纤维细胞生长因子23和肌肉损耗:一种代谢观点
Rengin Elsurer Afsar1,2, Baris Afsar1,2, Talat Alp Ikizler1,3,4
1Department of Medicine, Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kidney international reports
|July 13, 2023
概括
蛋白质能量浪费 (PEW) 在慢性病 (CKD) 中很常见. 纤维细胞生长因子23 (FGF23) 的升高可能会通过影响炎症和新陈代谢,导致CKD患者的肌肉消耗.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
- 肌肉生理学 肌肉生理学
背景情况:
- 蛋白质能量浪费 (PEW) 在中度至高级慢性病 (CKD) 中普遍存在.
- 纤维细胞生长因子23 (FGF23),一种内分泌激素,对骨肌有系统性影响.
- 在CKD中,FGF23水平升高,而其核心受体α-klotho被抑制.
研究的目的:
- 为了研究FGF23对骨肌肉组织的代谢作用.
- 阐明FGF23在CKD肌肉消耗机制中的作用.
- 为CKD患者的代谢和营养异常提供新的见解.
主要方法:
- 对FGF23,CKD和骨肌肉的现有文献的综述.
- 分析了将FGF23与肌肉衰竭联系在一起的拟议机制.
- 探索FGF23对炎症,氧化应激,胰岛素耐药性和脂肪基因代谢的影响.
主要成果:
- 通过各种途径,FGF23与CKD中的骨肌肉消耗有关.
- 这些途径包括全身和局部炎症,氧化应激增加和胰岛素抵抗.
- 脂肪基因代谢中的异常也与FGF23的影响有关.
结论:
- 在CKD中肌肉消耗的病理生理学中,FGF23起着重要的作用.
- 了解FGF23在肌肉中的代谢作用对于解决CKD中的PEW至关重要.
- 需要进一步研究FGF23对肌肉代谢的直接影响.
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