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糖尿病患者肾功能快速下降的风险因素。

Risk factors for rapid kidney function decline in diabetes patients.

机构信息

Department of Nephrology, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai, China.

Department of Nephrology, PLA Navy No. 905 Hospital, Naval Medical University (Second Military Medical University), Shanghai, China.

出版信息

Ren Fail. 2024 Dec;46(2):2398188. doi: 10.1080/0886022X.2024.2398188. Epub 2024 Sep 11.

DOI:10.1080/0886022X.2024.2398188
PMID:39258389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11391878/
Abstract

Diabetic nephropathy, as a severe microvascular complication of diabetes, manifests in four clinical types: classic, albuminuria regression, a rapid decline in kidney function (RDKF), and non-proteinuric or non-albuminuric DKD. Rapidly progressive diabetic nephropathy advances to end-stage renal disease more swiftly than the typical form, posing significant risks. However, a comprehensive understanding of rapidly progressive diabetic nephropathy is currently lacking. This article reviewed latest developments in genetic and clinical risk factors associated with rapidly progressive diabetic nephropathy, aiming to broad perspectives concerning the diagnosis and interventions of this condition.

摘要

糖尿病肾病是糖尿病严重的微血管并发症,表现为四种临床类型:经典型、白蛋白尿消退型、肾功能快速下降型(RDKF)和非蛋白尿或非白蛋白尿型 DKD。快速进展性糖尿病肾病比典型形式更快地进展为终末期肾病,带来重大风险。然而,目前对快速进展性糖尿病肾病的认识还不够全面。本文综述了与快速进展性糖尿病肾病相关的遗传和临床危险因素的最新研究进展,旨在为该疾病的诊断和干预提供更广泛的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc60/11391878/cae1860bd642/IRNF_A_2398188_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc60/11391878/67fb7c31e983/IRNF_A_2398188_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc60/11391878/cae1860bd642/IRNF_A_2398188_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc60/11391878/67fb7c31e983/IRNF_A_2398188_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc60/11391878/cae1860bd642/IRNF_A_2398188_F0002_C.jpg

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Risk factors for rapid kidney function decline in diabetes patients.糖尿病患者肾功能快速下降的风险因素。
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本文引用的文献

1
Sex differences in kidney metabolism may reflect sex-dependent outcomes in human diabetic kidney disease.肾脏代谢的性别差异可能反映了人类糖尿病肾病中性别相关的结局。
Sci Transl Med. 2024 Mar 6;16(737):eabm2090. doi: 10.1126/scitranslmed.abm2090.
2
Gender Differences in the Incidence of Nephropathy and Changes in Renal Function in Patients with Type 2 Diabetes Mellitus: A Retrospective Cohort Study.2型糖尿病患者肾病发病率及肾功能变化的性别差异:一项回顾性队列研究
Diabetes Metab Syndr Obes. 2024 Feb 26;17:943-957. doi: 10.2147/DMSO.S451628. eCollection 2024.
3
Parallelism and non-parallelism in diabetic nephropathy and diabetic retinopathy.
糖尿病肾病和糖尿病视网膜病变中的平行与非平行现象。
Front Endocrinol (Lausanne). 2024 Feb 14;15:1336123. doi: 10.3389/fendo.2024.1336123. eCollection 2024.
4
Age- and gender-adjusted estimated glomerular filtration rate definition reveals hyperfiltration as a risk factor for renal function deterioration in type 2 diabetes.年龄和性别调整的估算肾小球滤过率定义表明,在 2 型糖尿病中,超滤过是肾功能恶化的一个危险因素。
Diabetes Obes Metab. 2024 May;26(5):1636-1643. doi: 10.1111/dom.15465. Epub 2024 Feb 1.
5
Poor Glycemic Control Is Associated With More Rapid Kidney Function Decline After the Onset of Diabetic Kidney Disease.血糖控制不佳与糖尿病肾病发病后肾功能下降更快相关。
J Clin Endocrinol Metab. 2024 Jul 12;109(8):2124-2135. doi: 10.1210/clinem/dgae044.
6
Lifestyle factors associated with a rapid decline in the estimated glomerular filtration rate over two years in older adults with type 2 diabetes-Evidence from a large national database in Japan.与 2 年内 2 型糖尿病老年患者估算肾小球滤过率快速下降相关的生活方式因素-来自日本大型国家数据库的证据。
PLoS One. 2023 Dec 13;18(12):e0295235. doi: 10.1371/journal.pone.0295235. eCollection 2023.
7
Correlation between diabetic retinopathy and diabetic nephropathy: a two-sample Mendelian randomization study.糖尿病视网膜病变与糖尿病肾病的相关性:两样本孟德尔随机化研究。
Front Endocrinol (Lausanne). 2023 Nov 1;14:1265711. doi: 10.3389/fendo.2023.1265711. eCollection 2023.
8
Cardiovascular Autonomic Neuropathy and Risk of Kidney Function Decline in Type 1 and Type 2 Diabetes: Findings From the PERL and ACCORD Cohorts.1型和2型糖尿病患者的心血管自主神经病变与肾功能下降风险:来自PERL和ACCORD队列的研究结果
Diabetes. 2024 May 1;73(5):751-762. doi: 10.2337/db23-0247.
9
Variants within the LPL gene confer susceptility to diabetic kidney disease and rapid decline in kidney function in Chinese patients with type 2 diabetes.LPL 基因内的变异使中国 2 型糖尿病患者易患糖尿病肾病,并导致肾功能快速下降。
Diabetes Obes Metab. 2023 Oct;25(10):3012-3019. doi: 10.1111/dom.15199. Epub 2023 Jul 10.
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Risk of developing chronic kidney disease in young-onset Type 2 diabetes in Korea.韩国年轻起病 2 型糖尿病患者发生慢性肾脏病的风险。
Sci Rep. 2023 Jun 21;13(1):10100. doi: 10.1038/s41598-023-36711-2.