糖尿病病中的炎症机制:新兴见解和向治疗方法
Shengnan Lin1,2, Zheng Shu2, Mi Zhou3
1Department of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Institute of Nephrology, Jinan, Shandong, China.
糖尿病病 (DKD) 越来越多地与慢性炎症有关. 本综述探讨了新的炎症机制,诊断生物标志物,以及针对性治疗,如SGLT2抑制剂和ns-MRAs,以更好地管理DKD.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 遗传学 是一个遗传学.
背景情况:
- 糖尿病病 (DKD) 是末期病 (ESRD) 的主要原因之一.
- 对DKD病变的理解已经转向强调慢性炎症的关键作用.
- 传统的代谢和血液动力学因素现在与炎症过程一起被看作是.
研究的目的:
- 系统地审查最近在DKD的炎症机制的进展.
- 讨论这些炎症机制的转化影响.
- 专注于新兴的诊断生物标志物和DKD的新型炎症向治疗策略.
主要方法:
- 关于DKD炎症机制的当前文献的综述.
- 对新兴诊断生物标志物和奥米克技术的分析.
- 评估针对炎症的新型治疗策略,包括SGLT2抑制剂,ns-MRA和GLP-1RA.
- 评估天然产品作为潜在的多目标干预措施.
主要成果:
- DKD涉及复杂的炎症路径,细胞衰老,受损的皮细胞自,肠道微生物群-轴,以及非编码RNA调节.
- 使用欧米克和人工智能的新型诊断范式正在出现,与相关的生物标志物.
- 一些治疗药物,包括SGLT2抑制剂,ns-MRAs和GLP-1RAs,显示已证明的益.
结论:
- DKD炎症是由复杂的局部和全身因素驱动的.
- 需要一个多方面的方法,整合多omics数据的炎症亚型.
- 涉及常规药物,向药物和天然化合物的联合疗法对推动DKD管理具有前景.
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