Department of Nephrology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Immunol. 2022 Jul 18;13:902063. doi: 10.3389/fimmu.2022.902063. eCollection 2022.
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.
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。
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