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中国药学(英文版) ›› 2025, Vol. 34 ›› Issue (11): 979-988.DOI: 10.5246/jcps.2025.11.073

• 【综述】 •    

硫酸吲哚酚在肾损伤疾病中的应用研究进展

解伟伟, 王铭, 张玉倩, 靳怡然*()   

  1. 河北医科大学第二医院 药学部, 河北 石家庄 050000
  • 收稿日期:2025-07-20 修回日期:2025-08-14 接受日期:2025-09-17 出版日期:2025-12-02 发布日期:2025-12-02
  • 通讯作者: 靳怡然

Advancements in the therapeutic application of indoxyl sulfate for kidney injury management

Weiwei Xie, Ming Wang, Yuqian Zhang, Yiran Jin*()   

  1. The Second Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei, China
  • Received:2025-07-20 Revised:2025-08-14 Accepted:2025-09-17 Online:2025-12-02 Published:2025-12-02
  • Contact: Yiran Jin

摘要:

硫酸吲哚酚(IS)是一种蛋白质结合型吲哚毒素, 是现在国内外研究尿毒症毒素与肾损伤的主要物质。3-IS可以通过上调TGF-β1、TIMP-1、pro-α1 (I)等表达, 诱导自由基产生, 降低超氧化物清除活性, 诱导肾小管上皮细胞死亡使肾损伤程度加重。随着代谢组学研究的不断深入, IS可能成为一种新的肾脏生物标志物。本文通过检索中国知网、PubMed等数据库, 对近十年国内外有关硫酸吲哚酚在肾损伤疾病中的应用研究进展进行综述, 旨在为临床的个体化治疗提供帮助, 提高患者用药的安全性和有效性。

关键词: 硫酸吲哚酚, 肾损伤, 生物标志物

Abstract:

Indoxyl sulfate (IS), a protein-bound indole toxin, is currently a key research focus regarding uremic toxins and renal injury both in China and internationally. Studies have shown that IS can upregulate the expression of TGF-β1, TIMP-1, and pro-α1 (I), induce the production of free radicals, decrease superoxide scavenging activity, and promote the apoptosis of renal tubular epithelial cells, thereby exacerbating renal damage. As metabolomics research progresses, IS is emerging as a potential new biomarker for kidney injury. This paper reviews the progress of research on the application of IS in kidney injury over the past decade, drawing on resources from databases such as the CNKI and PubMed. The aim is to provide insights that can aid in clinical individualized treatment, enhancing the safety and effectiveness of patient care.

Key words: Indoxyl sulfate, Kidney injury, Biomarkers

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