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缺氧诱导因子脯氨酰羟化酶抑制剂在慢性肾脏病血管钙化中的研究进展
李 林,尤燕舞
广西壮族自治区人民医院(广西医学科学院)肾内科,南宁 530021
摘要:
[摘要] 缺氧诱导因子脯氨酰羟化酶抑制剂(HIF-PHI)是治疗慢性肾脏病(CKD)肾性贫血的新型药物。HIF-PHI作为缺氧诱导因子(HIF)稳定剂,可提高HIF表达水平,HIF的持续升高促进血管平滑肌细胞的成骨转分化和钙化,加大血管钙化的风险,长期使用HIF-PHI可能存在血管钙化的潜在风险。血管钙化是CKD患者心血管事件发病率和病死率增加的主要危险因素,因此应充分了解HIF-PHI潜在的危害性并加以重视。该文就HIF-PHI在CKD血管钙化中的研究进展进行综述。
关键词:  缺氧诱导因子脯氨酰羟化酶抑制剂  缺氧诱导因子  血管钙化  慢性肾脏病
DOI:10.3969/j.issn.1674-3806.2024.08.05
分类号:R 692
基金项目:广西壮族自治区人民医院青年基金项目(编号:QN2021-12)
Research progress of hypoxia-inducible factor-prolyl hydroxylase inhibitor in vascular calcification in chronic kidney disease
LI Lin, YOU Yanwu
Department of Nephrology, the People′s Hospital of Guangxi Zhuang Autonomous Region(Guangxi Academy of Medical Sciences), Nanning 530021, China
Abstract:
[Abstract] Hypoxia-inducible factor-prolyl hydroxylase inhibitor(HIF-PHI) is a novel drug for treating renal anemia in chronic kidney disease(CKD). As a stabilizer of hypoxia-inducible factor(HIF), HIF-PHI can increase the expression level of HIF, and the continuous increase of HIF can promote the osteogenic transdifferentiation and calcification of vascular smooth muscle cells, which has the risk of increasing vascular calcification. Long-term use of HIF-PHI may have the potential risk of vascular calcification. Vascular calcification is a major risk factor for the increase of incidence rate and mortality rate of cardiovascular events in CKD patients. Therefore, the potential hazards of HIF-PHI should be fully understood and taken seriously. This paper reviews the research progress of HIF-PHI in vascular calcification in CKD.
Key words:  Hypoxia-inducible factor-prolyl hydroxylase inhibitor(HIF-PHI)  Hypoxia-inducible factor(HIF)  Vascular calcification  Chronic kidney disease(CKD)