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慢性肾脏疾病的当代观点

Contemporary Perspectives on Chronic Renal Disorders.

作者信息

Ashok Deenadhayalan, Manjrekar Poornima Ajay, Shetty Bhushan C, S S Sujina, Srikantiah Rukmini Mysore, Kollampare Sowndarya

机构信息

Department of Biochemistry, Kasturba Medical College Mangalore Manipal Academy of Higher Education Manipal Karnataka India.

Department of Nephrology, Kasturba Medical College Mangalore Manipal Academy of Higher Education Manipal Karnataka India.

出版信息

Chronic Dis Transl Med. 2025 Apr 17;11(2):89-104. doi: 10.1002/cdt3.70004. eCollection 2025 Jun.

Abstract

The prevalence of renal diseases and its associated burden on healthcare have tremendously risen in the past few years. From simple markers assessing kidney function, current renal research delves into understanding the diseases at the cellular and molecular levels and not just at treating, but at improving quality of life, arresting progression and providing personalized diagnostics and therapy. This narrative review highlights the improvements in diagnostic applications of kidney disease and briefly discusses a few notable biomarkers emphasizing the high throughput omics technologies, as well as contemporary perspectives on renal research. A thorough literature search was performed on PubMed, Scopus, Web of Science, and Medline. Suitable Mesh terms were included for the search strategy, and relevant evidence was documented. Language models and pharmacognosy, along with other omics strategies, impose a better understanding of the renal disease, and the remarkable discoveries of noninvasive biomarkers, urine 273-peptide classifier, and urine peptides-based fibrosis classifier have unraveled the associations between mechanistic studies and novel therapeutic drugs. Strides in biomarker research have been able to delineate stages and types with superior specificity and sensitivity, thereby providing a better diagnosis. Renal research reflects a powerful, dynamic, and multifaceted field that drives better advancements and discoveries in personalized medicine, drug interventions, and patient-centered outcomes. Understanding the tangled relationship of the etiology of kidney disease, these developments and future research hold promise for individuals affected by kidney diseases.

摘要

在过去几年中,肾脏疾病的患病率及其给医疗保健带来的负担大幅上升。从评估肾功能的简单指标,到目前肾脏研究深入到细胞和分子水平来了解疾病,不仅是治疗,还包括改善生活质量、阻止疾病进展以及提供个性化诊断和治疗。这篇叙述性综述强调了肾脏疾病诊断应用方面的进展,并简要讨论了一些值得注意的生物标志物,重点介绍了高通量组学技术以及肾脏研究的当代观点。我们在PubMed、Scopus、Web of Science和Medline上进行了全面的文献检索。在检索策略中纳入了合适的医学主题词,并记录了相关证据。语言模型和生药学以及其他组学策略有助于更好地理解肾脏疾病,非侵入性生物标志物、尿液273肽分类器和基于尿液肽的纤维化分类器的显著发现揭示了机制研究与新型治疗药物之间的关联。生物标志物研究的进展能够以更高的特异性和敏感性来界定疾病阶段和类型,从而提供更好的诊断。肾脏研究反映了一个强大、动态且多方面的领域,推动了个性化医疗、药物干预和以患者为中心的结果方面的更好进展和发现。了解肾脏疾病病因的复杂关系,这些进展和未来研究为受肾脏疾病影响的个体带来了希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4396/12142703/565160cbea7b/CDT3-11-89-g004.jpg

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