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肥胖与2型糖尿病肾病 被引量:3

Obesity and diabetic nephropathy in type 2 diabetes
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摘要 肥胖不仅是糖尿病、冠心病、高血压的高危因素,还可能导致肾脏损害。糖尿病肾病是糖尿病常见的慢性微血管并发症,是造成终末期肾病的主要原因。已有研究证明肥胖的2型糖尿病患者具有明显的多种代谢异常,能促进糖尿病肾病的发生发展。本文就肥胖导致糖尿病患者肾脏的损伤机制及糖尿病肾病的相关药物治疗做一综述。 Obesity is not only the high risk factor of diabetes mellitus, coronary heart disease and hypertension,but also a cause of renal damage. Diabetic nephropathy is one of the most frequent chronic microvascular complications of diabetes mellitus, and one of the leading causes of end-stage kidney failure. It is documented that the obese patients with type 2 diabetes may have obviously multiple metabolic abnormalities and are more prone to develop diabetic nephropathy. This article summarized the pathogenetic mechanisms of kidney injury in diabetic obese patients and provided some ideas in the medical therapy of diabetic nephropathy.
出处 《中国实用内科杂志》 CAS CSCD 北大核心 2010年第3期270-272,共3页 Chinese Journal of Practical Internal Medicine
关键词 肥胖 糖尿病 糖尿病肾病 obesity diabetes mellitus diabetic nephropathy
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参考文献13

  • 1Weisinger JR, Kempson RL, Eldridge L, et al. The nephrotic syndrome: A comp-lication of massive obesity [ J ]. Ann Intern Med, 1974,81 (4) :440 -447.
  • 2Knight SF, Imig JD. Obesity, insulin resistance, and renal function [ J ]. Micro-circulation,2007,14( 4 - 5 ) : 349 - 362.
  • 3Miyazaki Y, Cersosimo E, Triplitt C, et al. Rosiglitazone decreases albuminuria in type 2 diabetic patients [ J ]. Kidney Int, 2007,72 (11) :1301 - 1303.
  • 4Prabhakar SS. Pathogenic role of nitric oxide alterations in diabetic nephropathy [ J ]. Curr DiabRep,2005,5 (6) :449 - 454.
  • 5Kumar D, Robertson S, Burns KD. Evidence of apoptosis in human diabetic kidney[ J ]. Mol Cell Biochem, 2004,259 ( 1 - 2 ) : 67 - 70.
  • 6Miyata K, Ohashi N, Suzaki Y, et al. Sequential activation of the reactive oxygen species/angiotensinogen/renin-angiotensin system axis in renal injury of type 2 diabetic rats[ J ]. Clin Exp Pharmacol Physiol, 2008,35 ( 8 ) : 922 - 927.
  • 7King GL. The role of inflammatory cytokines in diabetes and its complications [ J ]. J Pefiodontol, 2008,79 ( 8 Suppl ) : 1527 - 1534.
  • 8Williams MD, Nadler JL. Inflammatory mechanisms of diabetic complications[ J ]. Curt Diab Rep,2007,7 (3) :242 - 248.
  • 9Wolf G, Ziyadeh FN. Leptin and renal fibrosis [ J ]. Contrib Nephrol,2006,151 : 175 - 183.
  • 10Bhatti F, Mankhey RW, Asico L, et al. Mechanisms of antioxidant and pro-oxidant effects of alpha-lipoic acid in the diabetic and nondiabetic kidney [ J ]. Kidney Int,2005,67 ( 4 ) : 1371 - 1380.

同被引文献24

  • 1广东省糖尿病流行病学调查协作组.腰围/身高比值:预测糖尿病和高血压的有效的腹型肥胖指标[J].中华内分泌代谢杂志,2004,20(3):272-275. 被引量:160
  • 2张贝,袁莉.体重指数对2型糖尿病C肽水平影响初探[J].中国现代医学杂志,2006,16(2):250-252. 被引量:5
  • 3吕以培,符春晖,张素华,李舒敏,黄永婵,李媛.糖尿病前期、糖尿病正常尿白蛋白与糖尿病早期肾病者的内皮功能障碍与胰岛素抵抗[J].中国现代医学杂志,2007,17(17):2102-2106. 被引量:8
  • 4Karalliedde J,Gnudi L.Endothelial factors and diabetic nephropathy. Diabetes Care . 2011
  • 5Jefferson JA,Shankland SJ,Pichler RH.Proteinuria in diabetic kidney disease:a mechanistic viewpoint. Kidney International . 2008
  • 6Strippoli GFM,Bonifati C,Craig ME,et al.Angiotensin converting enzyme inhibitors and angiotensinⅡreceptor antagonists for preventing the progression of diabetic kid-ney disease. Cochrane Database of Systematic Reviews . 2006
  • 7Corretti M C,Anderson T J,Benjamin E J,et al.Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery. Journal of the American College of Cardiology . 2002
  • 8Hostetter T H.Pathogenesis of diabetic glomerulopathy: hemodynamic considerations. Seminars in Nephrology . 1990
  • 9Derubertis FR,Craven PA.Activation of protein kinase C in glomerular cells in diabetes: mechanisms and potential link to the pathogenesis of diabetic glomerulopathy. Diabetes . 1994
  • 10Ferreira-Hermosillo A, Ramirez-Renterta C, Mendoza-Zubieta V, et al. Utility of the waist-to-height ratio, waist circumference and body mass in- dex in the screening of metabolic syndrome in adult patients with type 1 diabetes mellitus[J]. Diabetol Metab Syndr,2014,6 (1):32.

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