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高氧与急性肾损伤:氧与肾脏的故事。

Hyperoxia and Acute Kidney Injury: A Tale of Oxygen and the Kidney.

机构信息

Section of Cardio-Renal Physiology and Medicine, Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.

Section of Cardio-Renal Physiology and Medicine, Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.

出版信息

Semin Nephrol. 2022 May;42(3):151282. doi: 10.1016/j.semnephrol.2022.10.008. Epub 2022 Nov 18.

Abstract

Although oxygen supplementation is beneficial to support life in the clinic, excessive oxygen therapy also has been linked to damage to organs such as the lung or the eye. However, there is a lack of understanding of whether high oxygen therapy directly affects the kidney, leading to acute kidney injury, and what molecular mechanisms may be involved in this process. In this review, we revise our current understanding of the mechanisms by which hyperoxia leads to organ damage and highlight possible areas of investigation for the scientific community interested in novel mechanisms of kidney disease. Overall, we found a significant need for both animal and clinical studies evaluating the role of hyperoxia in inducing kidney damage. Thus, we urge the research community to further investigate oxygen therapy and its impact on kidney health with the goal of optimizing oxygen therapy guidelines and improving patient care.

摘要

尽管氧疗在临床上有益于维持生命,但过度的氧疗也与肺部或眼部等器官的损伤有关。然而,人们对于高氧治疗是否会直接影响肾脏,导致急性肾损伤,以及这一过程可能涉及哪些分子机制,仍缺乏了解。在这篇综述中,我们回顾了目前对高氧导致器官损伤机制的认识,并强调了科学界对肾脏疾病新机制感兴趣的可能研究领域。总的来说,我们发现需要进行动物和临床研究来评估高氧诱导肾损伤的作用。因此,我们敦促研究界进一步研究氧疗及其对肾脏健康的影响,以优化氧疗指南并改善患者的护理。

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