瘦素与慢性肾功能不全
摘要
瘦素作为一种由脂肪细胞合成的激素,主要调节机体摄入和能量消耗的平衡,同时还能调节炎症反应及全身多个脏器的生理功能。在慢性肾功能不全及终末期肾病(ESRD)患者中血清瘦素水平明显升高且,引起了肾脏病界的广泛关注。本文将对瘦素及其受体、瘦素的功能、瘦素的清除、ESRD患者中瘦素与营养状况的关系,以及瘦素与慢性肾功能不全患者心血管并发症和内分泌代谢异常等方面的关系作一综述。
出处
《中国血液净化》
2007年第12期667-669,684,共4页
Chinese Journal of Blood Purification
基金
上海市科学自然基金(05ZR14086)
上海市卫生局科研基金资助(034044)
上海市医苑新星基金(02XX46)
参考文献29
-
1Zhang Y,Procena R,Maffei M,et al.Positional cloning of the mouse obese gene and its human homologues[J].Nature,1994,372:425-432.
-
2Lee GH,Proenca R,Montez JM,et al.Abnormal splicing of the leptin rceptor in diabetic mice[J].Nature,1996,379:632-635.
-
3Lammert A,Kiess W,Bottner A,et al.Soluble leptin receptor represents the main leptin binding activity in human blood[J].Biochem Biophy Res Gommun,2001,283:982-988.
-
4Zhang F,Chen Y,Heiman M,e al.structure,function and biology[J].Vitam Horm,2005,71:345-372.
-
5Hileman SM,Tornoe J,Flier JS et al.Transcellular transport of leptin by the short leptin isoform ObRa in MadinDarby Canine kidney cells.Distribution of leptin receptor rRNA isoforms in the rat brain[J].Endocrinology,2000,141:1955-1961.
-
6Fan W,BostonBA,Kesterson RA,et al.Role of melanocortinergic neurons in feeding and the agouti obesity syndrome[J].Nature 385:165-168,1997.
-
7Cowley MA,Smart JL,Rubinstein M,et al.Leptin activates anorexigenic POMC neurons through a neural network in the arcuate nucleus[J].Nature,2001,411:480-484.
-
8Cumin F,Baum HP,De Gasparo M,Levens N.Leptin is cleared from the circulation primarily by the kidney[J].Int J obes Relat Metab Disord,1997,21:495-504.
-
9Sharma K,Considine RV,Michael B,et al.Plasma leptin is partly cleared by the kidney and is elevated in hemodialysis patients[J].Kidney,1997,51:1980-1985.
-
10Stenvinkel P,Lindholm B,Lonnqvist F,et al.Increases in serum leptin levels during peritoneal dialysis are associated with inflammtion and a decrease in lean body mass[J].J Am Soc Nephrol,2000,11:1303-1309.
二级参考文献25
-
1Merabet E, Dagogo JS, Coyne, et al. Increased plasma leptin concentration in end-stage renal disease[ J]. J Clin Endocrinal Metab,1997, 82:847 -856.
-
2Sharma K, Considine RV, Michael B, et al. Plasma leptin is partly cleared by the kidney and is elevated in hempdialysis patients[ J].Kidney Int, 1997, 51 : 1980 - 1985.
-
3Sharma K, Considine RV. The Ob protein and the kidney[ J]. Kidney Int, 1998, 53:1483 -1487.
-
4Wadjaja A, Kielstein JT, Lee SW, et al. Free serum leptin but not bound leptin concentration are elevated in patients with end stage renal disease[ J]. Nephrol Dial Transplant, 2000, 15:846-850.
-
5Young GA, Woodrow G, Kendall S, et al. Increased plasma leptin/fat ratio in patients with chronic renal failure : a cause of malnutrition[J] ? Nephrol Dial Transplant, 1997, 12:2318-2323.
-
6Stenvinkel P, Heimburger O, Lonnqvist F, et al. Serum leptin concentrations correlate to plasma insulin concentrations independent of body fat content in chronic renal failure [ J ]. Nephrol Dial Transplant, 1997, 12:1321-1325.
-
7Hemburger O, Lonnqvist F, Danielsson A, et al. Serum immunoreactive leptin concentration and its relation to the body fat content in chronic renal failure [ J]. J Am Soc Nephrol, 1997, 8:1423 -1430.
-
8Qureshi AR, Alvestrand A, Danielsson A, et al. Factors predicting malnutrition in hemodialysis patients: a cross-sectional study [ J ].Kidney Int, 1998, 53 : 773 - 782.
-
9Churchill DN, Taylor DW, Keshawiah PR. Adequacy of dialysis and nutrition in CAPD: association with clinic outcome. Canada-USA (CANUSA) dialysis study group [ J ]. J Am Soc Nephrol,1996.7 : 198 - 207.
-
10Wolf G. Leptin: the weight-reducing plasma protein encoded by the obese gene[J]. Nutr Rev, 1996, 54:91 -93.
共引文献19
-
1曾斌,杨敏.维持血液透析患者血清瘦素水平与代谢性酸中毒的关系及相关因素分析[J].中国中西医结合肾病杂志,2005,6(12):709-712. 被引量:1
-
2童俊容,张虹,王寅,朱起之.维持性透析患者残存肾功能与营养状态的关系[J].中国血液净化,2006,5(9):667-670. 被引量:10
-
3宋立群,李征.代谢性酸中毒在慢性肾衰竭中的影响及其治疗[J].医学研究杂志,2007,36(6):107-108. 被引量:1
-
4黄文坛,丁国华,龚智峰.高通量血液透析对尿毒症患者瘦素清除效果的临床研究[J].内科,2007,2(3):313-315. 被引量:5
-
5肖静,赵占正,魏二虎,胡晓舟,刘章锁,曹颖,王少亭.不同透析剂量对腹膜透析患者瘦素水平及营养状态的影响[J].郑州大学学报(医学版),2010,45(1):115-118. 被引量:7
-
6崔莉,胡波,尹良红.瘦素在肾脏疾病中作用的新认识[J].广东医学,2010,31(3):379-381. 被引量:9
-
7刘军,王晓彤,刘雪梅.糖尿病肾病患者血清瘦素浓度与血管钙化的关系[J].中国中西医结合肾病杂志,2010,11(9):813-815.
-
8何军,综述,朱述阳,审校.瘦素与恶性胸腔积液的关系[J].临床肺科杂志,2011,16(3):422-423.
-
9何军,朱述阳,陈亮.leptin、CRP与CEA对癌性胸腔积液的诊断价值[J].中国现代医学杂志,2011,21(16):1914-1917. 被引量:2
-
10朱述阳,何军,陈亮.瘦素、脂联素联合癌胚抗原在恶性胸腔积液中的诊断价值[J].国际呼吸杂志,2011,31(16):1212-1215. 被引量:1
-
1何秉贤.高血压防治的一些新概念[J].中国处方药,2004(6):24-28. 被引量:4
-
2于康,刘帅.糖尿病患者的饮食治疗[J].中老年保健,2016,0(8):36-38.
-
3张洁,唐靖一.高血压病胰岛素抵抗的中医药研究进展[J].中西医结合心脑血管病杂志,2008,6(3):318-320.
-
4陈友国,沈宗姬,胡建铭,陈小平,徐岚,吴士良,沈芳荣,杨伟文.脂联素对多囊卵巢综合征内分泌代谢异常的影响[J].江苏医药,2006,32(2):114-117. 被引量:7
-
5王美霞,袁鹰,于沛林.骨质疏松症药物治疗进展[J].青岛医药卫生,2010,42(5):372-373. 被引量:5
-
6王旭红,张之农,刘元志,杨伟光,林杨.^(131)Ⅰ联合行为疗法在甲状腺功能亢进合并2型糖尿病中的应用价值[J].社区医学杂志,2015,13(14):31-32. 被引量:4
-
7赵继华.糖尿病合并甲亢12例临床分析[J].中国社区医师(医学专业),2011,13(34):63-63. 被引量:2
-
8俞文华,董小巧,车志豪.肢端肥大症的药物治疗进展[J].中国神经肿瘤杂志,2006,4(1):52-56.
-
9杨贵仁,刘克清.高血压与胰岛素抵抗的相关性研究进展[J].陕西医学杂志,2009,38(6):737-738. 被引量:3
-
10张杨,修良昌,于海兵,何玉清,丁元林.脂肪细胞因子瘦素及其受体与2型糖尿病的相关性研究进展[J].国际遗传学杂志,2014,37(2):89-93. 被引量:2