国际内分泌代谢杂志
國際內分泌代謝雜誌
국제내분비대사잡지
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2014年
6期
390-392,407
,共4页
脂质异位沉积%慢性肾脏疾病%脂代谢%脂毒性
脂質異位沉積%慢性腎髒疾病%脂代謝%脂毒性
지질이위침적%만성신장질병%지대사%지독성
Ectopic lipid accumulation%Chronic kidney disease%Lipid metabolism%Lipotoxicity
慢性肾脏疾病(CKD)患者常伴有脂代谢紊乱,其中脂质异位沉积被证明与CKD患者疾病进展密切相关.近年研究发现,CKD中异位脂质的形成可能由尿毒症毒素累积等因素引起,并且固有脂肪组织的异常是CKD脂质重分布的核心环节.沉积的脂质通过加重肾脏功能损害,介导胰岛素抵抗,促进心血管事件的发生,从而严重影响CKD患者预后.相关研究为理解CKD状态下的脂代谢紊乱拓宽了视野,有助于发现脂质异位沉积的治疗靶点.
慢性腎髒疾病(CKD)患者常伴有脂代謝紊亂,其中脂質異位沉積被證明與CKD患者疾病進展密切相關.近年研究髮現,CKD中異位脂質的形成可能由尿毒癥毒素纍積等因素引起,併且固有脂肪組織的異常是CKD脂質重分佈的覈心環節.沉積的脂質通過加重腎髒功能損害,介導胰島素牴抗,促進心血管事件的髮生,從而嚴重影響CKD患者預後.相關研究為理解CKD狀態下的脂代謝紊亂拓寬瞭視野,有助于髮現脂質異位沉積的治療靶點.
만성신장질병(CKD)환자상반유지대사문란,기중지질이위침적피증명여CKD환자질병진전밀절상관.근년연구발현,CKD중이위지질적형성가능유뇨독증독소루적등인소인기,병차고유지방조직적이상시CKD지질중분포적핵심배절.침적적지질통과가중신장공능손해,개도이도소저항,촉진심혈관사건적발생,종이엄중영향CKD환자예후.상관연구위리해CKD상태하적지대사문란탁관료시야,유조우발현지질이위침적적치료파점.
Altered lipid metabolism,especially ectopic lipid accumulation,is an important contributors to the progression of chronic kidney disease (CKD).Recent studies suggest that increasing uremic toxin may lead to ectopic lipid accumulation,and the disturbance of inherent adipose tissue is the central part of lipid redistribution in CKD.Ectopic lipid accumulation severely affects the prognosis of patients with CKD by accelerating kidney injury,inducing insulin resistance and increasing cardiovascular events.Related studies are helpful to improve our understanding of abnormal lipid metabolism of CKD as well as to find out the therapeutic target of ectopic lipid accumulation.