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靶向自噬:糖尿病及糖尿病肾病的一种有前景的治疗策略。

Targeting Autophagy: A Promising Therapeutic Strategy for Diabetes Mellitus and Diabetic Nephropathy.

作者信息

Li Qi-Rui, Xu Hui-Ying, Ma Rui-Ting, Ma Yuan-Yuan, Chen Mei-Juan

机构信息

School of Medicine, Nanjing University of Chinese Medicine, 138 Xianlin Rd, Nanjing, 210023, China.

Inner Mongolia Autonomous Region Mental Health Center, Hohhot, 010010, China.

出版信息

Diabetes Ther. 2024 Oct;15(10):2153-2182. doi: 10.1007/s13300-024-01641-3. Epub 2024 Aug 21.

Abstract

Diabetes mellitus (DM) significantly impairs patients' quality of life, primarily because of its complications, which are the leading cause of mortality among individuals with the disease. Autophagy has emerged as a key process closely associated with DM, including its complications such as diabetic nephropathy (DN). DN is a major complication of DM, contributing significantly to chronic kidney disease and renal failure. The intricate connection between autophagy and DM, including DN, highlights the potential for new therapeutic targets. This review examines the interplay between autophagy and these conditions, aiming to uncover novel approaches to treatment and enhance our understanding of their underlying pathophysiology. It also explores the role of autophagy in maintaining renal homeostasis and its involvement in the development and progression of DM and DN. Furthermore, the review discusses natural compounds that may alleviate these conditions by modulating autophagy.

摘要

糖尿病(DM)显著损害患者的生活质量,主要是由于其并发症,这些并发症是该疾病患者死亡的主要原因。自噬已成为与糖尿病密切相关的关键过程,包括糖尿病肾病(DN)等并发症。DN是糖尿病的主要并发症,对慢性肾脏病和肾衰竭有重大影响。自噬与糖尿病(包括DN)之间的复杂联系凸显了新治疗靶点的潜力。本综述探讨自噬与这些病症之间的相互作用,旨在发现新的治疗方法并增进我们对其潜在病理生理学的理解。它还探讨了自噬在维持肾脏稳态中的作用及其在糖尿病和DN的发生发展中的作用。此外,本综述讨论了可能通过调节自噬来缓解这些病症的天然化合物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb9/11410753/173ab4e5f7ca/13300_2024_1641_Fig1_HTML.jpg

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