Phenotypic characteristics of diabetic kidney involvement.

Phenotypic characteristics of diabetic kidney involvement.
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DOI:
10.1038/ki.2013.552
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发表时间:
2014-07
影响因子:
19.6
通讯作者:
--
中科院分区:
医学1区
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了解糖尿病肾病的表型特征对于开发预防糖尿病肾病进展的治疗方法非常重要。除了肾小球超滤和肾脏生长外,糖尿病肾脏还存在主要的代谢异常。糖尿病患者肾脏耗氧量增加会导致皮质和髓质缺氧。将吸入氧降低至10%可降低pO2,而耗氧量保持升高,同时乳酸增加,氧化还原电位降低,但仅在糖尿病肾脏中,这是向瓦尔堡代谢的转变。
Understanding phenotypic characteristics of the diabetic kidney is important to developing therapies to prevent progression of diabetic nephropathy. In addition to glomerular hyperfiltration and kidney growth, major metabolic abnormalities characterize the diabetic kidney. Increased kidney oxygen consumption leads to cortical and medullary hypoxia in diabetes. Decreasing inspired oxygen to 10% reduces pO2 while oxygen consumption remains elevated while lactate increases and the redox potential decreases but only in diabetic kidney, a shift to Warburg metabolism.
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