Department of Internal Medicine, Nephrology and Dialysis, Military Institute of Medicine in Warsaw, Poland.
Pol Merkur Lekarski. 2022 Jun 24;50(297):202-206.
Chronic kidney disease (CKD) can be caused by many conditions. The most common reasons are diabetic nephropathy, hypertension - associated nephropathy, cardiovascular disease. Although there are different reasons of deterioration of kidney function, many of them have combined molecular mechanisms by modulating metabolic homeostasis, autophagy, apoptosis, oxidative stress, inflammation. The aim of this paper is to present known molecular bases of CKD development in the course of other selected diseases to research why different patients are more prone to the CKD than others with the same condition. Selected aspects of genetic conditions were conducted, such as gene polymorphism of sirtuins, APOL1 gene polymorphism, the role of reactive oxygen species. More research is needed to understand the genetics of CKD and its' affecting the process of diagnostics and treatment.
慢性肾脏病(CKD)可由多种情况引起。最常见的原因是糖尿病肾病、高血压相关肾病、心血管疾病。尽管肾功能恶化的原因各不相同,但其中许多原因都通过调节代谢平衡、自噬、细胞凋亡、氧化应激和炎症共同的分子机制。本文的目的是介绍在其他选定疾病过程中已知的 CKD 发展的分子基础,以研究为什么不同患者比其他具有相同条件的患者更容易发生 CKD。本文还对遗传条件的某些方面进行了研究,如沉默调节蛋白基因多态性、APOL1 基因多态性、活性氧的作用。需要更多的研究来了解 CKD 的遗传学及其对诊断和治疗过程的影响。