Potential therapeutic value of melatonin in diabetic nephropathy: improvement beyond anti-oxidative stress.

IF 2.5 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Chang Guo, Jianqiang He, Xia Deng, Dong Wang, Guoyue Yuan
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引用次数: 4

Abstract

Diabetic nephropathy (DN) is a common complication of diabetes, and it is also the main cause of chronic renal failure. Physiological/pathological changes mediated by high glucose are the main factors causing injury of DN, including the enhancement of polyol pathway, the accumulation of advanced glycation products (AGEs), and the activation of protein kinase C (PKC) and transforming growth factor-β (TGF-β) signals. In addition, the abnormal activation of renin-angiotensin system (RAS) and oxidative stress are also involved. Melatonin is a physiological hormone mainly secreted by the pineal gland which has been proved to be related to diabetes. Studies have shown that exogenous melatonin intervention can reduce blood glucose and alleviate high glucose mediated pathological damage. At the same time, melatonin also has a strong antioxidant effect, and can inhibit the activation of RAS. Therefore, it is of great significance to explore the therapeutic effect and value of melatonin on DN.

褪黑素对糖尿病肾病的潜在治疗价值:抗氧化应激以外的改善。
糖尿病肾病(Diabetic nephropathy, DN)是糖尿病的常见并发症,也是慢性肾功能衰竭的主要原因。高糖介导的生理病理变化是引起DN损伤的主要因素,包括多元醇通路增强、晚期糖基化产物(AGEs)积累、蛋白激酶C (PKC)和转化生长因子-β (TGF-β)信号的激活。此外,肾素-血管紧张素系统(RAS)的异常激活和氧化应激也参与其中。褪黑素是一种主要由松果体分泌的生理激素,已被证明与糖尿病有关。研究表明,外源性褪黑激素干预可降低血糖,减轻高糖介导的病理损伤。同时,褪黑素还具有较强的抗氧化作用,并能抑制RAS的激活。因此,探讨褪黑素对DN的治疗效果和价值具有重要意义。
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来源期刊
Archives of Physiology and Biochemistry
Archives of Physiology and Biochemistry ENDOCRINOLOGY & METABOLISM-PHYSIOLOGY
CiteScore
6.90
自引率
3.30%
发文量
21
期刊介绍: Archives of Physiology and Biochemistry: The Journal of Metabolic Diseases is an international peer-reviewed journal which has been relaunched to meet the increasing demand for integrated publication on molecular, biochemical and cellular aspects of metabolic diseases, as well as clinical and therapeutic strategies for their treatment. It publishes full-length original articles, rapid papers, reviews and mini-reviews on selected topics. It is the overall goal of the journal to disseminate novel approaches to an improved understanding of major metabolic disorders. The scope encompasses all topics related to the molecular and cellular pathophysiology of metabolic diseases like obesity, type 2 diabetes and the metabolic syndrome, and their associated complications. Clinical studies are considered as an integral part of the Journal and should be related to one of the following topics: -Dysregulation of hormone receptors and signal transduction -Contribution of gene variants and gene regulatory processes -Impairment of intermediary metabolism at the cellular level -Secretion and metabolism of peptides and other factors that mediate cellular crosstalk -Therapeutic strategies for managing metabolic diseases Special issues dedicated to topics in the field will be published regularly.
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