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 (1): 69-73.DOI: 10.3969/j.issn.1006-298X.2023.01.015

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钠-葡萄糖协同转运蛋白抑制剂对肠肾之间Cross-Talk的影响

  

  • 出版日期:2023-02-28 发布日期:2023-02-23

Sodium-glucose co-transporter protein inhibitors on crosstalk between intestine and kidney

  • Online:2023-02-28 Published:2023-02-23

摘要: 肠上皮细胞和肾小管上皮细胞均表达钠-葡萄糖协同转运蛋白(SGLT),在一些营养物质转运和调节中发挥着核心作用,与腹型肥胖、高血压、2型糖尿病和肾脏疾病密切相关。SGLT表达水平受到营养素、激素、炎症、氧化应激等调控。SGLT抑制剂是治疗糖尿病的新型药物,肠道和肾脏是其靶向作用器官,除减轻体重和降低血糖等,研究发现肾素-血管紧张素系统、肾交感神经活性、肠道炎症、肠道微生物和氧化应激是SGLT抑制剂发挥心肾保护作用的潜在机制。本文旨在以肠道和肾脏SGLT表达为靶点,为代谢性疾病治疗提供新思路。


关键词: 钠-葡萄糖协同转运蛋白抑制剂, 肠道, 肾脏

Abstract: Sodium-glucose co-transporter protein (SGLT) is expressed in both intestinal epithelial cells and renal tubular epithelial cells, and it is linked to abdominal obesity, hypertension, type 2 diabetes, and renal diseases. Nutrients, hormones, inflammation, and oxidative stress all influence SGLT expression levels. SGLT inhibitors are brand-new diabetic medicines that also target gut and kidney. Studies have identified the renin-angiotensin system, renal sympathetic nerve activity, intestinal inflammation, gut microbes, and oxidative stress as potential mechanisms for the cardiorenal protective effects of SGLT inhibitors, in addition to benefits of weight loss and blood glucose reduction. The goal of this study is to find new ways to treat metabolic illnesses by targeting SGLT expression in the gut and kidney.


Key words: sodium-glucose co-transporter protein inhibitors, intestine, kidney