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Evaluation of Renal Impairment in Patients with Diabetic Kidney Disease by Integrated Chinese and Western Medicine

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Chinese Journal of Integrative Medicine 2023年第4期29卷 308-315页

作者： QU yi-lun dong zhe-yi CHENG Hai-mei LIU Qian WANG Qian YANG Hong-tao MAO Yong-hui LI Ji-jun LIU Hong-fang GENG Yan-qiu HUANG Wen LIU Wen-hu XIE Hui-di PENG Fei LI Shuang JIANG Shuang-shuang LI Wei-zhen DUAN Shu-wei FENG zhe ZHANG Wei-guang LIU Yu-ning TIAN Jin-zhou CHEN Xiang-mei Department of Nephrology First Medical Center of Chinese People's Liberation Army General HospitalNephrology Institute of the Chinese People's Liberation ArmyState Key Laboratory of Kidney DiseasesNational Clinical Research Center for Kidney DiseasesBeijing Key Laboratory of Kidney Disease ResearchBeijing 100853China Guangdong Metabolic Diseases Research Center of Integrated Chinese and Western Medicine Key Laboratory of Glucolipid Metabolic DisorderMinistry of Education of ChinaInstitute of Chinese MedicineGuangdong Pharmaceutical UniversityGuangdong Traditional Chinese Medicine Key Laboratory for Metabolic DiseasesGuangzhou 510006China Department of Nephrology The First Affiliated Hospital of Tianjin University of Traditional Chinese MedicineTianjin 300193China Department of Nephrology Beijing HospitalBeijing 100730China Department of Nephrology The Forth Medical Center of People's Liberation Army General HospitalBejing 100039China Department of Endocrinology Dongzhimen Hospital of Beijing University of Traditional Chinese MedicineBejing 100700China Department of Nephrology The Third Medical Center of PLA General HospitalBeijing 100039China Department of Nephrology Beijing Tongren HospitalCapital Medical UniversityBeijing 100730China Department of Nephrology Beijing Friendship HospitalFaculty of Kidney DiseasesCapital Medical UniversityBeijing 100050China Department of Nephrology Dongzhimen Hospital of Beijing University of Traditional Chinese MedicineBeijing 100700China Three Departments of Encephalopathy Dongzhimen Hospital of Beijing University of Chinese MedicineBeijing 100700China

Objective:To investigate the factors related to renal impairment in patients with diabetic kidney disease(DKD)from the perspective of integrated Chinese and Western ***:Totally 492 patients with DKD in 8 Chinese hospitals from October 2017 to July 2019 were *** to Kidney Disease Improving Global Outcomes(KDIGO)staging guidelines,patients were divided into a chronic kidney disease(CKD)1-3 group and a CKD 4-5 *** data were collected,and logistic regression was used to analyze the factors related to different CKD stages in DKD ***:Demographically,male was a factor related to increased CKD staging in patients with DKD(OR=3.100,P=0.002).In clinical characteristics,course of diabetes>60 months(OR=3.562,P=0.010),anemia(OR=4.176,P60 months,anemia,hyperuricemia,massive proteinuria,atherosclerosis,and blood deficiency syndrome might indicate more severe degree of renal function damage in patients with DKD.(Registration ***03865914).

关键词： diabetickidney disease integrated Chinese and Western medicine Chinese medicine syndrome

自发性糖尿病肾病小鼠动物模型鉴定的研究进展

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中华肾脏病杂志 2008年第5期24卷 368-371页

作者：董哲毅梅长林第二军医大学附属长征医院全军肾脏病研究所上海200003

糖尿病肾病（DN）是糖尿病最严重的微血管并发症之一，也是终末期肾病（ESRD）的重要病因。我国DN患者占肾脏替代治疗患者总数的15％，且逐年递增。但其病理生理机制极为复杂，迄今尚未完全阐明。近交系DN小鼠动物模型以其无可比拟的优... 详细信息

糖尿病肾病（DN）是糖尿病最严重的微血管并发症之一，也是终末期肾病（ESRD）的重要病因。我国DN患者占肾脏替代治疗患者总数的15％，且逐年递增。但其病理生理机制极为复杂，迄今尚未完全阐明。近交系DN小鼠动物模型以其无可比拟的优势，成为研究DN发病机制的有效手段。然而，目前尚缺乏鉴定小鼠是否符合DN病变的标准，严重影响实验结果的可比性。本文就自发性DN小鼠动物模型鉴定的研究进展作一综述。

关键词：小鼠动物模型糖尿病肾病自发性鉴定微血管并发症肾脏替代治疗病理生理机制终末期肾病

Clinicopathological Features of Nondiabetic Renal Diseases from Different Age Groups:An Observational Cross-sectional Study

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Chinese Medical Journal 2018年第24期131卷 2953-2959页

作者： Xiao-Min Liu Qian Wang zhe-yi dong Wei-Guang Zhang Guang-Yan Cai Li Zhang Yong Wang Han-Yu Zhu LiTang Wan-Jun Shen Xiang-Mei Chen Department of Nephrology Chinese People's Liberation Army General HospitalChinese People's Liberation Army Institute of NephrologyState Key Laboratory of Kidney DiseasesNational Clinical Research Center for Kidney DiseasesBeijing Key Laboratory of Kidney DiseasesBeijing 100853China

Background:Diabetes mellitus (DM)has become the leading cause of chronic kidney disease (CKD).Nondiabetic renal diseases (NDRDs) have different clinicopathological features and prognosis from those of diabetic *** study sought to analyze the clinical and pathological features of NDRDs,in different age groups through a cross-sectional study. Methods:All patients with type 2 DM at our center who underwent renal biopsy between March 1997 and March 2017 were screened and divided into three groups by age:Group 1 (youth group),18-44 years old;Group 2 (middle-aged group),45-59 years old;and Group 3 (elderly group),≥60 years *** analyzed the clinicopathological data and risk factors by univariate and multivariate logistic regression for NDRD of the patients to identify the features of NDRD in different age groups. Results:We included 982 patients in the final *** with NDRD accounted for 64.4%of all *** nephropathy (IgAN) was the most common pathological pattern in young patients with NDRD,accounting for 26.3%.In the middle-aged group,the two most common pathological patterns were IgAN and membranous *** nephropathy was the most common pathological pattern in elderly patients with NDRD,accounting for 29.3%.Consistent with pathological features,glomerular hematuria is a risk factor for NDRD in Group 1 (odds ratio [OR],26.514;95%confidence interval [CI],2.503-280.910;P =0.006).On the other hand,rapidly increasing proteinuria or nephrotic syndrome is a risk factor for NDRD in Group 2 (OR,5.921;95% CI,2.061-17.013;P =0.001)and Group 3 (OR,90.409;95%CI,6.198-1318.826;P =0.001). Conclusions:This single-center study showed that the proportion and composition of NDRD differ among different age groups. Consistent with pathological features,some clinical indices such as hematuria and proteinuria showed different features among different age groups.

关键词： Age Nondiabetic Renal Disease Type 2 Diabetic Nephropathy

黄芪主要活性成分对糖尿病肾病的疗效机制研究进展

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解放军医学杂志 2021年第3期46卷 294-299页

作者：倪慧明董哲毅陈香美广东药科大学中药学院广州510006 解放军总医院肾脏病科/解放军肾脏病研究所/肾脏疾病国家重点实验室/国家慢性肾病临床医学研究中心/肾脏疾病研究北京市重点实验室北京100853

糖尿病肾病(DN)是糖尿病的常见并发症,是最终导致终末期肾病(ESRD)的主要原因之一。目前,由于DN的发病机制尚未明确,所以缺乏有效的治疗措施。黄芪作为我国的传统中药材,常用于DN的治疗。黄芪中含有黄芪甲甙(AS-Ⅳ)及黄芪多糖(APS)两种... 详细信息

糖尿病肾病(DN)是糖尿病的常见并发症,是最终导致终末期肾病(ESRD)的主要原因之一。目前,由于DN的发病机制尚未明确,所以缺乏有效的治疗措施。黄芪作为我国的传统中药材,常用于DN的治疗。黄芪中含有黄芪甲甙(AS-Ⅳ)及黄芪多糖(APS)两种主要活性成分,可有效减轻蛋白尿,保护肾脏功能。该文从调节内质网应激(ERS)、抗炎、减少细胞凋亡、抑制纤维化、调节糖脂代谢等方面对AS-Ⅳ及APS治疗DN的机制进行综述,为其进一步应用于DN的临床治疗提供依据。

关键词：糖尿病肾病黄芪甲甙黄芪多糖

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触珠蛋白与糖尿病肾病的关系研究进展

解放军医学杂志 2021年第1期46卷 84-88页

作者：柯雨景董哲毅陈香美广东药科大学临床医学院广州510006 解放军总医院肾脏病科/解放军肾脏病研究所/肾脏疾病国家重点实验室/国家慢性肾病临床医学研究中心/肾脏疾病研究北京市重点实验室北京100853

触珠蛋白(HP)是一种具有遗传多态性的血浆糖蛋白,主要在肝脏分泌,有HP1和HP2两种等位基因,可形成3种潜在的基因型:HP1-1、HP2-1和HP2-2,具有结合游离血红蛋白及抗氧化等功能。HP由于特殊的结构及功能,在糖尿病肾病早期诊断及预后预测中... 详细信息

触珠蛋白(HP)是一种具有遗传多态性的血浆糖蛋白,主要在肝脏分泌,有HP1和HP2两种等位基因,可形成3种潜在的基因型:HP1-1、HP2-1和HP2-2,具有结合游离血红蛋白及抗氧化等功能。HP由于特殊的结构及功能,在糖尿病肾病早期诊断及预后预测中均具有一定的优势,可能是糖尿病肾病的潜在生物标志物。该文主要综述HP表达水平及其基因型与糖尿病肾病发生、发展、诊断及预后之间的关系。

关键词：触珠蛋白糖尿病肾病基因型早期诊断预后

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膜性肾病诊断方式的演变

解放军医学杂志 2019年第12期44卷 1067-1071页

作者：曲逸伦董哲毅陈香美广东药科大学广州510006 解放军总医院第一医学中心肾脏病科/解放军肾脏病研究所/肾脏疾病国家重点实验室/国家慢性肾病临床医学研究中心北京100853

膜性肾病(MN)是成人肾病综合征最常见的病因之一,其特征是免疫复合物沿肾小球基底膜(GBM)沉积。约80%的患者为原发性膜性肾病(PMN),20%是由于自身免疫性疾病、同种免疫性疾病、感染、肿瘤、药物、毒物接触引起的继发性膜性肾病(SMN)。... 详细信息

膜性肾病(MN)是成人肾病综合征最常见的病因之一,其特征是免疫复合物沿肾小球基底膜(GBM)沉积。约80%的患者为原发性膜性肾病(PMN),20%是由于自身免疫性疾病、同种免疫性疾病、感染、肿瘤、药物、毒物接触引起的继发性膜性肾病(SMN)。未经治疗,约1/3的患者出现自发性缓解,1/3的患者在10年内进展为终末期肾病(ESRD),其余患者表现为持续性蛋白尿。传统的诊断方式已经不足以早期发现MN,为了提高MN患者的管理水平和临床疗效,新的诊断工具显得尤为重要。该文总结了近几年MN诊断方式的新进展,以供临床参考。

关键词：膜性肾病磷脂酶A2受体 1型血小板反应蛋白7A域自身免疫性疾病

Low-temperature chlorination roasting technology for the simultaneous recovery of valuable metals from spent LiCoO_(2)cathode material

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International Journal of Minerals,Metallurgy and Materials 2025年第1期32卷 80-91页

作者： Junjie Shi Changle Hou Jingjing dong dong Chen Jianzhong Li Key Laboratory for Ecological Metallurgy of Multimetallic Mineral(Ministry of Education) Northeastern UniversityShenyang 110819China School of Metallurgy Northeastern UniversityShenyang 110819China

With the continuous increase in the disposal volume of spent lithium-ion batteries(LIBs),properly recycling spent LIBs has become essential for the advancement of the circular *** study presents a systematic analysis of the chlorination roasting kinetics and proposes a new two-step chlorination roasting process that integrates thermodynamics for the recycling of LIB cathode *** activation energy for the chloride reaction was 88.41 kJ/mol according to thermogravimetric analysis–derivative thermogravimetry data obtained by using model-free,model-fitting,and Z(α)function(αis conversion rate).Results indicated that the reaction was dominated by the first-order(F1)model when the conversion rate was less than or equal to 0.5 and shifted to the second-order(F2)model when the conversion rate exceeded *** conditions were determined by thoroughly investigating the effects of roasting temperature,roasting time,and the mass ratio of NH_(4)Cl to LiCoO_(2).Under the optimal conditions,namely 400℃,20 min,and NH_(4)Cl/LiCoO_(2)mass ratio of 3:1,the leaching efficiency of Li and Co reached 99.43% and 99.05%,*** of the roasted products revealed that valuable metals in LiCoO_(2)transformed into CoCl_(2) and ***,the reaction mechanism was elucidated,providing insights for the establishment of a novel low-temperature chlorination roasting technology based on a crystal structure *** technology can guide the development of LIB recycling processes with low energy consumption,low secondary pollution,high recovery efficiency,and high added value.

关键词： spent lithium-ion battery thermodynamics chlorination roasting kinetics circular economy

脉搏波速度与2型糖尿病血管并发症的相关性研究进展

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解放军医学杂志 2021年第5期46卷 492-497页

作者：李炜祯王倩董哲毅张伟光陈香美广东药科大学临床医学院广州510006 解放军总医院第一医学中心肾脏病医学部/解放军肾脏病研究所/肾脏疾病国家重点实验室/国家慢性肾病临床医学研究中心/肾脏疾病研究北京市重点实验室北京100853

2型糖尿病(T2DM)常伴发微血管及大血管病变,但在疾病早期未受到足够重视。因此,需要更多的辅助检测方法对T2DM及高危患者进行早期筛查、辅助诊断。近年来,动脉硬化检测特别是脉搏波速度(PWV)作为一种无创的测量动脉硬度的有效方法,其应... 详细信息

2型糖尿病(T2DM)常伴发微血管及大血管病变,但在疾病早期未受到足够重视。因此,需要更多的辅助检测方法对T2DM及高危患者进行早期筛查、辅助诊断。近年来,动脉硬化检测特别是脉搏波速度(PWV)作为一种无创的测量动脉硬度的有效方法,其应用越来越广泛。现有研究表明,动脉硬度增加是T2DM患者血管病变发生发展的重要预测因素。为了更好地在疾病发生前进行预判,以便及早启动健康管理,应用PWV预测动脉硬化显得尤为重要。该文对PWV与T2DM微血管、大血管并发症的相关性进行综述,旨在为早期预判和管理具有血管病变风险的T2DM患者提供参考。

关键词：脉搏波速度糖尿病,2型动脉硬化血管并发症

糖尿病视网膜病变与糖尿病肾病的相关性及其诊断价值研究进展

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解放军医学杂志 2021年第1期46卷 64-70页

作者：蒋双双陈小鸟董哲毅王倩陈香美广东药科大学临床医学院广州510006 解放军总医院肾脏病科/解放军肾脏病研究所/肾脏疾病国家重点实验室/国家慢性肾病临床医学研究中心/肾脏疾病研究北京市重点实验室北京100853 首都医科大学附属同仁医院眼科中心北京100730

糖尿病视网膜病变及糖尿病肾病是糖尿病的两种慢性微血管并发症,二者有相似的病理机制,同时也存在差异。临床上诊断糖尿病肾病的金标准是肾组织活检病理,但由于其有创性和技术难度使患者的接受度和技术普及度受到限制,寻求可靠的无创诊... 详细信息

糖尿病视网膜病变及糖尿病肾病是糖尿病的两种慢性微血管并发症,二者有相似的病理机制,同时也存在差异。临床上诊断糖尿病肾病的金标准是肾组织活检病理,但由于其有创性和技术难度使患者的接受度和技术普及度受到限制,寻求可靠的无创诊断方法是解决这一问题的关键。基于彩色眼底照相技术诊断糖尿病视网膜病变为无创诊断糖尿病肾病提供了可能。越来越多的研究表明,结合糖尿病视网膜病变及其他临床指标辅助诊断糖尿病肾病具有较高的可信度及可行性。该文就糖尿病视网膜病变对糖尿病肾病的影响及其诊断价值进行综述。

关键词：糖尿病视网膜病变糖尿病肾病诊断