The Warburg Effect in Diabetic Kidney Disease.

The Warburg Effect in Diabetic Kidney Disease.
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DOI:
10.1016/j.semnephrol.2018.01.002
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发表时间:
2018-03
影响因子:
3.3
通讯作者:
Sharma K
Sharma K
中科院分区:
医学2区
文献类型:
--
作者:
Zhang G;Darshi M;Sharma K

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糖尿病肾病(DKD)是糖尿病患者发病和死亡的主要原因。使用简化方法定义DKD的风险因素已被证明具有挑战性。基于整合组学的系统生物学工具为我们对DKD的理解提供了新的见解,并为识别新的预测和诊断生物标志物提供了几个关键突破。在这篇综述中,我们强调了瓦尔堡效应在DKD和潜在的调节因子,如鞘磷脂,富马酸盐,丙酮酸激酶肌肉同工酶M2在转移葡萄糖流量从线粒体中的完全氧化的糖酵解途径及其主要分支的作用。随着高灵敏度仪器和更先进的自动化生物信息学工具的发展,我们相信组学分析和成像技术将更多地关注单细胞水平的研究,这将有助于深入了解DKD,并为个性化肾脏精准医学铺平道路。
Diabetic kidney disease (DKD) is the leading cause of morbidity and mortality in diabetic patients. Defining risk factors for DKD using a reductionist approach has proven challenging. Integrative omics-based systems biology tools have shed new insights in our understanding of DKD and have provided several key breakthroughs for identifying novel predictive and diagnostic biomarkers. In this review, we highlight the role of the Warburg effect in DKD and potential regulating factors such as sphingomyelin, fumarate, and pyruvate kinase muscle isozyme M2 in shifting glucose flux from complete oxidation in mitochondria to the glycolytic pathway and its principal branches. With the development of highly sensitive instruments and more advanced automatic bioinformatics tools, we believe that omics analyses and imaging techniques will focus more on singular-cell-level studies, which will allow in-depth understanding of DKD and pave the path for personalized kidney precision medicine.
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