Title:Aging and Diabetic Kidney Disease: Emerging Pathogenetic
Mechanisms and Clinical Implications
Volume: 31
Issue: 6
关键词:
衰老,糖尿病肾病,发病机制,病理,ESRD, DKD。
摘要: Diabetic kidney disease (DKD) is one of the leading causes of chronic kidney
disease (CKD) and end-stage renal disease (ESRD) worldwide. With the overpowering
trend of aging, the prevalence of DKD in the elderly is progressively increasing. Genetic
factors, abnormal glucose metabolism, inflammation, mitochondrial dysregulation, and
oxidative stress all contribute to the development of DKD. Conceivably, during aging, these
pathobiological processes are likely to be intensified, and this would further exacerbate
the deterioration of renal functions in elderly patients, ultimately leading to ESRD.
Currently, the pathogenesis of DKD in the elderly is not very well-understood. This
study describes an appraisal of the relationship between diabetic nephropathy and aging
while discussing the structural and functional changes in the aged kidney, the impact of
related mechanisms on the outcome of DKD, and the latest advances in targeted therapies.