Renal hemodynamic changes in patients with type 2 diabetes and their clinical impact

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Presse Medicale Pub Date : 2023-03-01 DOI:10.1016/j.lpm.2023.104175
Pierre-Jean Saulnier , Petter Bjornstad
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引用次数: 1

Abstract

The dysfunction of the internal mechanics within the kidney's filtering units, known as glomeruli, has been linked to the emergence and progression of diabetic kidney disease (DKD). To better understand this crucial aspect of kidney function and the pathology of DKD, a variety of methods are employed in research, from the introduction of external compounds, such as inulin, iohexol, iothalamate and p-aminohippurate, to cutting-edge imaging techniques and computational analysis.

Given the significance of intraglomerular hemodynamic dysfunction in the pathogenesis and treatment of DKD, it is essential to thoroughly examine the available data on this topic. Accordingly, the aim of this review is to provide a comprehensive appraisal of the role of intraglomerular hemodynamic dysfunction in the development of DKD and the effects of current therapies used to mitigate DKD. Through this analysis, we can gain a deeper understanding of the complex pathogenesis of DKD and potentially discover new avenues for tailored therapeutic management of patients with DKD.

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2型糖尿病患者肾脏血液动力学变化及其临床影响。
肾脏过滤单元(即肾小球)内部机制的功能障碍与糖尿病肾病(DKD)的出现和进展有关。为了更好地了解肾功能的这一关键方面和DKD的病理学,在研究中采用了多种方法,从引入菊粉、碘海醇、iothalamate和对氨基hippurate等外部化合物,到尖端的成像技术和计算分析。鉴于肾小球内血液动力学功能障碍在DKD的发病机制和治疗中的重要性,有必要彻底检查有关该主题的可用数据。因此,本综述的目的是对肾小球内血液动力学功能障碍在DKD发展中的作用以及目前用于缓解DKD的治疗效果进行全面评估。通过这一分析,我们可以更深入地了解DKD的复杂发病机制,并有可能发现针对性治疗DKD患者的新途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Presse Medicale
Presse Medicale 医学-医学:内科
自引率
3.70%
发文量
40
审稿时长
43 days
期刊介绍: Seule revue médicale "généraliste" de haut niveau, La Presse Médicale est l''équivalent francophone des grandes revues anglosaxonnes de publication et de formation continue. A raison d''un numéro par mois, La Presse Médicale vous offre une double approche éditoriale : - des publications originales (articles originaux, revues systématiques, cas cliniques) soumises à double expertise, portant sur les avancées médicales les plus récentes ; - une partie orientée vers la FMC, vous propose une mise à jour permanente et de haut niveau de vos connaissances, sous forme de dossiers thématiques et de mises au point dans les principales spécialités médicales, pour vous aider à optimiser votre formation.
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