ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2021, Vol. 30 ›› Issue (6): 565-570.DOI: 10.3969/j.issn.1006-298X.2021.06.014

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细胞衰老在糖尿病肾病进展中的作用

  

  • 出版日期:2021-12-28 发布日期:2021-12-27

张颖,张晓良,赵宇

  • Online:2021-12-28 Published:2021-12-27

摘要: 糖尿病肾病(DN)是糖尿病常见的并发症,也是引起终末期肾病的主要原因之一,其发病机制尚不明确。近年来,许多动物实验和临床研究发现细胞衰老在DN的发生发展中扮演着举足轻重的角色。细胞衰老相关的端粒损伤、线粒体功能障碍、自噬、炎性反应、mTOR信号通路及Sirtuins激活、凝血因子释放等损伤机制对DN的疾病进展具有重要意义。本文就细胞衰老在DN进程中的相关因素及目前针对细胞衰老的DN治疗研究进展进行综述,为防治DN提供新的研究思路。

Abstract: Diabetic nephropathy (DN) is a common complication of diabetes and is currently one of the main cause of endstage renal disease, the pathogenesis of which is still unclear. In recent years, many animal experiments and clinical studies have found that cellular senescence plays a pivotal role in the development of DN. The mechanisms of cellular senescencerelated damage such as telomere attrition, mitochondrial dysfunction, autophagy, inflammatory response, mTOR signaling pathway, Sirtuins activation, and coagulation factors release are important for the disease progression of DN. In this paper, we focus on the factors related to cellular senescence in the process of DN. Moreover, we emphasize the potential therapeutic targets of cellular senescence in DN to provide new research ideas for its treatment.