摘要糖尿病肾病是糖尿病最严重的并发症之一,是美国、日本等发达国家终末期肾病的主要原因。目前,糖尿病肾病具体发病机制尚不明确,既往研究主要集中在高血糖及其糖基化终末产物(advancedglycation end products,AGEs)的形成,脂代谢紊乱及血流动力学异常等,近年来许多动物实验和临床研究均表明糖尿病。肾病往往存在着炎症介质的表达增高。我们对糖尿病肾病炎症机制及抗炎治疗进行探讨。
4[2]Ratan S,Danda,NM,Habiha HR,et al.Kidney involvement in a nongenetic rat model of type 2 diabetes[J].Kidney Int,2005,68:2562-2571.
5[3]Kikuchi Y,Ikee R,Hemmi N,et al.Fractalkine and its recep-tor,CX3CR1,upregulation in streptozotocin induceddiabetic kid-neys[J].Nephron Exp Nephrol,2004,97:e17-e25.
6[4]Chow F,Ozols E,Nikolic-Paterson DJ,et al.Macrophages in mouse type 2 diabetic nephropathy:correlation with diabetic state and progressive renal injury[J].Kidney lnt,2004,65:116-128.
7[5]Lin N,Sato T,Ito A.Trip tolide,a novel diterpenoid triepoxide from triperygium wilfordii Hook f,suppresses the production and gene expression of pro-matrix metalloproteinases 1 and 3 and aug-ments those of tissue inhibitors of metallop-roteinases 1 and 2 in human synovial fibroblasts[J].Arthritis Rheum,2001,44:2193-2200.
8[6]Liu Q,Chen T,Chen G,et al.Immunosuppressant triptolide in-hibits dendritic cell-mediated chemoattraction of neutrophils and T cells through inhibiting Stat3 phosphorylation and NF-jB activa-tion[J].Biochemical and Biophysical Research Communications,2006,345:1122-1130.
9Hara M,Takagawa R. Pathology of diabetic nephropathy. Nippon Rinsho, 1997,55 (Suppl): 783-788.