The dual role of lipids in chronic kidney disease: Pathogenic culprits and therapeutic allies

IF 4.9 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Atherosclerosis Pub Date : 2024-11-01 DOI:10.1016/j.atherosclerosis.2024.118615
Elena Giardini , Dean Moore , Denise Sadlier , Catherine Godson , Eoin Brennan
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Abstract

Chronic kidney disease (CKD) is a significant health burden, with rising incidence and prevalence, attributed in part to increasing obesity and diabetes rates. Lipid accumulation in the kidney parenchyma and chronic, low-grade inflammation are believed to significantly contribute to the development and progression of CKD. The effect of dysregulated kidney lipid metabolism in CKD progression, including altered cholesterol and fatty acid metabolism contribute to glomerular and tubular cell injury through the activation of oxidative stress and inflammatory signalling cascades. In contrast, classes of endogenous specialized pro-resolving lipid mediators (SPMs) have been described that act to limit the inflammatory response and promote the resolution of inflammation. This review highlights our current understanding of how lipids can cause damage within the kidney, and classes of protective lipid metabolites that offer therapeutic benefits.

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血脂在慢性肾病中的双重作用:致病元凶与治疗盟友。
慢性肾脏病(CKD)是一种严重的健康负担,其发病率和流行率不断上升,部分原因是肥胖和糖尿病发病率不断增加。肾脏实质中的脂质积累和慢性低度炎症被认为是导致慢性肾脏病发生和发展的重要原因。在慢性肾功能衰竭进展过程中,肾脏脂质代谢失调的影响,包括胆固醇和脂肪酸代谢的改变,通过激活氧化应激和炎症信号级联,导致肾小球和肾小管细胞损伤。与此形成鲜明对比的是,内源性特异性促进炎症消解脂质介质(SPMs)的作用是限制炎症反应和促进炎症消解。本综述重点介绍了我们目前对脂质如何在肾脏内造成损害的认识,以及具有治疗作用的保护性脂质代谢物类别。
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来源期刊
Atherosclerosis
Atherosclerosis 医学-外周血管病
CiteScore
9.80
自引率
3.80%
发文量
1269
审稿时长
36 days
期刊介绍: Atherosclerosis has an open access mirror journal Atherosclerosis: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. Atherosclerosis brings together, from all sources, papers concerned with investigation on atherosclerosis, its risk factors and clinical manifestations. Atherosclerosis covers basic and translational, clinical and population research approaches to arterial and vascular biology and disease, as well as their risk factors including: disturbances of lipid and lipoprotein metabolism, diabetes and hypertension, thrombosis, and inflammation. The Editors are interested in original or review papers dealing with the pathogenesis, environmental, genetic and epigenetic basis, diagnosis or treatment of atherosclerosis and related diseases as well as their risk factors.
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