中国当代医药2024,Vol.31Issue(24) :189-194.

慢性肾脏病与同型半胱氨酸关系的研究进展

Research progress of relationship of chronic kidney disease and homocys-teine

何国勇 乔丽 李俊
中国当代医药2024,Vol.31Issue(24) :189-194.

慢性肾脏病与同型半胱氨酸关系的研究进展

Research progress of relationship of chronic kidney disease and homocys-teine

何国勇 1乔丽 2李俊1
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作者信息

  • 1. 昆明医科大学第一附属医院肾内科,云南昆明 650032
  • 2. 解放军联勤保障部队第920医院肾内科,云南昆明 650032
  • 折叠

摘要

慢性肾脏病(CKD)是一个严重的公共卫生问题.近年来,随着高血压、糖尿病、肥胖的患病率增加,CKD患者呈逐年增加的趋势,其中一部分最终进展成为终末期肾病,严重危害人类的健康,给社会带来沉重的负担.高同型半胱氨酸血症(HHcy)与高血压、糖尿病、高脂血症一样,是一项评估身体健康的重要指标,以往的研究认为,HHcy是冠心病、外周血管硬化、痴呆等多种疾病的危险因素,为此,同型半胱氨酸的研究受到越来越多关注.在CKD患者中,HHcy发病率很高,伴随肾功能的下降,其在CKD中发病率逐渐增高.在众多CKD的危险因素中,除高血压、糖尿病等传统危险因素外,部分学者认为HHcy是肾功能下降的结局之一,也是CKD发生、发展的危险因素,其对肾脏的损害包括肾脏血管、肾小球、肾小管等多个方面.本文介绍CKD中同型半胱氨酸的代谢、损伤机制、治疗等方面的进展,希望能为CKD与同型半胱氨酸的研究提供新思路.

Abstract

Chronic kidney disease(CKD)is a serious public health problem.In recent years,with the increasing prevalence of hypertension,diabetes and obesity,CKD patients are increasing year by year,and some of them eventually progress to end-stage renal disease,which seriously endangers human health and brings heavy burden to society.Hyperhomocysteine-mia(HHcy),like hypertension,diabetes and hyperlipidemia,is an important indicator to evaluate physical health.Previous studies believed that HHcy is a risk factor for coronary heart disease,peripheral vascular sclerosis,dementia and other dis-eases.Therefore,more and more attention has been paid to the study of homocysteine.In patients with CKD,the incidence of HHcy is high,and the incidence of HHcy in CKD is gradually increasing with the decline of renal function.Among the many risk factors for CKD,in addition to traditional risk factors such as hypertension and diabetes,some scholars believe that HHcy is one of the outcomes of renal function decline and a risk factor for the occurrence and development of CKD.Its dam-age to the kidney includes renal vessels,glomeruli,renal tubules and other aspects.This article reviews the progress of ho-mocysteine metabolism,damage mechanism and treatment in CKD,hoping to provide new ideas for the study of homocys-teine and CKD.

关键词

慢性肾脏病/同型半胱氨酸/肾脏损伤/研究进展

Key words

Chronic kidney disease/Homocysteine/Kidney injury/Research progress

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基金项目

国家重点研发计划"政府间国际科技创新合作/港澳台科技创新合作"重点专项项目(2019YFE0110500)

国家级教学质量工程项目(2022JXD209)

云南省高层次人才培养支持计划项目(RLMY20200022)

云南省教育厅科学研究基金项目(2022J0268)

云南省教育厅科学研究基金项目(2022J0269)

昆明医科大学研究生创新基金项目(2022S221)

昆明医科大学研究生创新基金项目(2023S260)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量3
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