Фиброгенные и антифиброгенные факторы роста в развитии диабетической нефропатии

Автор: Бондарь И.А., Климонтов В.В., Парфентьева Е.М.

Журнал: Сибирский журнал клинической и экспериментальной медицины @cardiotomsk

Рубрика: Обзоры и лекции

Статья в выпуске: 4-2 т.26, 2011 года.

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Прогрессирующий фиброз клубочков и тубулоинтерстиция почек - ведущий патологический процесс, определяющий развитие хронической почечной недостаточности при диабетической нефропатии (ДН). Формирование фиброза почек в условиях действия гипергликемии и других нефропатогенных факторов связано с нарушением баланса фиброгенных и антифиброгенных факторов роста, регулирующих процессы пролиферации, дифференцировки, апоптоза и синтетической функции клубочковых и канальцевых клеток. В условиях гипергликемии в почках наблюдается активация синтеза фиброгенных факторов роста (трансформирующий фактор роста β, фактор некроза опухолей α, фактор роста фибробластов, фактор роста соединительной ткани, фактор роста эндотелия сосудов) при одновременном подавлении продукции антифиброгенных факторов роста (костный морфогенетический протеин 7, фактор роста гепатоцитов). Дисбаланс в экспрессии и активности фиброгенных и антифиброгенных факторов роста имеет решающее значение для нарушения обмена компонентов внеклеточного матрикса и формирования гломерулярного и интерстициального фиброза при ДН. Факторы роста можно рассматривать как перспективные диагностические маркеры и потенциальные мишени для нефропротекции при диабетическом поражении почек.

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Диабетическая нефропатия, факторы роста, внеклеточный матрикс, фиброз почек

Короткий адрес: https://sciup.org/14919618

IDR: 14919618

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