糖尿病病中的表观遗传修饰
Zhe Liu1,2, Jiahui Liu1, Wanning Wang3
1Public Research Platform, First Hospital of Jilin University, Changchun, Jilin, China.
Frontiers in endocrinology
|July 17, 2023
概括
表观遗传修饰影响糖尿病病 (DKD) 的发展. 针对这些表观遗传变化为新型治疗和早期诊断DKD提供了潜力,这是糖尿病的主要并发症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- 糖尿病病 (DKD) 是糖尿病患者死亡的主要原因,其特点是蛋白尿和过减少.
- 目前用于DKD的治疗方法只提供部分益处,并且对疾病进展的预测能力有限.
- 对于DKD管理的新型治疗策略和生物标志物有着至关重要的需求.
研究的目的:
- 审查表观遗传修饰在糖尿病病 (DKD) 发病过程中的作用.
- 评估表观遗传疗法治疗DKD的潜力.
- 突出表观遗传改变作为早期诊断和治疗点的重要性.
主要方法:
- 文献综述侧重于DKD的表观遗传机制.
- 在DKD中分析DNA甲基化,基因素修饰和非编码RNA变化.
- 评估现有和潜在的表观遗传治疗策略.
主要成果:
- 表观遗传变异,包括DNA甲基化和基因组修饰,是DKD病变的组成部分.
- 这些表观遗传变化与DKD相关的炎症,氧化应激和异常信号通路有关.
- 在某些阶段,DKD可能是可逆的,这强调了表观遗传标的价值.
结论:
- 表观遗传修饰在糖尿病病 (DKD) 的发展和进展中起着至关重要的作用.
- 向表观遗传改变为开发新型治疗方法和DKD早期诊断生物标志物提供了有希望的途径.
- 对表观遗传机制的进一步研究对于推进DKD治疗和预防末期病至关重要.
相关概念视频
Chronic Kidney Disease I: Introduction
41
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...
41
Pathophysiology of Diabetes
1.0K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
1.0K
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Cell Specific Gene Expression
13.6K
Multicellular organisms contain a variety of structurally and functionally distinct cell types, but the DNA in all the cells originated from the same parent cells. The differences in the cells can be attributed to the differential gene expression. Liver cells, whose functions include detoxification of blood, production of bile to metabolize fats, and synthesis of proteins essential for metabolism, must express a specific set of genes to perform their functions. Gene expression also varies with...
13.6K
Chronic Kidney Disease III: Interprofessional Care
43
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...
43
Chronic Kidney Disease II: Clinical Manifestations
35
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
35


