Article ; Online: Septic acute kidney injury: a review of basic research.
Clinical and experimental nephrology
2020 Volume 24, Issue 12, Page(s) 1091–1102
Abstract: Sepsis is a major cause of acute kidney injury (AKI) among patients in the intensive care unit. However, the numbers of basic science papers for septic AKI account for only 1% of all publications on AKI. This may be partially attributable to the specific ...
Abstract | Sepsis is a major cause of acute kidney injury (AKI) among patients in the intensive care unit. However, the numbers of basic science papers for septic AKI account for only 1% of all publications on AKI. This may be partially attributable to the specific pathophysiology of septic AKI as compared to that of the other types of AKI because it shows only modest histological changes despite functional decline and often requires real-time functional analysis. To increase the scope of research in this field, this article reviews the basic research information that has been reported thus far on the subject of septic AKI, mainly from the viewpoint of functional dysregulation, including some knowledge acquired with multiphoton intravital imaging. Moreover, the efficacy and limitation of the potential novel therapies are discussed. Finally, the author proposes several points that should be considered when designing the study, such as monitoring the long-term effects of the intervention and reflecting the clinical settings for identifying the molecular mechanisms and for challenging the intervention effects. |
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MeSH term(s) | Acute Kidney Injury/etiology ; Acute Kidney Injury/physiopathology ; Acute Kidney Injury/therapy ; Animals ; Glomerular Filtration Rate ; Humans ; Kidney/blood supply ; Microcirculation ; Prognosis ; Renal Circulation ; Risk Factors ; Sepsis/complications ; Sepsis/physiopathology ; Sepsis/therapy |
Language | English |
Publishing date | 2020-08-11 |
Publishing country | Japan |
Document type | Journal Article ; Review |
ZDB-ID | 1338768-6 |
ISSN | 1437-7799 ; 1342-1751 |
ISSN (online) | 1437-7799 |
ISSN | 1342-1751 |
DOI | 10.1007/s10157-020-01951-3 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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