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糖尿病肾病中的铁死亡:机制与治疗意义

Ferroptosis in diabetic nephropathy: Mechanisms and therapeutic implications.

作者信息

Mengstie Misganaw Asmamaw, Seid Mohammed Abdu, Gebeyehu Natnael Atnafu, Adella Getachew Asmare, Kassie Gizchew Ambaw, Bayih Wubet Alebachew, Gesese Molalegn Mesele, Anley Denekew Tenaw, Feleke Sefineh Fenta, Zemene Melkamu Aderajew, Dessie Anteneh Mengist, Solomon Yenealem, Bantie Berihun, Dejenie Tadesse Asmamaw, Teshome Assefa Agegnehu, Abebe Endeshaw Chekol

机构信息

Department of Biochemistry, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Physiology, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

Metabol Open. 2023 Apr 11;18:100243. doi: 10.1016/j.metop.2023.100243. eCollection 2023 Jun.

DOI:10.1016/j.metop.2023.100243
PMID:37124126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10130620/
Abstract

Diabetic Nephropathy (DN), the most common complication in diabetes mellitus, has been affecting the lives of people diabetic for a long time. Numerous studies have demonstrated the unbreakable connection between ferroptosis and kidney cell damage. Ferroptosis is a type of iron-dependent, non-apoptotic, regulated cell death, characterized by the buildup of intracellular lipid peroxides to lethal levels. Although the role of programmed cell deaths like apoptosis, autophagy, and necroptosis in the pathogenesis of DN has been demonstrated, the implication of ferroptosis in DN was least interrogated. Hence, the main aim of this review was to discuss the current understanding of ferroptosis focusing on its potential mechanisms, its involvement in DN, and emerging therapeutic opportunities.

摘要

糖尿病肾病(DN)是糖尿病最常见的并发症,长期以来一直影响着糖尿病患者的生活。大量研究表明,铁死亡与肾细胞损伤之间存在着紧密的联系。铁死亡是一种铁依赖性、非凋亡性、受调控的细胞死亡,其特征是细胞内脂质过氧化物积累到致死水平。虽然凋亡、自噬和坏死性凋亡等程序性细胞死亡在DN发病机制中的作用已得到证实,但铁死亡在DN中的影响却很少受到关注。因此,本综述的主要目的是讨论目前对铁死亡的认识,重点关注其潜在机制、在DN中的作用以及新出现的治疗机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d2a/10130620/e4a5c9aa2fba/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d2a/10130620/e4a5c9aa2fba/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d2a/10130620/e4a5c9aa2fba/gr1.jpg

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Ferroptosis in diabetic nephropathy: Mechanisms and therapeutic implications.糖尿病肾病中的铁死亡:机制与治疗意义
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Mol Med Rep. 2025 Oct;32(4). doi: 10.3892/mmr.2025.13632. Epub 2025 Jul 25.
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High Glucose Promotes the Ferroptosis and Dysfunction of Endothelial Cells by Downregulating SLC3A2 and Promoting the Development of Nephropathy.

本文引用的文献

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Hypoxia-Inducible Factors and Diabetic Kidney Disease-How Deep Can We Go?缺氧诱导因子与糖尿病肾病——我们能深究多深?
Int J Mol Sci. 2022 Sep 8;23(18):10413. doi: 10.3390/ijms231810413.
2
From Iron Metabolism to Ferroptosis: Pathologic Changes in Coronary Heart Disease.从铁代谢到铁死亡:冠心病的病理变化。
Oxid Med Cell Longev. 2022 Aug 10;2022:6291889. doi: 10.1155/2022/6291889. eCollection 2022.
3
Dapagliflozin Ameliorates Renal Tubular Ferroptosis in Diabetes via SLC40A1 Stabilization.达格列净通过稳定 SLC40A1 减轻糖尿病肾小管铁死亡。
高糖通过下调SLC3A2促进内皮细胞铁死亡和功能障碍并推动肾病发展。
Int J Endocrinol. 2025 Jul 16;2025:1186113. doi: 10.1155/ije/1186113. eCollection 2025.
4
Obacunone inhibits ferroptosis through regulation of Nrf2 homeostasis to treat diabetic nephropathy.奥巴库酮通过调节Nrf2稳态抑制铁死亡以治疗糖尿病肾病。
Mol Med Rep. 2025 May;31(5). doi: 10.3892/mmr.2025.13500. Epub 2025 Mar 21.
5
Crosstalk between ferroptosis and innate immune in diabetic kidney disease: mechanisms and therapeutic implications.糖尿病肾病中细胞铁死亡与固有免疫的相互作用:机制及治疗意义
Front Immunol. 2025 Feb 28;16:1505794. doi: 10.3389/fimmu.2025.1505794. eCollection 2025.
6
Curcumin nanocrystals ameliorate ferroptosis of diabetic nephropathy through glutathione peroxidase 4.姜黄素纳米晶体通过谷胱甘肽过氧化物酶4改善糖尿病肾病的铁死亡。
Front Pharmacol. 2025 Jan 6;15:1508312. doi: 10.3389/fphar.2024.1508312. eCollection 2024.
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Mechanisms and Therapeutic Potential of GPX4 in Pain Modulation.谷胱甘肽过氧化物酶4(GPX4)在疼痛调节中的机制及治疗潜力
Pain Ther. 2025 Feb;14(1):21-45. doi: 10.1007/s40122-024-00673-8. Epub 2024 Nov 6.
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[Dexmedetomidine inhibits ferroptosis of human renal tubular epithelial cells by activating the Nrf2/HO-1/GPX4 pathway].右美托咪定通过激活Nrf2/HO-1/GPX4通路抑制人肾小管上皮细胞铁死亡
Nan Fang Yi Ke Da Xue Xue Bao. 2024 Jun 20;44(6):1135-1140. doi: 10.12122/j.issn.1673-4254.2024.06.14.
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Front Endocrinol (Lausanne). 2022 Mar 29;13:853822. doi: 10.3389/fendo.2022.853822. eCollection 2022.
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