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首页> 外文期刊>Nature reviews. Nephrology >Stem cells: The renoprotective role of miR-126.
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Stem cells: The renoprotective role of miR-126.

机译:干细胞:miR-126的肾脏保护作用。

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Chronic kidney disease (CKD) is becoming a worldwide epidemic, driven largely by the dramatic rise in the prevalence of diabetes and obesity. Novel targets and treatments for CKD are, therefore, desperately needed-to both mitigate the burden of this disease in the general population and reduce the necessity for renal replacement therapy in individual patients. This Review highlights new insights into the mechanisms that contribute to CKD, and approaches that might facilitate the development of disease-arresting therapies for CKD. Particular focus is given to therapeutic approaches using antifibrotic agents that target the transforming growth factor β superfamily. In addition, we discuss new insights regarding the roles of vascular calcification, the NADPH oxidase family, and inflammation in the pathogenesis of CKD. We also highlight a new understanding regarding kidney energy sensing pathways (AMPK, sirtuins, and mTOR) in a variety of kidney diseases and how they are linked to inflammation and fibrosis. Finally, exciting new insights have been made into the role of mitochondrial function and mitochondrial biogenesis in relation to progressive kidney disease. Prospective therapeutics based on these findings will hopefully renew hope for clinicians and patients in the near future.
机译:慢性肾脏病(CKD)成为全球流行病,很大程度上是由糖尿病和肥胖症患病率的急剧上升所驱动。因此,迫切需要CKD的新靶标和治疗方法,以减轻普通人群中该疾病的负担,并减少个别患者进行肾脏替代治疗的必要性。这篇综述重点介绍了导致CKD的机制的新见解,以及可能促进CKD疾病预防疗法发展的方法。特别关注使用靶向转化生长因子β超家族的抗纤维化剂的治疗方法。此外,我们讨论了有关血管钙化,NADPH氧化酶家族和炎症在CKD发病机理中的作用的新见解。我们还强调了对各种肾脏疾病中肾脏能量感应途径(AMPK,sirtuins和mTOR)的新认识,以及它们与炎症和纤维化的关系。最后,关于线粒体功能和线粒体生物发生与进行性肾脏疾病有关的作用,人们获得了令人兴奋的新见解。基于这些发现的预期疗法有望在不久的将来为临床医生和患者带来新的希望。

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