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肾脏病与透析肾移植杂志

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巨细胞病毒与慢性肾脏病:新机制和新见解

  

  • 出版日期:2020-10-28 发布日期:2020-10-30

Cytomegalovirus and chronic kidney disease: new mechanisms and insights

  • Online:2020-10-28 Published:2020-10-30

摘要: 慢性肾脏病(CKD)是影响人类健康最重要的疾病之一,是终末期肾病(ESRD)的危险因素,近年来ESRD的患者数量显著增加。更多不利因素对CKD风险的潜在影响尚待阐明。近年来研究认为巨细胞病毒(CMV)是免疫功能障碍的标志物,也是慢性疾病的病因之一。本文主要对CMV特征、CMV的持久性和防护机制、CMV特异性T细胞、CMV与疾病尤其是肾脏病等方面研究进展作一综述,从新的角度探寻肾脏疾病进展的致病机制,探索其潜在的临床应用价值,以期寻找肾脏疾病新的致病因素和治疗靶标。

关键词: 慢性肾脏病, 巨细胞病毒, 记忆性T细胞

Abstract: Chronic kidney disease (CKD) is one of the most important diseases endangering human health and an important risk factor of endstage renal disease (ESRD).Moreover,the number of  patients with ESRD increased significantly.The possible impact of more adverse factors on the risk of CKD remains to be clarified.Recent studies have suggested that cytomegalovirus (CMV) is a marker of immune dysfunction and the cause of chronic diseases.In this paper,we reviewed the characteristics of CMV,the persistence and protective mechanism of CMV,CMVspecific T cells,CMV and diseases,especially renal diseases,in order to discover the pathogenesis of renal disease from a new perspective,explore its potential clinical application,and find new pathogenic factors and therapeutic targets for renal disease.