急性肾损伤中的炎症介质。
Mediators of inflammation in acute kidney injury.
机构信息
Division of Renal Diseases and Hypertension, University of Colorado Denver, Aurora, CO 80262, USA.
出版信息
Mediators Inflamm. 2009;2009:137072. doi: 10.1155/2009/137072. Epub 2010 Feb 21.
Acute kidney injury (AKI) remains to be an independent risk factor for mortality and morbidity. Inflammation is now believed to play a major role in the pathophysiology of AKI. It is hypothesized that in ischemia, sepsis and nephrotoxic models that the initial insult results in morphological and/or functional changes in vascular endothelial cells and/or in tubular epithelium. Then, leukocytes including neutrophils, macrophages, natural killer cells, and lymphocytes infiltrate into the injured kidneys. The injury induces the generation of inflammatory mediators like cytokines and chemokines by tubular and endothelial cells which contribute to the recruiting of leukocytes into the kidneys. Thus, inflammation has an important role in the initiation and extension phases of AKI. This review will focus on the mediators of inflammation contributing to the pathogenesis of AKI.
急性肾损伤(AKI)仍然是死亡和发病的独立危险因素。目前认为炎症在 AKI 的病理生理学中起主要作用。据推测,在缺血、脓毒症和肾毒性模型中,最初的损伤会导致血管内皮细胞和/或肾小管上皮细胞的形态和/或功能改变。然后,包括中性粒细胞、巨噬细胞、自然杀伤细胞和淋巴细胞在内的白细胞浸润到受损的肾脏中。损伤诱导管状细胞和内皮细胞产生炎症介质,如细胞因子和趋化因子,从而促进白细胞进入肾脏。因此,炎症在 AKI 的起始和扩展阶段起重要作用。这篇综述将重点介绍参与 AKI 发病机制的炎症介质。