العلاقة البيوكيميائية بين البروينكيفالين والأمراض المزمنة

المؤلفون

  • شهد طه محمود قسم علوم الكيمياء، كلية العلوم، جامعة ديالى، ديالى، العراق Department of Chemistry, College of Science, University of Diyala, Iraq
  • أ.د.إخلاص عبد الله حسن قسم علوم الكيمياء، كلية العلوم، جامعة ديالى، ديالى، العراق

DOI:

https://doi.org/10.31185/bsj.Vol23.Iss48.1795

الكلمات المفتاحية:

بروينكفالين؛ الأمراض المزمنة؛ المؤشرات الحيوية؛ قصور القلب؛ مستقبلات الأفيون، داء السكري

الملخص

يُعدّ البروينكيفالين مؤشرًا حيويًا حديثًا حظي باهتمام كبير في السنوات الأخيرة نظرًا لأهميته المحتملة في تقييم وظائف الأعضاء والتنبؤ بمسار وتطور العديد من الأمراض المزمنة. هذا الببتيد هو طليعة الإنكيفالينات، وهي مشتقات أفيونية داخلية المنشأ تلعب دورًا حاسمًا في تنظيم عدد من العمليات الفيزيولوجية الأساسية، بما في ذلك الإحساس بالألم، وتنظيم الاستجابات الالتهابية، والحفاظ على التوازن العصبي الهرموني في الجسم. تهدف هذه المراجعة إلى تسليط الضوء على أحدث النتائج العلمية المتعلقة باستخدام البروينكيفالين كمؤشر حيوي في سياق مختلف الأمراض المزمنة، مع التركيز بشكل خاص على علاقته بوظائف الكلى، وأمراض القلب والأوعية الدموية، والاضطرابات الأيضية. تشير الأدلة الحديثة إلى أن قياس مستويات البروينكيفالين في الدم قد يوفر مؤشرًا مبكرًا ودقيقًا لاختلال وظائف الكلى، حتى في المراحل المبكرة التي قد لا تظهر فيها تغييرات واضحة في المؤشرات التقليدية. أظهرت سلسلة من الدراسات أن ارتفاع مستويات هذا المؤشر يرتبط بزيادة خطر حدوث مضاعفات في حالات أمراض الكلى المزمنة وفشل القلب، مما يعزز إمكانية استخدامه كأداة تنبؤيه لتقييم شدة المرض والتنبؤ بالنتائج السريرية. علاوة على ذلك، تتناول هذه المراجعة الآليات البيولوجية المحتملة التي تربط البروينكيفالين بعمليات الالتهاب والإجهاد التأكسدي والخلل الأيضي، وهي آليات محورية في تطور العديد من الأمراض المزمنة. في ضوء ذلك، يمكن اعتبار البروينكيفالين مؤشراً حيوياً واعداً ومتعدد الاستخدامات؛ ومع ذلك، لا يزال تطبيقه السريري يتطلب المزيد من الدراسات واسعة النطاق لتأكيد دقته، وتحديد نطاقاته المرجعية، واستكشاف إمكانية دمجه مع المؤشرات التشخيصية الأخرى لتحسين جودة التشخيص والتنبؤ بالنتائج السريرية.

المراجع

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التنزيلات

منشور

2026-09-22

إصدار

القسم

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