ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2018, Vol. 27 ›› Issue (5): 468-471.DOI: 10.3969/j.issn.1006-298X.2018.05.015

• 论文 • 上一篇    下一篇

补体与急性肾损伤

  

  • 出版日期:2018-10-28 发布日期:2018-11-14

Complement and acute kidney injury

  • Online:2018-10-28 Published:2018-11-14

摘要:

多种因素可导致急性肾损伤,而补体的活化在急性肾损伤的发生和发展中起重要作用。在急性肾损伤时,补体系统可通过经典途径、甘露聚糖结合凝集素途径和旁路途径被激活,其中旁路途径发挥着最关键的作用。补体系统激活后,膜攻击复合物发挥溶解细胞的效应,与C3a、C5a等下游分子一起损伤肾脏。补体调节蛋白可抑制补体系统的过度活化,其功能受损会导致一系列肾脏疾病或加重肾脏损伤。本文对补体在急性肾损伤中的作用进行综述,为临床针对急性肾损伤的特异性治疗提供新的思路。

关键词: 急性肾损伤, 补体, 旁路途径

Abstract:

Acute kidney injury can be caused by many factors,and activation of the complement plays an important role in acute kidney injury.In acute kidney injury,complement system can be activated through  classic pathway,mannosebinding lectin pathway and alternative pathway,and alternative pathway is most important.The membrane attack complex together with the downstream molecules of  complement system,such as C3a and C5a will cause the damage of  kidney.Complement regulatory proteins can inhibit the over activation of complement system,and their impaired function will lead to a series of kidney diseases and aggravate the kidney injury.In this review we will describe the role of  complement in acute kidney injury,in order to provide new thoughts of the specific clinical therapy of acute kidney injury.

Key words: acute kidney injury, complement, alternative pathway