ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2023, Vol. 32 ›› Issue (2): 163-167.DOI: 10.3969/j.issn.1006-298X.2023.02.013

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干扰素基因刺激因子通路在糖尿病肾病中的研究进展

张小月, 王伟铭   

  • 出版日期:2023-04-28 发布日期:2023-04-24

Research progress of stimulator of interferon gene  pathway in diabetic nephropathy

ZHANG Xiaoyue, WANG Weiming   

  • Online:2023-04-28 Published:2023-04-24

摘要: 糖尿病肾病(DN)是糖尿病常见微血管并发症之一,也是导致终末期肾病的主要病因。DN是代谢因素导致的炎症反应和免疫性损伤疾病,与代谢紊乱、血流动力学异常、炎症等因素有关。环鸟嘌呤核苷酸腺嘌呤核苷酸合成酶干扰素基因刺激因子(cGAS-STING)通路是固有免疫的重要组成部分,干扰素基因刺激因子(STING)作为一种内质网激活蛋白,经历dsDNA的感知[环状GMP-AMP合酶(cGAS)]、胞内信号转导[STING、TANK结合激酶1(TBK1)]和免疫应答激活[干扰素调节因子3(IRF3)、核因子κB(NF-κB)],参与天然免疫应答和炎性反应。cGAS-STING通路在感染、炎症及肿瘤发展中起着重要作用,但其在DN中的作用尚不明确。本文系统总结了近年来cGAS-STING 信号通路在DN发病机制中的研究进展。


关键词: 糖尿病肾病, 干扰素基因刺激因子, 免疫炎症

Abstract: Diabetic nephropathy (DN) is one of the common microvascular complications of diabetes and the main cause of end-stage kidney injury. DN is an inflammatory and immune injury disease caused by metabolic factors, which is related to metabolic disorders,hemodynamic abnormalities, inflammation and other factors. The cyclin nucleotide adenine nucleotide synthase-interferon gene stimulator (cGAS-STING) pathway is a component of innate immunity. Stimulator of interferon gene (STING) is a kind of endoplasmic reticulum activating protein. It experiences dsDNA sensing (cGAS), intracellular signal transduction (STING, TBK1), immune response activation (IRF3, NF-κB), and participates in innate immune response and inflammatory response. Cgas-sting pathway plays an important role in infection, inflammation and tumor development, but its role in DN remains unclear. This article systematically summarizes the research progress of cGAS signaling pathway in the pathogenesis of DN in recent years.


Key words: diabetic nephropathy, stimulator of interferon gene, immune inflammation