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): 470-475.DOI: 10.3969/j.issn.1006-298X.2026.05.014

• 肾脏病临床 • 上一篇    下一篇

代谢因素在慢性肾脏病中的作用机制

  

  • 出版日期:2026-10-27 发布日期:2026-10-27

Mechanisms of metabolic factors in chronic kidney disease

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

摘要:

代谢紊乱是目前导致慢性肾脏病及终末期肾病的首要原因之一,可直接或间接造成肾脏结构与功能损害。随着人类生活方式和饮食方式的变化,不健康饮食(高糖、高盐、高脂及高嘌呤食物等)及久坐等生活方式导致的代谢功能障碍及其相关并发症(如脂肪肝、心血管疾病和慢性肾脏病等)患病率显著增加。本文围绕代谢紊乱导致肾脏损伤的病理机制及糖尿病肾病、高血压肾损害、高尿酸血症/痛风性肾病、肥胖相关性肾小球病、血脂异常相关性肾损害、代谢综合征肾损伤等多种代谢相关肾脏疾病的发病机制研究进展进行综述,以提高对该类疾病的认识,并为临床诊疗及相关药物的开发提供新的思路。

关键词: 代谢紊乱,代谢相关肾损害,糖尿病肾病,氧化应激,肾纤维化,代谢综合征

Abstract:

Metabolic disorders, which directly or indirectly cause structural and functional damage to the kidneys, are currently one of the leading causes of chronic kidney disease and end-stage renal disease. With changes in human lifestyles and dietary habits, unhealthy diets (such as high sugar, high salt, high fat, and high purine foods) and sedentary lifestyles have led to a significant increase in the prevalence of metabolic dysfunction and related complications (e.g., fatty liver, cardiovascular diseases, and chronic kidney disease). This article reviews the pathogenesis and research progress of metabolism-related kidney diseases, including diabetic nephropathy, hypertensive nephropathy, hyperuricemic/gouty nephropathy, obesity-associated glomerulopathy, dyslipidemia-related renal damage, and metabolic syndrome-induced renal injury, aiming to enhance understanding of these conditions and provide new insights for clinical diagnosis, treatment, and related drug development.

Key words:

metabolic disorders, metabolism-related renal damage, diabetic kidney disease, oxidative stress, renal fibrosis, metabolic syndrome

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