Department of Nephrology, The Second Affiliated Hospital of Shantou University Medical College, Shantou 515041, China.
Curr Pharm Des. 2024;30(8):589-596. doi: 10.2174/0113816128291248240131102709.
Chronic kidney disease (CKD) refers to the presence of structural or functional abnormalities in the kidneys that affect health, lasting for more than 3 months. CKD is not only the direct cause of global incidence rate and mortality, but also an important risk factor for cardiovascular disease. Persistent microinflammatory state has been recognized as an important component of CKD, which can lead to renal fibrosis and loss of renal function, and plays a crucial role in the pathophysiology and progression of the disease. Simultaneously, compound α-Ketoacid can bind nitrogen-containing metabolites in the blood and accelerate their excretion from the body, thereby reducing the level of metabolic waste, alleviating gastrointestinal reactions in patients, and reducing the inflammatory response and oxidative stress state of the body. Compound α-Ketoacid contains amino acids required by CKD patients. In this review, we explore the relationship between compound α-Ketoacid and microinflammation in patients with CKD. The review indicated that compound α-Ketoacid can improve the microinflammatory state in CKD patients by improving the nutritional status of CKD patients, improving patient's acid-base balance disorder, regulating oxidative stress, improving gut microbiota, and regulating abnormal lipid metabolism.
慢性肾脏病(CKD)是指肾脏结构或功能异常,影响健康,持续时间超过 3 个月。CKD 不仅是全球发病率和死亡率的直接原因,也是心血管疾病的重要危险因素。持续的微炎症状态已被认为是 CKD 的一个重要组成部分,它可导致肾纤维化和肾功能丧失,并在疾病的病理生理学和进展中起关键作用。同时,复方 α-酮酸可与血液中的含氮代谢物结合,并加速其从体内排出,从而降低代谢废物水平,减轻患者的胃肠道反应,降低体内的炎症反应和氧化应激状态。复方 α-酮酸含有 CKD 患者所需的氨基酸。本综述探讨了复方 α-酮酸与 CKD 患者微炎症之间的关系。综述表明,复方 α-酮酸通过改善 CKD 患者的营养状况、改善患者的酸碱平衡紊乱、调节氧化应激、改善肠道菌群和调节异常脂质代谢,可改善 CKD 患者的微炎症状态。