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中药延缓慢性肾脏病进展的机制
引用本文:窦晨辉,万毅刚,孙伟,张慧兰,陈婧,水光兴,姚建.中药延缓慢性肾脏病进展的机制[J].中国中药杂志,2009,34(8):939.
作者姓名:窦晨辉  万毅刚  孙伟  张慧兰  陈婧  水光兴  姚建
作者单位:1. 南京中医药大学,江苏,南京,210029
2. 南京大学,医学院,附属鼓楼医院,中医科,江苏,南京,210008
3. 江苏省中医院,肾内科,江苏,南京,210029
4. 山梨大学,大学院,医学工学総合研究部,分子情報伝達講座,日本,甲府,409-3898
基金项目:

南京市医学科技发展项目(YKK08058)

摘    要:慢性肾脏病(chronic kidney disease,CKD)进展的病理基础包括肾小球硬化、肾间质纤维化和肾动脉硬化,这些病理改变与足细胞及其相关膜蛋白结构或表达异常、尿蛋白肾毒性、肾素.血管紧张素-醛固酮系统活性增强、致纤维化细胞因子过度表达、肾小管上皮细胞表型转化,以及高脂血症、高血压等因素有关.中药可以改善影响肾小球硬化、肾间质纤维化和肾动脉硬化的增恶因素,从而,延缓CKD进展.

关 键 词:慢性肾脏病  中药

Mechanism of Chinese herbal medicine delaying progression of  chronic kidney disease
DOU Chen-Hui-,Mo-Yi-Gang-,Sun-Wei-,Zhang-Hui-Lan-,Chen-Jing-,Shui-Guang-Xin-,Tao-Jian-.Mechanism of Chinese herbal medicine delaying progression of  chronic kidney disease[J].China Journal of Chinese Materia Medica,2009,34(8):939.
Authors:DOU Chen-Hui-  Mo-Yi-Gang-  Sun-Wei-  Zhang-Hui-Lan-  Chen-Jing-  Shui-Guang-Xin-  Tao-Jian-
Affiliation:1.  Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China;
2.  Department of Traditional Chinese Medicine, Affiliated Drum Tower Hospital of Nanjing University Medical School,
Nanjing 210008, China;
3.  Department of Nephrology, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing 210029, China;
4.  Department of Molecular Signaling Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi,
 Yamanashi, 409-3898, Japan
Abstract:

The pathomechanisms of the progression of chronic kidney disease (CKD) include glomerulosclerosis, renal interstitial fibrosis and renal arteriosclerosis. Chinese herbal medicine can delay the progression of CKD by ameliorating the harmful factors of these pathological changes, such as podocyte and slit diaphragm injury, nephrotoxicity of proteinuria, hyperactivity of renin-angiotensin-aldosterone system, cytokines over-expression, tubular epithelial myofibroblast transdifferentiation, hyperlipidemia and hypertension.

Keywords:

chronic kidney disease (CKD)  Chinese herbal medicine

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