Inflammation and Oxidative Stress in Diabetic Nephropathy: New Insights on Its Inhibition as New Therapeutic Targets

被引:170
作者
Mima, Akira [1 ]
机构
[1] Univ Tokushima, Inst Hlth Biosci, Grad Sch Med, Dept Nephrol, Tokushima 7708503, Japan
基金
日本学术振兴会;
关键词
PROTEIN-KINASE-C; MONOCYTE CHEMOATTRACTANT PROTEIN-1; PROLIFERATOR-ACTIVATED RECEPTORS; VITAMIN-E SUPPLEMENTATION; FACTOR-KAPPA-B; RENAL INJURY; ENDOTHELIAL-CELLS; MACROPHAGE RECRUITMENT; CARDIOVASCULAR EVENTS; REDUCES PROTEINURIA;
D O I
10.1155/2013/248563
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetes and insulin resistance can greatly increase microvascular complications of diabetes including diabetic nephropathy (DN). Hyperglycemic control in diabetes is key to preventing the development and progression of DN. However, it is clinically very difficult to achieve normal glucose control in individual diabetic patients. Many factors are known to contribute to the development of DN. These include diet, age, lifestyle, or obesity. Further, inflammatory-or oxidative-stress-induced basis for DN has been gaining interest. Although anti-inflammatory or antioxidant drugs can show benefits in rodent models of DN, negative evidence from large clinical studies indicates that more effective anti-inflammatory and antioxidant drugs need to be studied to clear this question. In addition, our recent report showed that potential endogenous protective factors could decrease inflammation and oxidative stress, showing great promise for the treatment of DN.
引用
收藏
页数:8
相关论文
共 98 条
[1]   Insulin inhibits NFκB and MCP-1 expression in human aortic endothelial cells [J].
Aljada, A ;
Ghanim, H ;
Saadeh, R ;
Dandona, P .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2001, 86 (01) :450-453
[2]  
[Anonymous], J CARDIOVASCULAR PHA
[3]  
[Anonymous], P 48 EUR ASS STUD DI
[4]   Effects of insulin dependence on inflammatory process, thrombotic mechanisms and endothelial function, in patients with type 2 diabetes mellitus and coronary atherosclerosis [J].
Antoniades, Charalambos ;
Tousoulis, Dimitris ;
Marinou, Kyriakoula ;
Papageorgiou, Nikos ;
Bosinakou, Erini ;
Tsioufis, Costas ;
Stefanadi, Elli ;
Latsios, George ;
Tentolouris, Costas ;
Siasos, Gerasimos ;
Stefanadis, Christodoulos .
CLINICAL CARDIOLOGY, 2007, 30 (06) :295-300
[5]   Possible relationship of monocyte chemoattractant protein-1 with diabetic nephropathy [J].
Banba, N ;
Nakamura, T ;
Matsumura, M ;
Kuroda, H ;
Hattori, Y ;
Kasai, K .
KIDNEY INTERNATIONAL, 2000, 58 (02) :684-690
[6]   The NOX family of ROS-generating NADPH oxidases: Physiology and pathophysiology [J].
Bedard, Karen ;
Krause, Karl-Heinz .
PHYSIOLOGICAL REVIEWS, 2007, 87 (01) :245-313
[7]   Long-term effects of fosinopril and pravastatin on cardiovascular events in subjects with microalbuminuria: Ten years of follow-up of Prevention of Renal and Vascular End-stage Disease Intervention Trial (PREVEND IT) [J].
Brouwers, Frank P. ;
Asselbergs, Folkert W. ;
Hillege, Hans L. ;
de Boer, Rudolf A. ;
Gansevoort, Ron T. ;
van Veldhuisen, Dirk J. ;
van Gilst, Wiek H. .
AMERICAN HEART JOURNAL, 2011, 161 (06) :1171-1178
[8]   Can protein kinase C inhibition and vitamin E prevent the development of diabetic vascular complications? [J].
Bursell, SE ;
King, GL .
DIABETES RESEARCH AND CLINICAL PRACTICE, 1999, 45 (2-3) :169-182
[9]   High-dose vitamin E supplementation normalizes retinal blood flow and creatinine clearance in patients with type 1 diabetes [J].
Bursell, SE ;
Clermont, AC ;
Aiello, LP ;
Aiello, LM ;
Schlossman, DK ;
Feener, EP ;
Laffel, L ;
King, GL .
DIABETES CARE, 1999, 22 (08) :1245-1251
[10]   NADPH oxidases in cardiovascular health and disease [J].
Cave, Alison C. ;
Brewer, Alison C. ;
Narayanapanicker, Anilkumar ;
Ray, Robin ;
Grieve, David J. ;
Walker, Simon ;
Shah, Ajay M. .
ANTIOXIDANTS & REDOX SIGNALING, 2006, 8 (5-6) :691-728