补体系统在2型糖尿病微血管病变中的研究进展
Research Progress of Complement System in Microangiopathy of Type 2 Diabetes Mellitus
DOI: 10.12677/ACM.2021.1111766, PDF,   
作者: 董琳琳:青海大学,青海 西宁;赵玲莉:青海大学附属医院检验科,青海 西宁
关键词: 2型糖尿病糖尿病微血管病变补体系统Type 2 Diabetes Mellitus Diabetic Microangiopathy Complement System
摘要: 糖尿病微血管病变是严重影响糖尿病患者生命健康和生活质量的重要并发症。补体系统作为人体重要的免疫系统,在体内有着广泛的生物学作用,可介导免疫应答和炎症反应,其在糖尿病微血管病变的进展过程中也发挥着重要的作用。本文回顾了补体系统在2型糖尿病微血管病变的相关研究,探讨了其作用机制。以补体系统为靶点,开发新的生物标志物与治疗药物有望成为2型糖尿病微血管病变诊断与治疗的新策略。
Abstract: Diabetic microangiopathy is an important complication that seriously affects the life and health of diabetic patients and quality of life. As an important human immune system, complement system has a wide range of biological functions in vivo, which can mediate immune response and inflammatory response. It also plays an important role in the progression of diabetic microangiopathy. This article reviews the related studies of complement system in type 2 diabetic microangiopathy and discusses its mechanism. Targeting the complement system, the development of new biomarkers and therapeutic drugs is expected to be a new strategy for the diagnosis and treatment of type 2 diabetic microangiopathy.
文章引用:董琳琳, 赵玲莉. 补体系统在2型糖尿病微血管病变中的研究进展[J]. 临床医学进展, 2021, 11(11): 5190-5195. https://doi.org/10.12677/ACM.2021.1111766

参考文献

[1] Saeedi, P., Petersohn, I., Salpea, P., et al. (2019) Global and Regional Diabetes Prevalence Estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th Edition. Diabetes Research and Clinical Practice, 157, Article ID: 107843. [Google Scholar] [CrossRef] [PubMed]
[2] 侯清涛, 李芸, 李舍予, 等. 全球糖尿病疾病负担现状[J]. 中国糖尿病杂志, 2016, 24(1): 92-96.
[3] Flyvbjerg, A. (2017) The Role of the Complement System in Diabetic Nephropathy. Nature Reviews Nephrology, 13, 311-318. [Google Scholar] [CrossRef] [PubMed]
[4] 赵文倩, 王艳军. 补体系统与糖尿病微血管病变关系的研究进展[J]. 中国医师杂志, 2019, 21(6): 947-950.
[5] Xu, H. and Chen, M. (2017) Diabetic Retinopathy and Dysregulated Innate Immunity. Vision Research, 139, 39-46. [Google Scholar] [CrossRef] [PubMed]
[6] Ajjan, R. and Schroeder, V. (2019) Role of Complement in Diabetes. Molecular Immunology, 114, 270-277. [Google Scholar] [CrossRef] [PubMed]
[7] Donath, M. (2014) Targeting Inflammation in the Treatment of Type 2 Diabetes: Time to Start. Nature Reviews Drug Discovery, 13, 465-476. [Google Scholar] [CrossRef] [PubMed]
[8] Phieler, J., Garcia-Martin, R., Lambris, J., et al. (2013) The Role of the Complement System in Metabolic Organs and Metabolic Diseases. Seminars in Immunology, 25, 47-53. [Google Scholar] [CrossRef] [PubMed]
[9] Bus, P., Chua, J., Klessens, C., et al. (2018) Complement Activation in Patients with Diabetic Nephropathy. Kidney International Reports, 3, 302-313. [Google Scholar] [CrossRef] [PubMed]
[10] Woroniecka, K., Park, A., Mohtat, D., et al. (2011) Transcriptome Analysis of Human Diabetic Kidney Disease. Diabetes, 60, 2354-2369. [Google Scholar] [CrossRef] [PubMed]
[11] Østergaard, J., Thiel, S., Gadjeva, M., et al. (2007) Mannose-Binding Lectin Deficiency Attenuates Renal Changes in a Streptozotocin-Induced model of Type 1 Diabetes in Mice. Diabetologia, 50, 1541-1549. [Google Scholar] [CrossRef] [PubMed]
[12] Ostergaard, J., Bjerre, M., Dagnaes-Hansen, F., et al. (2013) Diabetes-Induced Changes in Mannan-Binding Lectin Levels and Complement Activation in a Mouse Model of Type 1 Diabetes. Scandinavian Journal of Immunology, 77, 187-194. [Google Scholar] [CrossRef] [PubMed]
[13] Axelgaard, E., Østergaard, J., Thiel, S., et al. (2017) Diabetes Is Associated with Increased Autoreactivity of Mannan-Binding Lectin. Journal of Diabetes Research, 2017, Article ID: 6368780. [Google Scholar] [CrossRef] [PubMed]
[14] Hansen, T., Forsblom, C., Saraheimo, M., et al. (2010) Association between Mannose-Binding Lectin, High-Sensitivity C-Reactive Protein and the Progression of Diabetic Nephropathy in Type 1 Diabetes. Diabetologia, 53, 1517-1524. [Google Scholar] [CrossRef] [PubMed]
[15] Zheng, J., Ren, X., Jiang, Z., et al. (2018) Lectin-Induced Renal Local Complement Activation Is Involved in Tubular Interstitial Injury in Diabetic Nephropathy. Clinica Chimica Acta, 482, 65-73. [Google Scholar] [CrossRef] [PubMed]
[16] Li, X., Chang, D., Chen, M., et al. (2019) Complement Activation in Patients with Diabetic Nephropathy. Diabetes & Metabolism, 45, 248-253. [Google Scholar] [CrossRef] [PubMed]
[17] Li, L., Yin, Q., Tang, X., et al. (2014) C3a Receptor Antagonist Ameliorates Inflammatory and Fibrotic Signals in Type 2 Diabetic Nephropathy by Suppressing the Activation of TGF-β/smad3 and IKBα Pathway. PLoS ONE, 9, e113639. [Google Scholar] [CrossRef] [PubMed]
[18] Ghosh, P., Sahoo, R., Vaidya, A., et al. (2015) Role of Complement and Complement Regulatory Proteins in the Complications of Diabetes. Endocrine Reviews, 36, 272-288. [Google Scholar] [CrossRef] [PubMed]
[19] Penning, M., Chua, J., Van Kooten, C., et al. (2015) Classical Complement Pathway Activation in the Kidneys of Women with Preeclampsia. Hypertension, 66, 117-125. [Google Scholar] [CrossRef
[20] Muramatsu, D., Wakabayashi, Y., Usui, Y., et al. (2013) Correlation of Complement Fragment C5a with Inflammatory Cytokines in the Vitreous of Patients with Proliferative Diabetic Retinopathy. Graefe’s Archive for Clinical and Experimental Ophthalmology, 251, 15-17. [Google Scholar] [CrossRef] [PubMed]
[21] Wang, H., Feng, L., Hu, J., et al. (2013) Differentiating Vitreous Proteomes in Proliferative Diabetic Retinopathy Using High-Performance Liquid Chromatography Coupled to Tandem Mass Spectrometry. Experimental Eye Research, 108, 110-119. [Google Scholar] [CrossRef] [PubMed]
[22] Geng, P., Ding, Y., Qiu, L., et al. (2015) Serum Mannose-Binding Lectin Is a Strong Biomarker of Diabetic Retinopathy in Chinese Patients with Diabetes. Diabetes Care, 38, 868-875. [Google Scholar] [CrossRef] [PubMed]
[23] Zhang, L., Li, Y., Payne, J., et al. (2016) Presence of Retinal Pericyte-Reactive Autoantibodies in Diabetic Retinopathy Patients. Scientific Reports, 6, Article No. 20341. [Google Scholar] [CrossRef] [PubMed]
[24] Huang, C., Fisher, K., Hammer, S., et al. (2018) Plasma Exosomes Contribute to Microvascular Damage in Diabetic Retinopathy by Activating the Classical Complement Pathway. Diabetes, 67, 1639-1649. [Google Scholar] [CrossRef] [PubMed]
[25] Cheng, L., Bu, H., Portillo, J., et al. (2013) Modulation of Retinal Müller Cells by Complement Receptor C5aR. Investigative Ophthalmology & Visual Science, 54, 8191-8198. [Google Scholar] [CrossRef] [PubMed]
[26] 廖怿. 补体功能失调对糖尿病视网膜病变的影响[J]. 中华实验眼科杂志, 2020, 38(1): 68-72.
[27] 李勇, 齐丽翠, 张然, 等. 血清成纤维细胞生长因子21水平与糖尿病周围神经病变的相关性研究[J]. 中国全科医学, 2021, 24(33): 4229-4233.
[28] Kim, S., Won, J., Kwon, H., et al. (2014) Prevalence and Clinical Implications of Painful Diabetic Peripheral Neuropathy in Type 2 Diabetes: Results from a Nationwide Hospital-Based Study of Diabetic Neuropathy in Korea. Diabetes Research and Clinical Practice, 103, 522-529. [Google Scholar] [CrossRef] [PubMed]
[29] Lu, Y., Li, R., Zhu, J., et al. (2019) Fibroblast Growth Factor 21 Facilitates Peripheral Nerve Regeneration through Suppressing Oxidative Damage and Autophagic Cell Death. Journal of Cellular and Molecular Medicine, 23, 497-511. [Google Scholar] [CrossRef] [PubMed]
[30] Collins, M., Periquet-Collins, I., Sahenk, Z., et al. (2010) Direct Immunofluoresence in Vasculitic Neuropathy: Specificity of Vascular Immune Deposits. Muscle Nerve, 42, 62-69. [Google Scholar] [CrossRef] [PubMed]
[31] Rosoklija, G., Dwork, A., Younger, D., et al. (2000) Local Activation of the Complement System in Endoneurial Microvessels of Diabetic Neuropathy. Acta Neuropathologica, 99, 55-62. [Google Scholar] [CrossRef
[32] Nie, F., Su, D., Shi, Y., et al. (2015) A Preliminary Study on the Role of the Complement Regulatory Protein, Cluster of Differentiation 55, in Mice with Diabetic Neuropathic Pain. Molecular Medicine Reports, 11, 2076-2082. [Google Scholar] [CrossRef] [PubMed]