Article ; Online: The sympathetic nervous system in acute kidney injury.
Acta physiologica (Oxford, England)
2019 Volume 228, Issue 2, Page(s) e13404
Abstract: Acute kidney injury (AKI) is frequently accompanied by activation of the sympathetic nervous system (SNS). This may result from pre-exisiting chronic diseases associated with sympathetic activation prior to AKI or it may be induced by stressors that ... ...
Abstract | Acute kidney injury (AKI) is frequently accompanied by activation of the sympathetic nervous system (SNS). This may result from pre-exisiting chronic diseases associated with sympathetic activation prior to AKI or it may be induced by stressors that ultimately lead to AKI such as endotoxins and arterial hypotension in circulatory shock. Conversely, sympathetic activation may also result from acute renal injury. Focusing on studies in experimental renal ischaemia and reperfusion (IR), this review summarizes the current knowledge on how the SNS is activated in IR-induced AKI and on the consequences of sympathetic activation for the development of acute renal damage. Experimental studies show beneficial effects of sympathoinhibitory interventions on renal structure and function in response to IR. However, few clinical trials obtained in scenarios that correspond to experimental IR, namely major elective surgery, showed that peri-operative treatment with centrally acting sympatholytics reduced the incidence of AKI. Apparently, discrepant findings on how sympathetic activation influences renal responses to acute IR-induced injury are discussed and future areas of research in this field are identified. |
---|---|
MeSH term(s) | Acute Kidney Injury/drug therapy ; Acute Kidney Injury/physiopathology ; Animals ; Humans ; Reperfusion Injury/physiopathology ; Sympathetic Nervous System/physiopathology ; Sympatholytics/pharmacology |
Chemical Substances | Sympatholytics |
Language | English |
Publishing date | 2019-10-31 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2218636-0 |
ISSN | 1748-1716 ; 1748-1708 |
ISSN (online) | 1748-1716 |
ISSN | 1748-1708 |
DOI | 10.1111/apha.13404 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Uc I Zs 229: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.