肾素-血管紧张素系统在糖尿病肾病肾脏足细胞损伤中的作用

被引:17
作者
邵德翠
陆利民
机构
[1] 复旦大学上海医学院生理与病理生理学系
关键词
糖尿病肾病; 肾素-血管紧张素系统; 足细胞;
D O I
暂无
中图分类号
R587.2 [糖尿病性昏迷及其他并发症];
学科分类号
100201 [内科学];
摘要
糖尿病肾病(diabetic kidney disease,DKD)作为诱发终末期肾脏病(end-stage renal disease,ESRD)的主要原因,至今其病理机制仍不十分清楚。DKD病程中蛋白尿持续增多并伴随肾素-血管紧张素系统(renin-angiotensin system,RAS)过度激活。阻断RAS能改善蛋白尿,有良好的临床肾脏保护作用。足细胞表达RAS的各成员,作为肾小球滤过的最后屏障,其损伤与蛋白尿的发生关系密切。本文就RAS与足细胞损伤在DKD病理中作用作一简单综述。
引用
收藏
页码:246 / 250
页数:5
相关论文
共 6 条
[1]
Oxidative Stress Causes Renal Angiotensin II Type 1 Receptor Upregulation, Na+/H+ Exchanger 3 Overstimulation, and Hypertension [J].
Banday, Anees A. ;
Lokhandwala, Mustafa F. .
HYPERTENSION, 2011, 57 (03) :452-U218
[2]
Inhibition of renin/prorenin receptor attenuated mesangial cell proliferation and reduced associated fibrotic factor release.[J].Ming He;Lin Zhang;Ying Shao;Xiaofang Wang;Yu Huang;Tai Yao;Limin Lu.European Journal of Pharmacology.2009, 1
[3]
Functional and Partial Morphological Regression of Established Renal Injury in the Obese Zucker Rat by Blockade of the Renin-Angiotensin System [J].
Sebekova, Katarina ;
Lill, Maria ;
Boor, Peter ;
Heidland, August ;
Amann, Kerstin .
AMERICAN JOURNAL OF NEPHROLOGY, 2009, 29 (03) :164-170
[4]
Attenuation of NADPH Oxidase Activation and Glomerular Filtration Barrier Remodeling With Statin Treatment.[J].Adam Whaley-Connell;Javad Habibi;Ravi Nistala;Shawna A. Cooper;Poorna R. Karuparthi;Melvin R. Hayden;Nathan Rehmer;Vincent G. DeMarco;Bradley T. Andresen;Yongzhong Wei;Carlos Ferrario;James R. Sowers.Hypertension.2008; 2, p
[5]
Possible role of VEGF in the progression of kidney disease in streptozotocin (STZ)-induced diabetic rats: Effects of an ACE inhibitor and an angiotensin II receptor antagonist [J].
Kakizawa, H ;
Itoh, Y ;
Imamura, S ;
Matsumoto, T ;
Ishiwata, Y ;
Ono, Y ;
Yamamoto, K ;
Kato, T ;
Hayakawa, N ;
Oda, N ;
Goto, Y ;
Nagasaka, A ;
Senda, T ;
Itoh, M .
HORMONE AND METABOLIC RESEARCH, 2004, 36 (07) :458-464
[6]
Disparate effects of angiotensin II antagonists and calcium channel blockers on albuminuria in experimental diabetes and hypertension: potential role of nephrin [J].
Davis, BJ ;
Cao, ZM ;
de Gasparo, M ;
Kawachi, H ;
Cooper, ME ;
Allen, TJ .
JOURNAL OF HYPERTENSION, 2003, 21 (01) :209-216