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  1. Book ; Online: Hypoxia in Kidney Disease

    Koeners, Maarten / Palm, Fredrik

    2018  

    Keywords Physiology ; Science (General)
    Size 1 electronic resource (143 p.)
    Publisher Frontiers Media SA
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT020101919
    ISBN 9782889456178 ; 288945617X
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Adenosine reuptake inhibition reduces diabetes-induced glomerular hyperfiltration via the adenosine A2

    Persson, Patrik / Fasching, Angelica / Pihl, Liselotte / Palm, Fredrik

    American journal of physiology. Regulatory, integrative and comparative physiology

    2023  Volume 325, Issue 4, Page(s) R337–R343

    Abstract: Diabetes-induced glomerular hyperfiltration is an early alteration in kidney function in diabetes. Previous studies have shown that reduced adenosine ... ...

    Abstract Diabetes-induced glomerular hyperfiltration is an early alteration in kidney function in diabetes. Previous studies have shown that reduced adenosine A2
    MeSH term(s) Rats ; Animals ; Male ; Rats, Sprague-Dawley ; Dilazep/pharmacology ; Adenosine/pharmacology ; Kidney Glomerulus ; Diabetes Mellitus ; Kidney ; Kidney Diseases ; Glomerular Filtration Rate
    Chemical Substances Dilazep (F8KLC2BD5Z) ; Adenosine (K72T3FS567)
    Language English
    Publishing date 2023-07-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603839-6
    ISSN 1522-1490 ; 0363-6119
    ISSN (online) 1522-1490
    ISSN 0363-6119
    DOI 10.1152/ajpregu.00278.2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Editorial: Hypoxia in Kidney Disease.

    Palm, Fredrik / Koeners, Maarten P

    Frontiers in physiology

    2018  Volume 9, Page(s) 485

    Language English
    Publishing date 2018-05-03
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564217-0
    ISSN 1664-042X
    ISSN 1664-042X
    DOI 10.3389/fphys.2018.00485
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Acute and long-term renal effects after iodine contrast media-enhanced computerised tomography in the critically ill-a retrospective bi-centre cohort study.

    Berglund, Felix / Eilertz, Ebba / Nimmersjö, Fredrik / Wolf, Adam / Nordlander, Christopher / Palm, Fredrik / Parenmark, Fredric / Westerbergh, Johan / Liss, Per / Frithiof, Robert

    European radiology

    2023  Volume 34, Issue 3, Page(s) 1736–1745

    Abstract: Objectives: To determine if current clinical use of iodine contrast media (ICM) for computerised tomography (CT) increases the risk of acute kidney injury (AKI) and long-term decline in renal function in patients treated in intensive care.: Methods: ... ...

    Abstract Objectives: To determine if current clinical use of iodine contrast media (ICM) for computerised tomography (CT) increases the risk of acute kidney injury (AKI) and long-term decline in renal function in patients treated in intensive care.
    Methods: A retrospective bi-centre cohort study was performed with critically ill subjects undergoing either ICM-enhanced or unenhanced CT. AKI was defined and staged based on the Kidney Disease Improve Global Outcome AKI criteria, using both creatinine and urine output criteria. Follow-up plasma creatinine was recorded three to six months after CT to assess any long-term effects of ICM on renal function.
    Results: In total, 611 patients were included in the final analysis, median age was 65.0 years (48.0-73.0, quartile 1-quartile 3 (IQR)) and 62.5% were male. Renal replacement therapy was used post-CT in 12.9% and 180-day mortality was 31.2%. Plasma creatinine level on day of CT was 100.0 µmol/L (66.0-166.5, IQR) for non-ICM group and 77.0 µmol/L (59.0-109.0, IQR) for the ICM group. The adjusted odds ratio for developing AKI if the patient received ICM was 1.03 (95% confidence interval 0.64-1.66, p = 0.90). No significant association between ICM and increase in plasma creatinine at long-term follow-up was found, with an adjusted effect size of 2.92 (95% confidence interval - 6.52-12.36, p = 0.543).
    Conclusions: The results of this study do not indicate an increased risk of AKI or long-term decline in renal function when ICM is used for enhanced CT in patients treated at intensive care units.
    Clinical relevance statement: Patients treated in intensive care units had no increased risk of acute kidney injury or persistent decline in renal function after contrast-enhanced CT. This information underlines the need for a proper risk-reward assessment before denying patients a contrast-enhanced CT.
    Key points: • Iodine contrast media is considered a risk factor for the development of acute kidney injury. • Patients receiving iodine contrast media did not have an increased incidence of acute kidney injury or persistent decline in renal function. • A more clearly defined risk of iodine contrast media helps guide clinical decisions whether to perform contrast-enhanced CTs or not.
    MeSH term(s) Humans ; Male ; Aged ; Female ; Contrast Media/adverse effects ; Cohort Studies ; Retrospective Studies ; Iodine/adverse effects ; Critical Illness ; Creatinine ; Kidney ; Acute Kidney Injury/chemically induced ; Acute Kidney Injury/epidemiology ; Risk Factors ; Tomography, X-Ray Computed/methods
    Chemical Substances Contrast Media ; Iodine (9679TC07X4) ; Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2023-09-02
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-023-10059-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Introduction.

    Palm, Fredrik

    Clinical and experimental pharmacology & physiology

    2013  Volume 40, Issue 2, Page(s) 104–105

    MeSH term(s) Animals ; Humans ; Kidney/metabolism ; Kidney/pathology ; Kidney Diseases/metabolism ; Kidney Diseases/pathology ; Oxygen Consumption/physiology
    Language English
    Publishing date 2013-02
    Publishing country Australia
    Document type Introductory Journal Article
    ZDB-ID 189277-0
    ISSN 1440-1681 ; 0305-1870 ; 0143-9294
    ISSN (online) 1440-1681
    ISSN 0305-1870 ; 0143-9294
    DOI 10.1111/1440-1681.12035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Determination of lithium concentration in capillary blood using volumetric dried blood spots.

    Wikström, Fredrik / Olsson, Carl / Palm, Bonita / Roxhed, Niclas / Backlund, Lena / Schalling, Martin / Beck, Olof

    Journal of pharmaceutical and biomedical analysis

    2023  Volume 227, Page(s) 115269

    Abstract: Background: Lithium is a cornerstone in the treatment of bipolar disorder and is considered one of the most effective treatments in psychiatry at large. Lithium treatment requires individual dosing with frequent serum concentration measurements due to ... ...

    Abstract Background: Lithium is a cornerstone in the treatment of bipolar disorder and is considered one of the most effective treatments in psychiatry at large. Lithium treatment requires individual dosing with frequent serum concentration measurements due to the narrow therapeutic window and risk of toxicity. There is need for patient-centric methods for lithium monitoring and the use of dried blood spots has recently been proposed for determination of lithium concentration. The purpose of the current study was to assess feasibility of this method by introducing a volumetric technique developed for home-sampling.
    Materials and methods: Laboratory: Capillary blood was sampled by finger-prick using a volumetric device that collects 10 µL volumes as a dried blood spot. Lithium was measured in the dried blood spots using a validated atomic absorption spectroscopy method.
    Clinical: Thirty-nine lithium-treated patients were recruited, and dried blood spots and venous blood samples were collected. Routine serum analysis was performed for comparison.
    Results: The range of serum lithium concentrations was 0.41-1.22 mmol/L, and the dried blood spot/serum ratio was 0.78. A strong linear correlation between the two specimens was shown with Pearson's R = 0.95 (r
    Conclusion: Volumetric dried blood spots is a promising technique for measurement of lithium concentrations. This will enable home-sampling and could potentially save resources, improve compliance, and make treatment safer. This may facilitate the use of lithium treatment in regions where monitoring via venous blood sampling remains difficult. However, the usability of dried blood spots for monitoring lithium treatment longitudinally remains to be examined.
    MeSH term(s) Humans ; Lithium ; Blood Specimen Collection/methods ; Lithium Compounds ; Dried Blood Spot Testing/methods
    Chemical Substances Lithium (9FN79X2M3F) ; Lithium Compounds
    Language English
    Publishing date 2023-01-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 604917-5
    ISSN 1873-264X ; 0731-7085
    ISSN (online) 1873-264X
    ISSN 0731-7085
    DOI 10.1016/j.jpba.2023.115269
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: AST-120 to Target Protein-Bound Uremic Toxins Improves Cardiac Output and Kidney Oxygenation in Experimental Chronic Kidney Disease.

    Sivertsson, Ebba / Ceder, Sara / Nangaku, Masaomi / Hansell, Peter / Nordquist, Lina / Palm, Fredrik

    Kidney & blood pressure research

    2023  Volume 48, Issue 1, Page(s) 114–123

    Abstract: Introduction: Chronic kidney disease (CKD) is a global health problem with increasing incidence which is closely associated with cardiac dysfunction. In CKD, uremic toxins accumulate as kidney function declines. Additionally, high salt intake is a ... ...

    Abstract Introduction: Chronic kidney disease (CKD) is a global health problem with increasing incidence which is closely associated with cardiac dysfunction. In CKD, uremic toxins accumulate as kidney function declines. Additionally, high salt intake is a growing health issue worldwide which can exacerbate kidney disease. In this study, we investigated the effect of reducing plasma levels of protein-bound uremic toxins in a rat model of CKD, challenged with high salt intake and compared the effects to those of conventional treatment using an angiotensin-converting enzyme inhibitor (ACEI).
    Methods: In rats, the right kidney and 2/3 of the left kidney were surgically removed (5/6 nephrectomy). Animals were fed a normal-salt diet and randomized to either no treatment (control) or chronic treatment with either the oral absorbent AST-120 to reduce plasma levels of protein-bound uremic toxins or the ACEI enalapril to inhibit angiotensin II signaling for 5 weeks. Following treatment, kidney function was measured before and after a week of high salt intake. Cardiac output and markers of oxidative stress were measured at the end of the study period.
    Results: Treatment with AST-120 resulted in decreased levels of the uremic toxin indoxyl sulfate, improved cardiac output (mL/min: AST-120 44.9 ± 5.4 compared to control 26.6 ± 2.0; p < 0.05), and decreased urinary oxidative stress. ACEI reduced oxidative stress in kidney tissue and improved the glomerular filtration rate in response to high salt intake (mL/min: ACEI 1.5 ± 0.1; compared to control 1.1 ± 0.1; p < 0.05). Both interventions improved intrarenal oxygen availability (mm Hg: AST-120 42.8 ± 0.8; ACEI 43.2 ± 1.9; compared to control 33.4 ± 1.3; p < 0.05).
    Conclusion: AST-120 administered to reduce plasma levels of uremic toxins, such as indoxyl sulfate, has potential beneficial effects on both cardiac and kidney function. Targeting uremic toxins and angiotensin II signaling simultaneously could be an efficient strategy to target both cardiac and kidney dysfunction in CKD, to further slow progression of disease in patients with CKD.
    MeSH term(s) Animals ; Rats ; Angiotensin II ; Angiotensin-Converting Enzyme Inhibitors/pharmacology ; Angiotensin-Converting Enzyme Inhibitors/therapeutic use ; Cardiac Output ; Indican/pharmacology ; Kidney ; Renal Insufficiency, Chronic/drug therapy ; Sodium Chloride, Dietary ; Uremia/drug therapy ; Uremic Toxins
    Chemical Substances Angiotensin II (11128-99-7) ; Angiotensin-Converting Enzyme Inhibitors ; AST 120 (90597-58-3) ; Indican (N187WK1Y1J) ; Sodium Chloride, Dietary ; Uremic Toxins
    Language English
    Publishing date 2023-02-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1326018-2
    ISSN 1423-0143 ; 1420-4096
    ISSN (online) 1423-0143
    ISSN 1420-4096
    DOI 10.1159/000529272
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Mitochondrial Respiration-Dependent ANT2-UCP2 Interaction.

    Schiffer, Tomas A / Löf, Liza / Gallini, Radiosa / Kamali-Moghaddam, Masood / Carlström, Mattias / Palm, Fredrik

    Frontiers in physiology

    2022  Volume 13, Page(s) 866590

    Abstract: Adenine nucleotide translocases (ANTs) and uncoupling proteins (UCPs) are known to facilitate proton leak across the inner mitochondrial membrane. However, it remains to be unravelled whether UCP2/3 contribute to significant amount of proton ... ...

    Abstract Adenine nucleotide translocases (ANTs) and uncoupling proteins (UCPs) are known to facilitate proton leak across the inner mitochondrial membrane. However, it remains to be unravelled whether UCP2/3 contribute to significant amount of proton leak
    Language English
    Publishing date 2022-05-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564217-0
    ISSN 1664-042X
    ISSN 1664-042X
    DOI 10.3389/fphys.2022.866590
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The dark side of angiotensin II: direct dynamic regulation of the glomerular filtration barrier permeability to macromolecules.

    Palm, Fredrik

    American journal of physiology. Renal physiology

    2012  Volume 303, Issue 6, Page(s) F789

    MeSH term(s) Angiotensin II/administration & dosage ; Animals ; Ficoll/urine ; Kidney Glomerulus/drug effects ; Male
    Chemical Substances Angiotensin II (11128-99-7) ; Ficoll (25702-74-3)
    Language English
    Publishing date 2012-09-15
    Publishing country United States
    Document type Comment ; Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 603837-2
    ISSN 1522-1466 ; 0363-6127
    ISSN (online) 1522-1466
    ISSN 0363-6127
    DOI 10.1152/ajprenal.00358.2012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Intrarenal oxygenation determines kidney function during the recovery from an ischemic insult.

    Nensén, Oskar / Hansell, Peter / Palm, Fredrik

    American journal of physiology. Renal physiology

    2020  Volume 319, Issue 6, Page(s) F1067–F1072

    Abstract: Acute kidney injury (AKI) is a significant clinical problem associated with poor outcome. The kidney, due to its inhomogeneous blood flow, is particularly susceptible to changes in oxygen delivery, and intrarenal hypoxia is a hallmark of AKI and ... ...

    Abstract Acute kidney injury (AKI) is a significant clinical problem associated with poor outcome. The kidney, due to its inhomogeneous blood flow, is particularly susceptible to changes in oxygen delivery, and intrarenal hypoxia is a hallmark of AKI and progression to chronic kidney disease. However, the role of intrarenal hypoxia per se in the recovery from an ischemic insult is presently unclear. The present study was designed to investigate
    MeSH term(s) Acute Kidney Injury/metabolism ; Acute Kidney Injury/pathology ; Acute Kidney Injury/physiopathology ; Acute Kidney Injury/therapy ; Animals ; Cell Hypoxia ; Disease Models, Animal ; Glomerular Filtration Rate ; Hypoxia/metabolism ; Hypoxia/pathology ; Hypoxia/physiopathology ; Hypoxia/therapy ; Kidney/metabolism ; Kidney/pathology ; Kidney/physiopathology ; Male ; Oxygen/metabolism ; Oxygen Inhalation Therapy ; Rats, Sprague-Dawley ; Recovery of Function ; Reperfusion Injury/metabolism ; Reperfusion Injury/pathology ; Reperfusion Injury/physiopathology ; Reperfusion Injury/therapy ; Time Factors
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2020-10-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603837-2
    ISSN 1522-1466 ; 0363-6127
    ISSN (online) 1522-1466
    ISSN 0363-6127
    DOI 10.1152/ajprenal.00162.2020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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