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氧化应激和炎症:在尿毒症和血液透析中的意义。

Oxidative stress and inflammation: Implications in uremia and hemodialysis.

机构信息

Unit of Nephrology, Dialysis and Transplantation, IRCCS Policlinico San Matteo and University of Pavia, Italy.

出版信息

Clin Biochem. 2011 Oct;44(14-15):1189-98. doi: 10.1016/j.clinbiochem.2011.06.988. Epub 2011 Jul 12.

Abstract

Oxidative response and inflammation constitute a major defense against infections, but if not properly regulated they could also lead to a number of deleterious effects. Patients affected by different stages of acute and chronic kidney disease, particularly patients on hemodialysis, present a marked activation of oxidative and inflammatory processes. This condition exposes these patients to an elevated risk of morbidity and mortality. This Review is up to date and it analyses the newest notions about pathophysiological mechanisms of oxidative stress and inflammation in patients with renal diseases, also considering the different strategies studied to counterbalance this high risk state.

摘要

氧化应激反应和炎症是机体对抗感染的主要防御机制,但如果调节不当,也可能导致许多有害影响。患有急性和慢性肾病不同阶段的患者,特别是接受血液透析的患者,其氧化和炎症过程明显活跃。这种情况使这些患者面临更高的发病率和死亡率风险。本文综述了有关肾病患者氧化应激和炎症的病理生理机制的最新概念,同时考虑了研究中用来平衡这种高危状态的不同策略,内容新颖、全面。

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