Assessment of nephron number and single-nephron glomerular filtration rate in a clinical setting

Assessment of nephron number and single-nephron glomerular filtration rate in a clinical setting
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临床环境中肾单位数量和单肾单位肾小球滤过率的评估

DOI:
10.1038/s41440-020-00612-y
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发表时间:
2021
影响因子:
5.4
通讯作者:
Yokoo Takashi
Yokoo Takashi
中科院分区:
医学2区
文献类型:
--
作者:
Tsuboi Nobuo;Sasaki Takaya;Okabayashi Yusuke;Haruhara Kotaro;Kanzaki Go;Yokoo Takashi

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肾单位总数在个体之间差异很大,可能会影响某些疾病的易感性,包括高血压和慢性肾脏疾病。从尸检患者收集的完整肾脏的详细分析仍然是准确计算人类肾单位的唯一方法,在活体受试者中没有同等的选择。目前的技术进步使体内肾单位数的估计成为可能,特别是使用总肾单位数和全肾小球滤过率来估计平均单肾单位肾小球滤过率。这种方法的使用将使医生能够在单肾单位水平上检测滤过功能的动态变化,而不是简单地计算似乎正在发挥作用的肾单位的数量。目前临床上可用的估计肾单位总数的方法有可能克服与尸检分析相关的局限性,因此可能为新的治疗措施和改善临床结果铺平道路。
Total nephron counts vary widely between individuals and may affect susceptibility to certain diseases, including hypertension and chronic kidney disease. Detailed analyses of whole kidneys collected from autopsy patients remain the only method for accurately counting nephrons in humans, with no equivalent option in living subjects. Current technological advances have enabled estimations of nephron numbers in vivo, particularly the use of total nephron number and whole-kidney glomerular filtration rate to estimate the mean single-nephron glomerular filtration rate. The use of this method would allow physicians to detect dynamic changes in filtration function at the single-nephron level rather than to simply count the number of nephrons that appear to be functioning. Currently available methods for estimating total nephron number in clinical practice have the potential to overcome limitations associated with autopsy analyses and may therefore pave the way for new therapeutic interventions and improved clinical outcomes.
DOI: 10.1093/ndt/gft480
发表时间: 2014-07
期刊: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
影响因子: --
作者:
Hughson MD;Puelles VG;Hoy WE;Douglas-Denton RN;Mott SA;Bertram JF
通讯作者: Bertram JF
DOI: 10.2215/cjn.04020419
发表时间: 2019-10-07
影响因子: 9.8
作者:
Holscher, Courtenay M.;Haugen, Christine E.;Massie, Allan B.
通讯作者: Massie, Allan B.
DOI: 10.1172/jci26092
发表时间: 2006-04
期刊: The Journal of clinical investigation
影响因子: --
作者:
S. Thomson;A. Deng;L. Wead;K. Richter;R. Blantz;V. Vallon
通讯作者: S. Thomson;A. Deng;L. Wead;K. Richter;R. Blantz;V. Vallon
传出小动脉血管张力在调节大鼠近端肾小管液体重吸收和肾小球小管平衡中的重要性。
DOI: --
发表时间: 1980
影响因子: 15.9
作者:
I. Ichikawa;B. Brenner
通讯作者: B. Brenner
重置可保护肾小管肾小球反馈的效率。
DOI: 10.1046/j.1523-1755.1998.06713.x
发表时间: 1998
期刊: Kidney international. Supplement
影响因子: --
作者:
Thomson,SC;Vallon,V;Blantz,RC
通讯作者: Blantz,RC