首页|脂噬在糖尿病肾病中作用机制的研究进展

脂噬在糖尿病肾病中作用机制的研究进展

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糖尿病肾病(DN)是糖尿病患者进展为终末期肾脏病的主要原因,其中脂质代谢紊乱及肾脏脂质异位沉积是DN发病及进展的关键病理因素之一.脂噬是一种新发现的选择性自噬形式,通过溶酶体介导选择性降解细胞内储存中性脂质的细胞器脂滴,从而减轻脂质异位沉积,维持能量代谢稳态.现有证据表明,脂噬激活可以减轻DN状态下脂毒性和肾损伤,成为DN研究的新靶点.文章主要从脂噬途径、主要调控因子及其在DN中作用机制的研究进展进行综述.
Advances in the mechanism of lipophagy in diabetic nephropathy
Diabetic nephropathy(DN)is a major cause of the progression to end-stage renal disease in patients with diabetes mellitus.Lipid metabolic disorder and ectopic deposition of renal lipids are the key pathological factors of diabetic nephropathy and progression of DN.Lipophagy is a newly discovered form of selective autophagy that degrades lipid droplets stored in cells through lyso-somal-mediated degradation,thereby alleviating lipid deposition and maintaining energy metabolism homeostasis.Existing evidence suggests that the activation of lipophagy can reduce lipotoxicity and renal injury in DN,making it a new target for DN research.This ar-ticle mainly reviews the progress of lipophagy pathway,main regulatory factors and its mechanism in DN.

diabetic nephropathylipophagylipid dropletsectopic lipid deposition

宿家铭、郭燕、柳红芳

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100700 北京,北京中医药大学东直门医院肾病内分泌科

糖尿病肾病 脂噬 脂滴 脂质异位沉积

中华中医药学会联合攻关项目北京中医药大学东直门医院临床研究和成果转化能力提升试点项目

2023DYPLHGG-06DZMG-XZYY-23005

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(7)