在糖尿病病中进行氧调节
Ilse S Daehn1, Ubong S Ekperikpe2, Krisztian Stadler3
1Division of Nephrology, Department of Medicine, The Icahn School of Medicine at Mount Sinai, New York, New York, United States.
American journal of physiology. Renal physiology
|June 1, 2023
概括
糖尿病病 (DKD) 涉及复杂的氧化还原生物学. 了解特定的活性氧物种是开发糖尿病并发症新疗法的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生物化学 生化学
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病病 (DKD) 是糖尿病的严重并发症,目前没有治愈方法.
- 氧化应激是DKD病变的一个重要因素.
- 由于氧化还原生物学和生理学的复杂性,在DKD中还原调节的精确机制仍然不完全理解.
研究的目的:
- 提供特定反应性氧物种 (ROS) 的生物化学概述,以及它们在内的不同反应性和特异性.
- 突出显氧化生物学的进展,以了解DKD的发展和风险.
- 为了澄清不同反应物种的复杂作用,超越像"氧化应激"这样的一般术语.
主要方法:
- 文献综述侧重于氧化还原生物学和糖尿病病.
- 对活性氧物种及其信号通路的生物化学分析.
- 探索近期的氧化还原生物学研究影响DKD理解.
主要成果:
- 确定了脏中氧化还原调节的复杂性和异质性.
- 在各种反应性物种之间进行区分,强调并非所有物种都会引起"氧化应激"或参与"氧化减排信号传递".
- 突出了组织中不同ROS的不同反应性和特异性.
结论:
- 详细了解特定的反应性氧物种对于破译DKD病原性至关重要.
- 氧化还原生物学方面的进步为研究DKD发展和确定治疗点提供了新的途径.
- 澄清个别ROS的角色对于在DKD研究中超越一般化概念至关重要.
相关概念视频
Redox Reactions
50
Redox reactions are vital biochemical processes that underpin energy metabolism in cells. These reactions involve the transfer of electrons between molecules, occurring in tandem as oxidation and reduction. Oxidation refers to the loss of electrons, while reduction denotes their gain. This coupling ensures the seamless flow of electrons through metabolic pathways. For example, in bacterial metabolism, glucose undergoes oxidation to carbon dioxide, while oxygen is simultaneously reduced to...
50
Chronic Kidney Disease I: Introduction
48
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
48
Heart Failure Drugs: Diuretics
430
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
430
Acute Kidney Injury IV: Diagnostic Studies and Prevention
41
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
41
Chronic Kidney Disease III: Interprofessional Care
51
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
51
Renal Failure: Dose Adjustments
127
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
127


