Solutes.有机阴离子转运体 OAT1 和 OAT3 在体内处理尿毒症毒素和溶质中的关键作用。
Sci Rep. 2017 Jul 10;7(1):4939. doi: 10.1038/s41598-017-04949-2.
6
The rebirth of interest in renal tubular function.对肾小管功能兴趣的再度兴起。
Am J Physiol Renal Physiol. 2016 Jun 1;310(11):F1351-5. doi: 10.1152/ajprenal.00055.2016. Epub 2016 Mar 2.
7
On the discovery of UREA. Identification, synthesis and observations that let to establishing the first uraemic retention solute.关于尿素的发现。鉴定、合成以及促使首个尿毒症潴留溶质得以确立的观察结果。
G Ital Nefrol. 2016 Feb;33 Suppl 66:33.S66.16.
8
The fascinating story of urine examination: From uroscopy to the era of microscopy and beyond.尿液检查的迷人故事:从尿诊法到显微镜时代及以后。
Diagn Cytopathol. 2015 Dec;43(12):1020-36. doi: 10.1002/dc.23370. Epub 2015 Sep 22.
9
The Saga of Two Centuries of Urea: Nontoxic Toxin or Vice Versa?两个世纪的尿素传奇:无毒毒素还是反之?
Semin Nephrol. 2014 Mar;34(2):87-96. doi: 10.1016/j.semnephrol.2014.02.002. Epub 2014 Feb 15.
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Functional genomic analysis identifies indoxyl sulfate as a major, poorly dialyzable uremic toxin in end-stage renal disease.功能基因组分析确定硫酸吲哚酚是终末期肾病中一种主要的、透析性差的尿毒症毒素。
PLoS One. 2015 Mar 26;10(3):e0118703. doi: 10.1371/journal.pone.0118703. eCollection 2015.