ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2026, Vol. 35 ›› Issue (5): 464-469.DOI: 10.3969/j.issn.1006-298X.2026.05.013

• 肾脏病基础 • 上一篇    下一篇

铁死亡相关信号通路与糖尿病肾病

  

  • 出版日期:2026-10-27 发布日期:2026-10-27

Ferroptosis-related signaling pathways in diabetic kidney disease

  • Online:2026-10-27 Published:2026-10-27

摘要: 铁死亡是铁依赖性脂质过氧化驱动的调控性细胞死亡,典型特征包括脂质过氧化产物积累、铁代谢紊乱及抗氧化系统失活,与炎症反应相互促进,形成恶性循环,共同推动糖尿病肾病(diabetic kidney disease,DKD)的进展。本文系统综述铁死亡的核心分子机制及其与炎症在DKD中的交互作用,总结铁死亡启动炎症反应及炎症反馈加剧铁死亡的双向调控模式。重点探讨关键信号通路如何串联铁死亡与炎症,分析其致病作用并梳理同时靶向铁死亡与炎症的潜在治疗策略。

关键词: 铁死亡,糖尿病肾病,炎症,信号通路,治疗策略

Abstract:

Ferroptosis is a regulated form of cell death driven by iron-dependent lipid peroxidation, characterized by the accumulation of lipid peroxidation products, iron metabolism disorders and inactivation of antioxidant systems. It mutually amplifies inflammatory responses, forming a vicious cycle that collectively promotes the progression of diabetic kidney disease (DKD). This review systematically summarizes the core molecular mechanisms of ferroptosis and their interactions with inflammation in DKD. It outlines the bidirectional regulatory pattern whereby ferroptosis initiates inflammation and inflammatory feedback exacerbates ferroptosis. The review focuses on how key signaling pathways link ferroptosis with inflammation, analyzes their pathogenic roles and summarizes potential therapeutic strategies targeting both ferroptosis and inflammation simultaneously.

Key words:

ferroptosis, diabetic kidney disease, inflammation, signaling pathway, therapeutic strategy

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