肾结石:仿生学、发病机制和药理学剖析
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Department of Dravyaguna Vignana, Alva's Ayurveda Medical College, Sundari Ananda Alva Campus and ATMA Research Center (PathoGutOmic Laboratory), Vidyagiri, Moodubidire, Dakshina Kannada 574 227, Karnataka, India

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Nephrolithiasis: Insights into Biomimics, Pathogenesis, and Pharmacology
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Department of Dravyaguna Vignana, Alva's Ayurveda Medical College, Sundari Ananda Alva Campus and ATMA Research Center (PathoGutOmic Laboratory), Vidyagiri, Moodubidire, Dakshina Kannada 574 227, Karnataka, India

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    摘要:

    背景:过去十年间,从传染病到无法治愈的疾病等一系列由于不健康的生活方式导致的疾病的发病率各不相同。全球范围内,肾结石的形成(结石病)增加了患者的身体创伤和经济负担。发现更多更全面和整体的新方法为肾结石提供价格合理可负担的快速诊断方法、临床试验结果和治疗药物迫在眉睫。目的:该综述旨在综述用于肾结石研究的新兴转化的、常规的和非常规的多种原核和真核系统的研究模型(体外、半体内和体内)。方法:采用数据分析标准合格的系统综述和meta分析,探讨各种结石病模型,并将PubMed、PubMed Central、CINAHL Plus、Scopus、Web of Science和EMBASE 数据库作为数据来源。使用AMSTAR量表来评估系统综述的方法学质量。结果:过去55年间(1967–2022)所有包含关键词为“人类肾结石实验模型”、“肾结石”和“尿石症”的文献均被纳入本次综述。共包括765篇摘要,选择其中414篇进行全文综述,对总共47项研究进行分析。AMSTAR平均评分为6.96/11(±1.84),表明系统综述的质量适中。结论:本文能让临床医学、兽医学工作人员和科研人员通过快捷、可靠和可重复的模型来更好地研究肾结石和尿石症的发病机制、致病因素、患病率及其相关机制。该研究结果有助于全球医疗保健政策和针对结石病的区域性保险条款的制定,并为肾结石提供可能有效的治疗方法,从而提高生活质量,改善健康和卫生状况。

    Abstract:

    Background: In the last decade, a varied prevalence of lifestyle-mediated health ailments ranging from infectious disorders to non-curable diseases has been observed. Globally the stone formation (lithiasis) in human kidneys has increased the trauma and economic burden. Furthermore, affordable rapid diagnosis, clinical trials, and therapeutics have to be addressed with newer holistic approaches. Objective: The current comprehensive review attempts to study kidney stones using emerging translational, conventional, and non-conventional research models, which include prokaryotic and eukaryotic systems (in vitro, semi-in vivo, and in vivo). Methods: The study eligibility criteria included systematic reviews and meta-analyses to explore various lithiatic models. Further, PubMed, PubMed Central, CINAHL Plus, Scopus, Web of Science, and EMBASE were used as data sources for the current study. A Measurement Tool to Assess Systematic Reviews (AMSTAR) was used. Results: All curated literature from past 55 years (1967–2022) were considered for this review with keywords as "Experimental models for human kidney stones" AND "Nephrolithasis" AND "Urolithasis". A total of 765 abstracts were reviewed for inclusion with 414 selected for full-text review. A total of 47 studies were analyzed. Mean AMSTAR score of 6.96/11 (± 1.84) suggests moderate quality of the systematic reviews. Conclusion: This review will empower clinicians, veterinarians, and researchers for a better understanding of the pathogenesis, causative factors, and prevalence of nephrolithiasis and urolithiasis and their associated mechanisms with rapid, reliable, and reproducible models. The findings of the study will aid in designing global healthcare policy and regional insurance for lithiatic disorders with effective therapeutics which will result in an increased quality of life, leading to better health and hygiene.

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  • 在线发布日期: 2023-11-24
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