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补体系统在代谢相关肾脏疾病中的作用

The Complement System in Metabolic-Associated Kidney Diseases.

机构信息

Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Immunol. 2022 Jul 18;13:902063. doi: 10.3389/fimmu.2022.902063. eCollection 2022.


DOI:10.3389/fimmu.2022.902063
PMID:35924242
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9339597/
Abstract

Metabolic syndrome (MS) is a group of clinical abnormalities characterized by central or abdominal obesity, hypertension, hyperuricemia, and metabolic disorders of glucose or lipid. Currently, the prevalence of MS is estimated about 25% in general population and is progressively increasing, which has become a challenging public health burden. Long-term metabolic disorders can activate the immune system and trigger a low-grade chronic inflammation named "metaflammation." As an important organ involved in metabolism, the kidney is inevitably attacked by immunity disequilibrium and "metaflammation." Recently, accumulating studies have suggested that the complement system, the most important and fundamental component of innate immune responses, is actively involved in the development of metabolic kidney diseases. In this review, we updated and summarized the different pathways through which the complement system is activated in a series of metabolic disturbances and the mechanisms on how complement mediate immune cell activation and infiltration, renal parenchymal cell damage, and the deterioration of renal function provide potential new biomarkers and therapeutic options for metabolic kidney diseases.

摘要

代谢综合征(MS)是一组以中心性或腹部肥胖、高血压、高尿酸血症和葡萄糖或脂质代谢紊乱为特征的临床异常。目前,一般人群中 MS 的患病率约为 25%,且呈逐渐上升趋势,已成为一项具有挑战性的公共卫生负担。长期的代谢紊乱可激活免疫系统,引发一种称为“代谢炎症”的低水平慢性炎症。作为参与代谢的重要器官,肾脏不可避免地受到免疫失衡和“代谢炎症”的攻击。最近,越来越多的研究表明,补体系统作为先天免疫反应最重要和最基本的组成部分,积极参与代谢性肾病的发生发展。在这篇综述中,我们更新并总结了补体系统在一系列代谢紊乱中被激活的不同途径,以及补体如何介导免疫细胞激活和浸润、肾实质细胞损伤以及肾功能恶化的机制,为代谢性肾病提供了潜在的新的生物标志物和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa27/9339597/a65fc7589ffd/fimmu-13-902063-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa27/9339597/8f7e97cc96ad/fimmu-13-902063-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa27/9339597/a65fc7589ffd/fimmu-13-902063-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa27/9339597/8f7e97cc96ad/fimmu-13-902063-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa27/9339597/a65fc7589ffd/fimmu-13-902063-g002.jpg

相似文献

[1]
The Complement System in Metabolic-Associated Kidney Diseases.

Front Immunol. 2022

[2]
The complement system is dysfunctional in metabolic disease: Evidences in plasma and adipose tissue from obese and insulin resistant subjects.

Semin Cell Dev Biol. 2017-10-28

[3]
Complement in metabolic disease: metaflammation and a two-edged sword.

Semin Immunopathol. 2021-12

[4]
NLRP3 Inflammasome in Metabolic-Associated Kidney Diseases: An Update.

Front Immunol. 2021

[5]
Train to Lose: Innate Immune Memory in Metaflammation.

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[6]
Metaflammation: Tissue-Specific Alterations of the NLRP3 Inflammasome Platform in Metabolic Syndrome.

Curr Med Chem. 2018

[7]
Molecules Great and Small: The Complement System.

Clin J Am Soc Nephrol. 2015-9-4

[8]
Protective effect of natural products in the metabolic-associated kidney diseases regulating mitochondrial dysfunction.

Front Pharmacol. 2023-1-12

[9]
Danger-associated metabolites trigger metaflammation: A crowbar in cardiometabolic diseases.

Pharmacol Res. 2023-12

[10]
The role of complement system in adipose tissue-related inflammation.

Immunol Res. 2016-6

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[4]
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[5]
Preclinical Detection of Early Glomerular Injury in Children with Kidney Diseases-Independently of Usual Markers of Kidney Impairment and Inflammation.

Int J Mol Sci. 2024-8-28

[6]
Proteomic Correlates and Prognostic Significance of Kidney Injury in Heart Failure With Preserved Ejection Fraction.

J Am Heart Assoc. 2024-9-3

[7]
Oxidative Stress: A Culprit in the Progression of Diabetic Kidney Disease.

Antioxidants (Basel). 2024-4-12

[8]
Comprehensive strategy for identifying extracellular vesicle surface proteins as biomarkers for chronic kidney disease.

Front Physiol. 2024-2-6

[9]
The dysregulation of immune cells induced by uric acid: mechanisms of inflammation associated with hyperuricemia and its complications.

Front Immunol. 2023

[10]
New insight of complement system in the process of vascular calcification.

J Cell Mol Med. 2023-5

本文引用的文献

[1]
Metabolic Syndrome: Updates on Pathophysiology and Management in 2021.

Int J Mol Sci. 2022-1-12

[2]
Complement factor B in high glucose-induced podocyte injury and diabetic kidney disease.

JCI Insight. 2021-10-8

[3]
Complement in Renal Disease as a Potential Contributor to Arterial Hypertension.

Kidney Blood Press Res. 2021

[4]
Urinary complement proteins and risk of end-stage renal disease: quantitative urinary proteomics in patients with type 2 diabetes and biopsy-proven diabetic nephropathy.

J Endocrinol Invest. 2021-12

[5]
The pattern-recognition molecule H-ficolin in relation to diabetic kidney disease, mortality, and cardiovascular events in type 1 diabetes.

Sci Rep. 2021-4-26

[6]
Association between thrombotic microangiopathy and activated alternative complement pathway in malignant nephrosclerosis.

Nephrol Dial Transplant. 2020-12-26

[7]
Complement C1q as a Potential Biomarker for Obesity and Metabolic Syndrome in Chinese Adolescents.

Front Endocrinol (Lausanne). 2020-11-30

[8]
Complement C5 activation promotes type 2 diabetic kidney disease via activating STAT3 pathway and disrupting the gut-kidney axis.

J Cell Mol Med. 2021-1

[9]
Complement-mediated kidney diseases.

Mol Immunol. 2020-12

[10]
Association of Glomerular Complement C4c Deposition With the Progression of Diabetic Kidney Disease in Patients With Type 2 Diabetes.

Front Immunol. 2020

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