Role of vitamin D in diabetic nephropathy

Lei He, Lin Zhou, Tian-ya Zhao, Alexander Temple Witherspoon, Long Ouyang
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Abstract

Diabetic nephropathy (DN) or Diabetic kidney disease (DKD) is one of the major microvascular complications of diabetes mellitus (DM). DN is observed in approximately 20–40% of diabetic patients. DN is also an important risk factor for DM patient’s death. Nowadays, DN has become the leading cause of chronic renal failure (CRF) in most countries without effective therapeutic methods. Recently, the renoprotective effects mediated by vitamin D have been evidenced. Currently available evidence showed that vitamin D is effective in reducing proteinuria in DN patients. A recent meta-analysis demonstrated the therapeutic effect of vitamin D, on urinary albumin excretion, in DN patients. This review summarized the multiple roles of vitamin D in mechanism of renopretective effect of vitamin D to explore much more and effective therapeutic methods for DN.
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维生素D在糖尿病肾病中的作用
糖尿病肾病(DN)或糖尿病肾病(DKD)是糖尿病(DM)的主要微血管并发症之一。约20-40%的糖尿病患者存在DN。DN也是DM患者死亡的重要危险因素。目前,在大多数国家,肾病已成为慢性肾功能衰竭(CRF)的主要原因,但缺乏有效的治疗方法。近年来,维生素D介导的肾保护作用已得到证实。目前已有证据表明,维生素D可有效减少肾病患者的蛋白尿。最近的一项荟萃分析证实了维生素D对肾病患者尿白蛋白排泄的治疗作用。本文综述了维生素D在肾保护作用机制中的多重作用,以期探索更多有效的DN治疗方法。
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