Unraveling the Role of Inflammation in the Pathogenesis of Diabetic Kidney Disease

被引:183
作者
Matoba, Keiichiro [1 ]
Takeda, Yusuke [1 ]
Nagai, Yosuke [1 ]
Kawanami, Daiji [2 ]
Utsunomiya, Kazunori [3 ]
Nishimura, Rimei [1 ]
机构
[1] Jikei Univ, Sch Med, Dept Internal Med, Div Diabet Metab & Endocrinol, Tokyo 1058461, Japan
[2] Fukuoka Univ, Sch Med, Dept Endocrinol & Diabet Mellitus, Fukuoka, Fukuoka 8140180, Japan
[3] Jikei Univ, Sch Med, Ctr Prevent Med, Tokyo 1058461, Japan
基金
日本学术振兴会;
关键词
diabetic kidney disease; diabetic nephropathy; inflammation; signaling cascade; RHO-KINASE; URINARY BIOMARKERS; INSULIN-RESISTANCE; SGLT2; INHIBITORS; RENAL-FUNCTION; POTENTIAL ROLE; NEPHROPATHY; PROGRESSION; ACTIVATION; EXPRESSION;
D O I
10.3390/ijms20143393
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Diabetic kidney disease (DKD) remains the leading cause of end -stage renal disease (ESRD) and is therefore a major burden on the healthcare system. Patients with DKD are highly susceptible to developing cardiovascular disease, which contributes to increased morbidity and mortality rates. While progress has been made to inhibit the acceleration of DKD, current standards of care reduce but do not eliminate the risk of DKD. There is growing appreciation for the role of inflammation in modulating the process of DKD. The focus of this review is on providing an overview of the current status of knowledge regarding the pathologic roles of inflammation in the development of DKD. Finally, we summarize recent therapeutic advances to prevent DKD, with a focus on the anti-inflammatory effects of newly developed agents.
引用
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页数:15
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