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锌与肾脏疾病:综述

Zinc and Kidney Disease: A Review.

机构信息

Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Kidney Dis. 2022 Mar;16(2):79-87.

Abstract

Zinc is the second most abundant essential trace element in the human body with important regulatory functions in cellular and subcellular levels in several tissues. Zinc deficiency is associated with the development and progression of chronic kidney disease (CKD) and its complications. With the progression of CKD to end-stage kidney disease (ESKD) and initiation of dialysis, zinc is further removed from the body, potentiating the zinc deficiency. Dietary intake plays a major role in zinc-deficiency-related risks and progression of CKD. By taking into account the evidence from clinical studies depicting the mutual correlations between zinc and CKD, and the plausibility based on animal studies, it can be deduced that zinc deficiency has a causative role in CKD and its progression. This review highlights the role of zinc deficiency in kidney disease and the possible indication for supplementation of zinc at various stages of CKD.  DOI: 10.52547/ijkd.6702.

摘要

锌是人体中第二丰富的必需微量元素,在细胞和亚细胞水平上对许多组织具有重要的调节功能。锌缺乏与慢性肾脏病(CKD)及其并发症的发生和发展有关。随着 CKD 进展为终末期肾病(ESKD)并开始透析,体内进一步去除锌,从而加剧锌缺乏。饮食摄入在与锌缺乏相关的风险和 CKD 进展中起着重要作用。考虑到描述锌与 CKD 之间相互关系的临床研究证据,以及基于动物研究的合理性,可以推断锌缺乏在 CKD 及其进展中起因果作用。本综述强调了锌缺乏在肾脏疾病中的作用,以及在 CKD 的各个阶段补充锌的可能指征。DOI:10.52547/ijkd.6702.

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