Матриксные металлопротеиназы и их ингибиторы в развитии фиброза почек при сахарном диабете

Накопление компонентов внеклеточного матрикса в клубочках и интерстиции почек является характерной особенностью диабетической нефропатии. Основную роль в катаболизме внеклеточного матрикса играют матриксные металлопротеиназы (ММП). Активность этих ферментов регулируется группой ингибиторов, включающей тканевые ингибиторы металлопротеиназ, ингибитор активатора плазминогена-1 и другие. Исследования in vitro и in vivo показали, что снижение активности ММП и/или повышение экспрессии тканевых ингибиторов ММП в клубочковых и канальцевых клетках приводит к подавлению катаболизма компонентов внеклеточного матрикса в условиях гипергликемии. Циркулирующие и экскретируемые с мочой ММП и их ингибиторы изучаются как новые потенциальные маркеры фиброза почек при диабете. Направленная активация ММП и нейтрализация их ингибиторов может быть перспективным подходом к лечению диабетической нефропатии.

диабетическая нефропатия, матриксные металлопротеиназы

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