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“低温技术”在急性高血压肾损伤中的研究进展

Research Progress in Acute Hypertensive Renal Injury by " Cryotechnique".

作者信息

Sun Da, Wang Jiaojiao, Yao Li, Li Zilong, Ohno Shinichi

机构信息

Department of Nephrology, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China.

University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi 409-3898, Japan.

出版信息

J Transl Int Med. 2019 Dec 31;7(4):132-136. doi: 10.2478/jtim-2019-0027. eCollection 2019 Dec.

Abstract

Arterial hypertension has a large prevalence in the general population and as a major hypertensive target organ, the involvement of kidney is usually hard to avoid and gradually develops into chronic kidney disease (CKD). Acute hypertension is defined as a blood pressure greater than 180/120, also known as hypertensive emergency (HE). In acute severe hypertension, the pathophysiology damage to the kidney tends to worsen on the basis of chronic damage, and accounts for more significant mortality. However, the mechanisms of renal injury induced by acute hypertension remain unclear. This review summarizes the clinical and histopathological features of hypertensive renal injury by using "in vivo cyrotechnique" and focusses on the interplay of distinct systemic signaling pathways, which drive glomerular podocyte injury. A thorough understanding of the cellular and molecular mechanisms of kidney damage and repair in hypertension will provide significant insight into the development of new research methods and therapeutic strategies for global CKD progression.

摘要

动脉高血压在普通人群中患病率很高,作为主要的高血压靶器官,肾脏受累通常难以避免,并逐渐发展为慢性肾脏病(CKD)。急性高血压定义为血压大于180/120,也称为高血压急症(HE)。在急性重症高血压中,肾脏的病理生理损伤在慢性损伤的基础上往往会恶化,并导致更高的死亡率。然而,急性高血压所致肾损伤的机制仍不清楚。本综述利用“体内冷冻技术”总结了高血压肾损伤的临床和组织病理学特征,并着重探讨了驱动肾小球足细胞损伤的不同全身信号通路之间的相互作用。深入了解高血压中肾脏损伤和修复的细胞及分子机制,将为全球CKD进展的新研究方法和治疗策略的开发提供重要见解。

相似文献

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Research Progress in Acute Hypertensive Renal Injury by " Cryotechnique".“低温技术”在急性高血压肾损伤中的研究进展
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Human podocyte injury in the early course of hypertensive renal injury.高血压肾损伤早期的人足细胞损伤
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本文引用的文献

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Podocyte injury: the role of proteinuria, urinary plasminogen, and oxidative stress.足细胞损伤:蛋白尿、尿纤溶酶原及氧化应激的作用
Am J Physiol Renal Physiol. 2016 Dec 1;311(6):F1308-F1317. doi: 10.1152/ajprenal.00162.2016. Epub 2016 Jun 22.
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Hypoxia: The Force that Drives Chronic Kidney Disease.缺氧:驱动慢性肾脏病的力量
Clin Med Res. 2016 Mar;14(1):15-39. doi: 10.3121/cmr.2015.1282. Epub 2016 Feb 4.

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