Molecular Mechanisms of Rhabdomyolysis-Induced Kidney Injury: From Bench to Bedside.

Molecular Mechanisms of Rhabdomyolysis-Induced Kidney Injury: From Bench to Bedside.
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DOI:
10.1016/j.ekir.2022.09.026
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发表时间:
2023-01
影响因子:
6
通讯作者:
Hutchens, Michael P.
Hutchens, Michael P.
中科院分区:
医学2区
文献类型:
--
作者:
Hebert, Jessica F.;Burfeind, Kevin G.;Malinoski, Darren;Hutchens, Michael P.

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横纹肌溶解诱导的急性肾损伤(RIAKI)发生在肌肉肌膜鞘损伤后,导致肌红蛋白和其他代谢产物渗漏,导致肾损伤。目前,RIAKI唯一推荐的临床治疗方法是积极的液体复苏,但其他潜在的治疗方法,包括对有发生RIAKI风险的患者的预治疗,正在研究中。本文综述了RIAKI的机制和临床意义,研究性治疗及其具体靶点,以及正在进行的研究试验的现状。
Rhabdomyolysis-induced acute kidney injury (RIAKI) occurs following damage to the muscular sarcolemma sheath, resulting in the leakage of myoglobin and other metabolites that cause kidney damage. Currently, the sole recommended clinical treatment for RIAKI is aggressive fluid resuscitation, but other potential therapies, including pretreatments for those at risk for developing RIAKI, are under investigation. This review outlines the mechanisms and clinical significance of RIAKI, investigational treatments and their specific targets, and the status of ongoing research trials.
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