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探索糖尿病肾病的蛋白质组学特征:对早期诊断和治疗的意义。

Exploring the Proteomic Signature of Diabetic Nephropathy: Implications for Early Diagnosis and Treatment.

作者信息

Sari-Ak Duygu, Con Fatih, Helvaci Nazli, Yelkenci Hayriye Ecem, Kural Alev, Can Ozgur, Beker Mustafa Caglar

机构信息

Department of Medical Biology, Hamidiye International School of Medicine, University of Health Sciences, Istanbul 34668, Turkey.

Clinic of Medical Biochemistry, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul 34668, Turkey.

出版信息

Life (Basel). 2025 Aug 19;15(8):1312. doi: 10.3390/life15081312.

DOI:10.3390/life15081312
PMID:40868959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12387283/
Abstract

Diabetic nephropathy (DN) is a leading cause of end-stage renal disease, characterized by progressive kidney dysfunction. Early detection and targeted therapies remain key challenges in managing DN. This study aims to identify proteomic alterations in DN patients compared to healthy controls, focusing on proteins involved in inflammation, oxidative stress, immune response, and metabolic dysregulation. Using mass spectrometry and advanced bioinformatics, we identified significant upregulation of proteins associated with platelet activation, immune regulation, and extracellular matrix remodeling, as well as downregulation of proteins linked to lipid metabolism, immune regulation, and structural stability. These findings highlight the molecular complexity of DN and suggest that altered protein expression plays a critical role in the progression of kidney damage. The identified proteins may serve as potential biomarkers for early diagnosis and therapeutic targets for DN. Our results underline the importance of proteomic analyses in advancing the understanding of DN pathogenesis and in developing strategies for personalized treatment to improve patient outcomes. Future research should focus on further elucidating these molecular mechanisms and their implications for clinical management.

摘要

糖尿病肾病(DN)是终末期肾病的主要原因,其特征为进行性肾功能障碍。早期检测和靶向治疗仍然是DN管理中的关键挑战。本研究旨在确定与健康对照相比DN患者的蛋白质组学改变,重点关注参与炎症、氧化应激、免疫反应和代谢失调的蛋白质。使用质谱和先进的生物信息学技术,我们发现与血小板活化、免疫调节和细胞外基质重塑相关的蛋白质显著上调,以及与脂质代谢、免疫调节和结构稳定性相关的蛋白质下调。这些发现突出了DN的分子复杂性,并表明蛋白质表达改变在肾脏损伤进展中起关键作用。所鉴定的蛋白质可能作为DN早期诊断的潜在生物标志物和治疗靶点。我们的结果强调了蛋白质组学分析在推进对DN发病机制的理解以及制定个性化治疗策略以改善患者预后方面的重要性。未来的研究应专注于进一步阐明这些分子机制及其对临床管理的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/6171db0ac7e0/life-15-01312-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/6c735e7374f5/life-15-01312-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/9875dd8a2f54/life-15-01312-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/89229cd4fde2/life-15-01312-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/6171db0ac7e0/life-15-01312-g010.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/741d1a653e71/life-15-01312-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/bf8c37038967/life-15-01312-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/e82524c8a12b/life-15-01312-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/1973241635c3/life-15-01312-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e48d/12387283/8d7ff37c23fb/life-15-01312-g007.jpg
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本文引用的文献

1
Upregulation of Piezo2 and increased extracellular matrix protein in diabetic kidney disease mice.糖尿病肾病小鼠中Piezo2的上调及细胞外基质蛋白增加。
Hypertens Res. 2025 Apr;48(4):1514-1528. doi: 10.1038/s41440-024-02082-y. Epub 2025 Jan 20.
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Integrated multiomic analyses: An approach to improve understanding of diabetic kidney disease.综合多组学分析:一种增进对糖尿病肾病理解的方法。
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The Potential Use of Targeted Proteomics and Metabolomics for the Identification and Monitoring of Diabetic Kidney Disease.
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A candidate panel of eight urinary proteins shows potential of early diagnosis and risk assessment for diabetic kidney disease in type 1 diabetes.候选的 8 种尿蛋白标志物有望用于 1 型糖尿病患者的早期诊断和糖尿病肾病风险评估。
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