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阐明簇集素在糖尿病肾病进展中的作用。

Elucidating the function of clusterin in the progression of diabetic kidney disease.

作者信息

Mao Lin, Yin Ruili, Yang Longyan, Zhao Dong

机构信息

Beijing Key Laboratory of Diabetes Prevention and Research, Center for Endocrine Metabolic and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing, China.

出版信息

Front Pharmacol. 2025 May 14;16:1573654. doi: 10.3389/fphar.2025.1573654. eCollection 2025.

DOI:10.3389/fphar.2025.1573654
PMID:40438587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12116493/
Abstract

Diabetic kidney disease (DKD) is a common microvascular complication and the main cause of death in diabetic patients. Metabolic disorders can accelerate the occurrence and development of DKD through a variety of ways, Recent studies have found that Clusterin (Clu) levels are associated with renal dysfunction and can be used as a biomarker of renal tubular injury, while preclinical studies reveal its renoprotective function. This article reviews the molecular mechanisms of Clu in the interaction between various cells in DKD. In addition, we discuss the latest research progress of Clu in the field of DKD. This review aims to explore Clu as a potential therapeutic target for DKD and provide some guidance for future clinical treatment.

摘要

糖尿病肾病(DKD)是一种常见的微血管并发症,也是糖尿病患者死亡的主要原因。代谢紊乱可通过多种途径加速DKD的发生和发展。最近的研究发现,簇集素(Clu)水平与肾功能障碍有关,可作为肾小管损伤的生物标志物,而临床前研究揭示了其肾脏保护功能。本文综述了Clu在DKD中各种细胞间相互作用的分子机制。此外,我们还讨论了Clu在DKD领域的最新研究进展。本综述旨在探索Clu作为DKD潜在治疗靶点的可能性,并为未来的临床治疗提供一些指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/fe3ccf6dc2bb/fphar-16-1573654-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/f6193eede800/fphar-16-1573654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/38d90beb79c5/fphar-16-1573654-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/fe3ccf6dc2bb/fphar-16-1573654-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/f6193eede800/fphar-16-1573654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/38d90beb79c5/fphar-16-1573654-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0846/12116493/fe3ccf6dc2bb/fphar-16-1573654-g003.jpg

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本文引用的文献

1
Global Burden of the Key Components of Cardiovascular-Kidney-Metabolic Syndrome.心血管-肾脏-代谢综合征关键组成部分的全球负担
J Am Soc Nephrol. 2025 Mar 5. doi: 10.1681/ASN.0000000658.
2
Clusterin inhibits lipopolysaccharide induced liver injury.簇集素抑制脂多糖诱导的肝损伤。
Sci Rep. 2025 Feb 18;15(1):5975. doi: 10.1038/s41598-024-80903-3.
3
Apoc1 Knockdown Alleviates High Glucose-induced Oxidative Stress and Apoptosis of Renal Tubular Cells by Binding to Clusterin.Apoc1基因敲低通过与簇集素结合减轻高糖诱导的肾小管细胞氧化应激和凋亡。
Cell Biochem Biophys. 2025 Jun;83(2):2253-2263. doi: 10.1007/s12013-024-01636-8. Epub 2024 Dec 4.
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Podocyte-specific KLF6 primes proximal tubule CaMK1D signaling to attenuate diabetic kidney disease.足细胞特异性 KLF6 激活近端肾小管 CaMK1D 信号通路,从而减轻糖尿病肾病。
Nat Commun. 2024 Sep 13;15(1):8038. doi: 10.1038/s41467-024-52306-5.
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Qualified kidney injury biomarkers demonstrate value during early clinical drug development.在早期临床药物开发中,合格的肾损伤生物标志物具有重要价值。
Toxicol Sci. 2024 Oct 1;201(2):206-215. doi: 10.1093/toxsci/kfae088.
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BRD7 facilitates ferroptosis via modulating clusterin promoter hypermethylation and suppressing AMPK signaling in diabetes-induced testicular damage.BRD7 通过调节细胞衰老相关蛋白聚糖启动子超甲基化和抑制 AMPK 信号通路促进糖尿病诱导的睾丸损伤中的铁死亡。
Mol Med. 2024 Jul 12;30(1):100. doi: 10.1186/s10020-024-00868-x.
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Comparison of the Impact of VRP-034 and Polymyxin B upon Markers of Kidney Injury in Human Proximal Tubule Monolayers In Vitro.VRP-034与多粘菌素B对体外人近端肾小管单层肾损伤标志物影响的比较
Antibiotics (Basel). 2024 Jun 6;13(6):530. doi: 10.3390/antibiotics13060530.
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Economic Costs of Diabetes in the U.S. in 2022.2022 年美国糖尿病的经济成本。
Diabetes Care. 2024 Jan 1;47(1):26-43. doi: 10.2337/dci23-0085.
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Mechanisms of kidney fibrosis and routes towards therapy.肾纤维化的机制及治疗途径。
Trends Endocrinol Metab. 2024 Jan;35(1):31-48. doi: 10.1016/j.tem.2023.09.001. Epub 2023 Sep 28.
10
Flucloxacillin worsens while imipenem-cilastatin protects against vancomycin-induced kidney injury in a translational rat model.氟氯西林恶化而亚胺培南-西司他丁可预防万古霉素诱导的大鼠肾损伤。
Br J Pharmacol. 2024 Mar;181(5):670-680. doi: 10.1111/bph.16234. Epub 2023 Oct 10.