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第42卷第4期              董佳馨,黄智敏,邢昌赢. 人类抗原R在不同分期糖尿病肾病患者中的差异[J].
                  2022年4月                    南京医科大学学报(自然科学版),2022,42(4):511-517,528                     ·517 ·


                有抑制炎症因子表达的作用             [28] 。1,25羟维生素D3              SET M,et al. The RNA⁃binding protein HuR is required
                可以通过抑制 Th1 型细胞因子的产生抑制细胞免                               for maintenance of the germinal centre response[J]. Nat
                疫,缺乏 1,25 羟维生素 D3 会导致免疫调节功能受                           Commun,2021,12(1):6556
                损 [29] ,这可能从多角度解释本研究中HuR与1,25羟                   [12] PAN H,STRICKLAND A,MADHU V,et al. RNA bind⁃
                                                                       ing protein HuR regulates extracellular matrix gene ex⁃
                维生素 D3 呈负相关。1,25 羟维生素 D3 水平低下
                                                                       pression and pH homeostasis independent of controlling
                使 PTH mRNA 水平升高,PTH 合成增加           [30] 。这可能
                                                                       HIF⁃1alpha signaling in nucleus pulposus cells[J]. Ma⁃
                间接导致HuR与PTH呈负相关。
                                                                       trix Biol,2019,77:23-40
                    综上所述,在 DKD 肾组织中 HuR 与 DKD 病理
                                                                 [13] GOVINDAPPA P K,PATIL M,GARIKIPATI V N S,et
                的严重程度与肾功能相关指标密切相关。因此,                                  al. Targeting exosome⁃associated human antigen R atten⁃
                HuR可能成为值得关注的DKD治疗靶点。                                   uates fibrosis and inflammation in diabetic heart[J].

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