ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2014, Vol. 23 ›› Issue (1): 63-67.

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糖尿病肾病的生物标志物

  

  • 出版日期:2014-02-28 发布日期:2014-02-25

Advances In Biomarkers of Diabetic Nephropathy

  • Online:2014-02-28 Published:2014-02-25

摘要:

摘要:糖尿病肾病是一种常见的的糖尿病微血管并发症。尽管目前在疾病的预防和治疗方面已取得了很大的进步,仍有不少患者最终进展至终末期肾病。临床上糖尿病肾病的诊断主要依赖于蛋白尿和微量白蛋白尿,而后者在诊断糖尿病肾病上缺乏敏感性和特异性。寻找早期诊断并能判断预后的生物标志物是当今医学面临的难题。近年来,针对糖尿病肾病发病各个环节的生物标志物的研究均取得了不少进展,更多基于系统生物学方法的研究结果,有待临床进一步验证。

关键词: 糖尿病肾病, 生物标志物, 足细胞, 内皮功能, 小管指标, 炎症, 系统生物学

Abstract:

Abstract: Diabetic nephropathy (DN) is a common microvascular complication of diabetes mellitus. In spite of significant improvements in the prevention and treatment of DN, many patients still develop end-stage renal disease. Clinically,proteinuria and microalbuminuria remains the major diagnostic biomarkers of DN,despite low specificity and sensitivity. It is a global puzzle to identify an early diagnostic and prognostic biomarker in current medicine field. Recently there have been many new advances in this area according to different pathogenesis of diabetic nephropathy. More investigation results based on the systems biology approaches need to be further validated. 

Key words: Diabetic nephropathy,  Biomarkers, Podocyte,  Endothelial function,  , Tubular biomarkers,  Inflammation, Systems biology