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线粒体移植改善大鼠缺血/再灌注诱导的肾损伤。

Mitochondrial transplantation ameliorates ischemia/reperfusion-induced kidney injury in rat.

机构信息

Medical Biotechnology Department, Paramedicine faculty, Guilan University of Medical Sciences, Rasht, Iran.

Medical Biotechnology Department, Paramedicine faculty, Guilan University of Medical Sciences, Rasht, Iran; Anatomical Sciences Department, Medicine Faculty, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Biochim Biophys Acta Mol Basis Dis. 2020 Aug 1;1866(8):165809. doi: 10.1016/j.bbadis.2020.165809. Epub 2020 Apr 28.

Abstract

No real therapeutic modality is currently available for Acute kidney injury (AKI) and if any, they are mainly supportive in nature. Therefore, developing a new therapeutic strategy is crucial. Mitochondrial dysfunction proved to be a key contributor to renal tubular cell death during AKI. Thus, replacement or augmentation of damaged mitochondria could be a proper target in AKI treatment. Here, in an animal model of AKI, we auto-transplanted normal mitochondria isolated from healthy muscle cells to injured kidney cells through injection to renal artery. The mitochondria transplantation prevented renal tubular cell death, restored renal function, ameliorated kidney damage, improved regenerative potential of renal tubules, and decreased ischemia/reperfusion-induced apoptosis. Although further studies including clinical trials are required in this regard, our findings suggest a novel therapeutic strategy for treatment of AKI. Improved quality of life of patients suffering from renal failure and decreased morbidity and mortality rates would be the potential advantages of this therapeutic strategy.

摘要

目前,针对急性肾损伤(AKI)尚无真正的治疗方法,如果有,也主要是支持性的。因此,开发新的治疗策略至关重要。线粒体功能障碍已被证明是 AKI 期间肾小管细胞死亡的关键因素。因此,替代或增强受损的线粒体可能是 AKI 治疗的一个合适靶点。在这里,我们在 AKI 的动物模型中,通过向肾动脉注射,将从健康肌肉细胞中分离出的正常线粒体自体移植到受损的肾细胞中。线粒体移植可防止肾小管细胞死亡,恢复肾功能,改善肾损伤,提高肾小管的再生潜能,并减少缺血/再灌注诱导的细胞凋亡。尽管在这方面需要进一步的研究,包括临床试验,但我们的研究结果表明,这是一种治疗 AKI 的新的治疗策略。这种治疗策略的潜在优势是提高肾衰竭患者的生活质量,降低发病率和死亡率。

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