Ni Jia-Yun, Lu Li-Min
Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Fudan University, Shanghai 200032, China.
Sheng Li Xue Bao. 2022 Feb 25;74(1):4-14.
Acute kidney injury (AKI) refers to a clinical syndrome in which renal function declines rapidly in a short period of time caused by various pathological factors. During the development of AKI, renal tubules with the functions of reabsorption and excretion are prone to cell death due to external pathological stimuli, which is an important cause of impaired renal function. In recent years, a variety of new cell death pathways have been gradually recognized. Researchers have now found that regulated cell death (RCD), such as necroptosis, pyroptosis and ferroptosis, are important regulatory mechanisms of AKI. This article will summarize the research advances of various types of RCD involved in the process of AKI, aiming to deepen the understanding of AKI and provide innovative thoughts for the clinical treatment of AKI.
急性肾损伤(AKI)是指由各种病理因素导致肾功能在短时间内迅速下降的一种临床综合征。在AKI的发展过程中,具有重吸收和排泄功能的肾小管容易因外部病理刺激而发生细胞死亡,这是肾功能受损的重要原因。近年来,多种新的细胞死亡途径逐渐被认识。研究人员现已发现,程序性细胞死亡(RCD),如坏死性凋亡、炎性小体介导的细胞焦亡和铁死亡,是AKI的重要调节机制。本文将总结参与AKI过程的各类RCD的研究进展,旨在加深对AKI的认识,并为AKI的临床治疗提供创新思路。