生长分化因子15 (GDF-15)在肾脏疾病中的作用。

2区 医学 Q1 Chemistry Advances in Clinical Chemistry Pub Date : 2023-01-01 DOI:10.1016/bs.acc.2023.02.003
Charlotte Delrue, Reinhart Speeckaert, Joris R Delanghe, Marijn M Speeckaert
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引用次数: 0

摘要

生长分化因子-15 (GDF-15)是具有潜在肾保护功能的GDF亚家族成员。其肾保护活性与具有抗炎活性的肾保护因子(如小管细胞中的Klotho)的炎症下调和上调有关。然而,根据细胞状态和微环境的不同,GDF-15具有多种和部分相反的功能。GDF-15水平升高与慢性肾脏疾病发生风险增加和各种肾脏疾病肾功能更快下降有关,包括糖尿病肾病、IgA肾病、狼疮肾炎、抗肾小球基底膜肾炎、原发性膜性肾病、肾移植、法布里病和淀粉样变性。这些效应背后的机制尚不完全清楚。在这篇综述中,我们将总结GDF-15在普通人群以及一些特定肾脏疾病中作为肾脏功能生物标志物的潜在作用。
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Growth differentiation factor 15 (GDF-15) in kidney diseases.

Growth differentiation factor-15 (GDF-15) is a GDF subfamily member with potential kidney protective functions. Its nephroprotective activity is associated with both inflammation downregulation and upregulation of nephroprotective factors with anti-inflammatory activity, such as Klotho in tubular cells. However, GDF-15 has diverse and partially opposing functions depending on the state of the cells and the microenvironment. Increased GDF-15 levels have been linked to an increased risk of incident chronic kidney disease and a faster decline in kidney function in various renal disorders, including diabetic nephropathy, IgA nephropathy, lupus nephritis, anti-glomerular basement membrane nephritis, primary membranous nephropathy, kidney transplantation, Fabry disease and amyloidosis. The mechanisms underlying these effects are not yet fully understood. In this review, we will summarize GDF-15's potential role as a biomarker for kidney function in the general population, as well as in some specific kidney diseases.

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来源期刊
Advances in Clinical Chemistry
Advances in Clinical Chemistry 医学-医学实验技术
CiteScore
10.60
自引率
0.00%
发文量
53
审稿时长
>12 weeks
期刊介绍: Advances in Clinical Chemistry volumes contain material by leading experts in academia and clinical laboratory science. The reviews cover a wide variety of clinical chemistry disciplines including clinical biomarker exploration, cutting edge microarray technology, proteomics and genomics. It is an indispensable resource and practical guide for practitioners of clinical chemistry, molecular diagnostics, pathology, and clinical laboratory sciences in general.
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