Journal Article Review Epublish 3 citations
PubMed: 37781128 DOI: 10.3389/fnut.2023.1239838
Active role of amino acid metabolism in early diagnosis and treatment of diabetic kidney disease.
Front Nutr 10:1239838
Authors: Chenming Li, Lidong Gao, Chunxiao Lv, Ziqiang Li, Shanshan Fan, Xinyue Liu, Xinyi Rong, Yuhong Huang, Jia Liu
Affiliations
- Tianjin University of Traditional Chinese Medicine, Tianjin, China. Clinical Pharmacology Department, Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
- College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China. Tianjin Key Laboratory of Modern Chinese Medicine Theory of Innovation and Application, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
- Clinical Pharmacology Department, Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
- Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Abstract
Diabetic Kidney Disease (DKD) is one of the significant microvascular consequences of type 2 diabetes mellitus with a complex etiology and protracted course. In the early stages of DKD, the majority of patients experience an insidious onset and few overt clinical symptoms and indicators, but they are prone to develop end-stage renal disease in the later stage, which is life-threatening. The abnormal amino acid metabolism is tightly associated with the development of DKD, which involves several pathological processes such as oxidative stress, inflammatory response, and immune response and is also closely related to autophagy, mitochondrial dysfunction, and iron death. With a focus on taurine, branched-chain amino acids (BCAAs) and glutamine, we explored the biological effects of various amino acid mechanisms linked to DKD, the impact of amino acid metabolism in the early diagnosis of DKD, and the role of amino acid metabolism in treating DKD, to offer fresh objectives and guidelines for later early detection and DKD therapy.
MeSH
Kidney Failure, Chronic, Signs And Symptoms, Kidney Diseases, Glutamine, Therapeutics, Taurine, Diabetic Nephropathies, Diabetes Mellitus, Type 2, Amino Acids, Branched-Chain, Early Diagnosis