首页|中药复方治疗糖尿病肾病相关信号通路研究进展

中药复方治疗糖尿病肾病相关信号通路研究进展

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糖尿病肾病(diabetic nephropathy,DN)是第二大终末期肾病(ESRD)病因,仅次于肾小球疾病,致死率及致残率较高,严重威胁人类健康,进入终末期肾病阶段后西医治疗方式较单一,故探讨中药复方干预DN的发展具有重要意义.中药复方通过多靶标和多路径来实现糖尿病肾病的防治效果.近年出现越来越多的中医药干预糖尿病肾病的作用及机制的研究,但总结中药复方对糖尿病肾病信号通路影响的较少,文章通过腺苷酸活化激酶(AMPK)/沉默信息调节因子(Sirt1)、非受体型酪氨酸蛋白激酶2(JAK2)/信号转导及转录激活蛋白3(STAT3)、转化生长因子-β1(TGF-β1/信号转导蛋白(Smads)信号通路、Notch信息通路、Wnt/β-catenin、磷酸肌醇3-激酶(PI3K)-丝氨酸/苏氨酸蛋白激酶(AKT)等信号通路,来阐释中药复方对糖尿病肾病的影响,以期为中药复方指导防治DN提供参考.
Research Progress of Related Signaling Pathways in the Treatment of Diabetic Nephropathy with Traditional Chinese Medicine Compounds
Diabetic nephropathy(DN)is the second leading cause of end-stage renal disease(ESRD),after glomerular disease.The mortality rate and disability rate are high,which seriously threaten human health,and Western medicine treatment is relatively simple after entering the stage of end-stage renal disease.Therefore,it is of great significance to explore the devel-opment of TCM compounds intervention in DN.TCM compounds can achieve the prevention and treatment effect of diabetic ne-phropathy through multi-target and multi-path.In recent years,more and more studies have been conducted on the effect and mechanism of TCM intervention on diabetic nephropathy.However,the effect of TCM compounds on the signaling pathway of dia-betic nephropathy is less.In this paper,adenylate activated kinase(AMPK)/silent information regulator(Sirt1),non-recep-tor tyrosine protein kinase 2(JAK2)/signal transducer and activator of transcription protein 3(ST AT3),transforming growth factor-β1(TGF-β1)/signal transduction protein(Smads)signaling pathway,Notch signaling pathway,Wnt/β-catenin,phosphoinositol 3-kinase(PI3 K)-serine/threonine protein kinase(AKT)and other signaling pathways,to explain the effect of traditional Chinese medicine on diabetic nephropathy.In order to provide reference for the guidance of traditional Chinese medicine compounds prevention and treatment of DN.

Chinese medicine compounddiabetic nephropathysignaling pathwayresearch progress

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁沈阳 110032

中药复方 糖尿病肾病 信号通路 研究进展

辽宁省自然科学基金

20180550887

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(1)
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