G6PD缺乏症:与不同医学疾病的关系探讨

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Contemporary Medical Sciences Pub Date : 2023-10-29 DOI:10.22317/jcms.v9i5.1433
Maysaa Alakbaree, Ali Abdulqader, Abbas Hashim Abdulsalam, Muaawia Ahmed Hamza, Syazwani Itri Amran, Mohd Shahir Shamsir, Nurriza AB LATIF
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引用次数: 0

摘要

G6PD缺乏症(G6PDD)与氧化应激有关,氧化应激是由活性氧(ROS)的产生和身体的抵抗能力之间的不平衡引起的。在这篇综述中,我们探讨了G6PDD对多种生理过程和疾病结局的不利影响。过去的研究已经证明G6PDD与多种其他疾病之间存在关联,表明G6PDD通过加速病毒复制、恶化感染严重程度和削弱人体防御机制与氧化应激升高有关。这种应激对感染期间红细胞的破坏至关重要,并对氧化还原信号传导产生不利影响,最终影响细胞健康并促进癌症的发展。此外,它通过降低一氧化氮(NO)水平和增加应激来损害内皮功能,导致有害的心脏后果和心肌抗氧化能力降低。因为ROS会引起炎症,这种不平衡会导致早期动脉粥样硬化。它还会损害no调节的支气管扩张剂的功能,并且G6PDD等疾病会加剧肾脏损害的风险。ROS水平升高还会引起视网膜组织、血管、脑细胞和β细胞的损伤,从而加速糖尿病视网膜病变等疾病的进展。此外,氧化应激在脑缺血发病机制中起着重要作用,有助于神经退行性疾病。此外,降低NADPH水平对NO合成至关重要,因为它会影响血管松弛,并可能导致缺血性阴茎勃起。调查G6PDD与其他疾病之间的关系至关重要,因为它有助于确定减轻氧化应激的可能方法,从而预防相关并发症和疾病,特别是在当前治疗方案不足的情况下。
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G6PD Deficiency: Exploring the Relationship with Different Medical Disorders
G6PD deficiency (G6PDD) is associated with oxidative stress resulting from an imbalance between reactive oxygen species (ROS) production and the body's ability to counteract. In this review, we explore the adverse effects of G6PDD on diverse physiological processes and disease outcomes. Past studies have demonstrated the association between G6PDD and various other diseases, indicating a link between G6PDD to heightened oxidative stress by accelerating virus replication, worsening infection severity, and weakening the body's defense mechanisms. Such stress is critical in the destruction of red blood cells (RBCs) during infections and has a detrimental impact on redox signaling, ultimately impacting cell health and promoting cancer development. Furthermore, it impairs endothelial function by lowering the nitric oxide (NO) level and increasing stress, resulting in detrimental cardiac consequences and reduced myocardial antioxidant capacity. Because ROS contributes to inflammation, this imbalance causes conditions such as early atherosclerosis. It also compromises the functionality of NO-regulated bronchodilators and conditions such as G6PDD exacerbate the risks of kidney damage. Elevated ROS levels can also induce harm in retinal tissues, blood vessels, brain cells, and Beta-cells, hence quickening the progression of diseases like Diabetic Retinopathy. Furthermore, oxidative stress plays a significant role in cerebral ischemic pathogenesis, contributing to neurodegenerative disorders. Additionally, decreased NADPH level is vital for NO synthesis as it can impact blood vessel relaxation and can potentially lead to ischaemic priapism. Investigating the association between G6PDD and other medical conditions is crucial as it helps to identify possible approaches to mitigate oxidative stress, thereby preventing associated complications and diseases, particularly in situations where current treatment options are insufficient.
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来源期刊
Journal of Contemporary Medical Sciences
Journal of Contemporary Medical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
65
审稿时长
12 weeks
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