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优化糖尿病肾病动物模型:荟萃分析方法的启示。

Optimizing diabetic kidney disease animal models: Insights from a meta-analytic approach.

机构信息

School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing, China.

School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Animal Model Exp Med. 2023 Oct;6(5):433-451. doi: 10.1002/ame2.12350. Epub 2023 Sep 18.

Abstract

Diabetic kidney disease (DKD) is a prevalent complication of diabetes, often leading to end-stage renal disease. Animal models have been widely used to study the pathogenesis of DKD and evaluate potential therapies. However, current animal models often fail to fully capture the pathological characteristics of renal injury observed in clinical patients with DKD. Additionally, modeling DKD is often a time-consuming, costly, and labor-intensive process. The current review aims to summarize modeling strategies in the establishment of DKD animal models by utilizing meta-analysis related methods and to aid in the optimization of these models for future research. A total of 1215 articles were retrieved with the keywords of "diabetic kidney disease" and "animal experiment" in the past 10 years. Following screening, 84 articles were selected for inclusion in the meta-analysis. Review manager 5.4.1 was employed to analyze the changes in blood glucose, glycosylated hemoglobin, total cholesterol, triglyceride, serum creatinine, blood urea nitrogen, and urinary albumin excretion rate in each model. Renal lesions shown in different models that were not suitable to be included in the meta-analysis were also extensively discussed. The above analysis suggested that combining various stimuli or introducing additional renal injuries to current models would be a promising avenue to overcome existing challenges and limitations. In conclusion, our review article provides an in-depth analysis of the limitations in current DKD animal models and proposes strategies for improving the accuracy and reliability of these models that will inspire future research efforts in the DKD research field.

摘要

糖尿病肾病(DKD)是糖尿病的一种常见并发症,常导致终末期肾病。动物模型已广泛用于研究 DKD 的发病机制和评估潜在的治疗方法。然而,目前的动物模型往往无法完全捕捉到临床 DKD 患者肾损伤的病理特征。此外,建模 DKD 通常是一个耗时、昂贵且劳动密集型的过程。本综述旨在通过使用与荟萃分析相关的方法总结 DKD 动物模型建立的建模策略,并为未来的研究优化这些模型。过去 10 年中,使用“糖尿病肾病”和“动物实验”这两个关键词共检索到 1215 篇文章。经过筛选,有 84 篇文章被纳入荟萃分析。使用 Review Manager 5.4.1 分析每个模型中血糖、糖化血红蛋白、总胆固醇、甘油三酯、血清肌酐、血尿素氮和尿白蛋白排泄率的变化。还广泛讨论了不适合纳入荟萃分析的不同模型中显示的肾脏病变。上述分析表明,将各种刺激因素结合起来,或者给现有模型引入额外的肾脏损伤,将是克服现有挑战和局限性的一个很有前途的途径。总之,我们的综述文章深入分析了目前 DKD 动物模型的局限性,并提出了提高这些模型准确性和可靠性的策略,这将激发 DKD 研究领域未来的研究工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf32/10614131/5dd0659b7b34/AME2-6-433-g002.jpg

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