Department of Nephrology, The Second Xiangya Hospital at Central South University , Changsha, Hunan , China.
Department of Emergency Medicine, The Second Xiangya Hospital at Central South University , Changsha, Hunan , China.
Am J Physiol Renal Physiol. 2018 Oct 1;315(4):F1098-F1106. doi: 10.1152/ajprenal.00199.2018. Epub 2018 Jun 27.
Acute kidney injury (AKI) is a contributing factor in the development and progression of chronic kidney disease (CKD). Despite rapid progresses, the mechanism underlying AKI-CKD transition remains largely unclear. Animal models recapitulating this process are crucial to the research of the pathophysiology of AKI-CKD transition and the development of effective therapeutics. In this review, we present the commonly used rodent models of AKI-CKD transition, including bilateral ischemia-reperfusion injury (IRI), unilateral IRI, unilateral IRI with contralateral nephrectomy, multiple episodes of IRI, and repeated treatment of low-dose cisplatin, diphtheria toxin, aristolochic acid, or folic acid. The main merits and pitfalls of these models are also discussed. This review provides helpful information for establishing reliable and clinically relevant models for studying post-AKI development of chronic renal pathologies and the progression to CKD.
急性肾损伤 (AKI) 是慢性肾脏病 (CKD) 发生和进展的一个影响因素。尽管取得了快速进展,但 AKI 向 CKD 转变的机制在很大程度上仍不清楚。能够重现这一过程的动物模型对于研究 AKI 向 CKD 转变的病理生理学以及开发有效的治疗方法至关重要。在这篇综述中,我们介绍了常用于 AKI 向 CKD 转变的啮齿动物模型,包括双侧缺血再灌注损伤 (IRI)、单侧 IRI、单侧 IRI 合并对侧肾切除术、多次 IRI 以及反复低剂量顺铂、白喉毒素、马兜铃酸或叶酸治疗。我们还讨论了这些模型的主要优点和缺陷。这篇综述为建立可靠且与临床相关的模型,以研究 AKI 后慢性肾脏病变的发展和向 CKD 的进展提供了有益信息。