首页|PI3K/Akt/mTOR信号通路对膜性肾病的作用机制及中医药研究进展

PI3K/Akt/mTOR信号通路对膜性肾病的作用机制及中医药研究进展

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膜性肾病(membranous nephropathy,MN)是以肾小球基底膜上皮细胞下免疫复合物沉积伴GBM弥漫增厚为特征的一组疾病.本病以高度水肿、大量蛋白尿为主要临床表现,长期大量蛋白尿可导致患者肾功能进行性减退,甚至发展为终末期肾病.中医药在治疗蛋白尿和拮抗激素不良反应方面具有较好疗效,蛋白尿的形成与足细胞损伤密切相关,生理状态下足细胞具有较高的自噬活性.目前研究发现自噬信号通路PI3K/Akt/mTOR对足细胞的损伤具有调控作用,可能是减轻足细胞损伤的靶点.本文基于PI3K/Akt/mTOR信号通路对膜性肾病的作用机制以及中医药治疗本病相关研究归纳分析,以期为中医药治疗膜性肾病的机制研究提供参考.
Mechanism of PI3K/Akt/mTOR Signaling Pathway on Membranous Nephropathy and Research Progress in Traditional Chinese Medicine
Membranous nephropathy(MN)is a group of diseases characterized by the deposition of immune complexes under the epithelial cells of the glomerular basement membrane with diffuse thickening of GBM.The main clinical manifestations of this disease are high edema and massive proteinuria.Long-term massive proteinuria can lead to progressive decline in renal function and even develop into end-stage renal disease.Traditional Chinese medicine has good efficacy in treating proteinuria and antagonistic hormone adverse reactions.The forma-tion of proteinuria is closely related to podocyte damage.[Jnder physiological conditions,podocytes have high autophagic activity.Current studies have found that the autophagy signaling pathway PI3K/Akt/mTOR has a regulatory effect on podocyte damage and may be a target to reduce podocyte damage.This article is based on the mechanism of action of the PI3K/Akt/mTOR signaling pathway on membranous ne-phropathy and the related research on traditional Chinese medicine treatment of this disease,in order to provide reference for the research on the mechanism of traditional Chinese medicine treatment of membranous nephropathy.

Membranous nephropathyPI3K/Akt/mTOR signaling pathwayResearch progress

丁伟、孟曦、王耀光

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天津市河东中医院 天津 300162

天津市中医药研究院附属医院 天津 300120

天津市中医药大学第一附属医院 天津 300193

膜性肾病 PI3K/Akt/mTOR信号通路 研究进展

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(9)