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生长分化因子-15在糖尿病肾病中的作用:机制、诊断及治疗潜力

Role of GDF-15 in diabetic nephropathy: mechanisms, diagnosis, and therapeutic potential.

作者信息

Zhang Xin, Zhou Chen-Gang, Ma Li-Jia

机构信息

Clinical Laboratory, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 201100, China.

Pathology Department, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 201100, China.

出版信息

Int Urol Nephrol. 2025 Jan;57(1):169-175. doi: 10.1007/s11255-024-04179-2. Epub 2024 Aug 16.

Abstract

PURPOSE

Growth differentiation factor 15 (GDF-15) is a cytokine involved in regulating homeostasis, and its expression is up-regulated in response to injury, stress, and inflammation. This study explored the role of GDF-15 in diabetic nephropathy (DN), a severe complication of diabetes mellitus, and its potential as a biomarker for disease progression.

METHODS

As a member of the transforming growth factor-β superfamily, GDF-15 exhibits its renal protective functions primarily through its anti-inflammatory effects and the up-regulation of other renal protective factors. This study evaluated the association between circulating GDF-15 levels and DN progression, examining the underlying mechanisms.

RESULTS

Circulating GDF-15 levels are closely linked to the development and progression of DN. While existing research has yielded some consistent conclusions, a comprehensive understanding of the role of GDF-15 in DN pathogenesis is needed to identify new therapeutic targets and strategies.

CONCLUSION

GDF-15 has the potential to be a prognostic and diagnostic biomarker for DN. It is crucial to establish appropriate reference ranges and explore their clinical utility in routine practice for validating the role of GDF-15 in DN management. Further interventional studies are required to confirm its clinical value in diagnosing and predicting the progression of DN.

摘要

目的

生长分化因子15(GDF - 15)是一种参与调节体内稳态的细胞因子,其表达在损伤、应激和炎症反应时会上调。本研究探讨了GDF - 15在糖尿病肾病(DN)(糖尿病的一种严重并发症)中的作用及其作为疾病进展生物标志物的潜力。

方法

作为转化生长因子-β超家族的成员,GDF - 15主要通过其抗炎作用和上调其他肾脏保护因子来发挥肾脏保护功能。本研究评估了循环GDF - 15水平与DN进展之间的关联,并研究了潜在机制。

结果

循环GDF - 15水平与DN的发生和进展密切相关。虽然现有研究已得出一些一致的结论,但仍需要全面了解GDF - 15在DN发病机制中的作用,以确定新的治疗靶点和策略。

结论

GDF - 15有潜力成为DN的预后和诊断生物标志物。建立适当的参考范围并探索其在常规实践中的临床应用对于验证GDF - 15在DN管理中的作用至关重要。需要进一步的干预性研究来证实其在诊断和预测DN进展中的临床价值。

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