Department of Pathological Physiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Department of Medical Physiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Cells. 2024 Jun 28;13(13):1119. doi: 10.3390/cells13131119.
Despite constant achievements in treatment, acute kidney injury (AKI) remains a significant public health problem and a cause of mortality in the human population. In developed countries, AKI is a significant and frequent hospital complication, especially among patients admitted to intensive care units, where mortality rates can reach up to 50%. In addition, AKI has been implicated as an independent risk factor for the development of chronic kidney disease. Hyperbaric oxygenation (HBO) has been used as a primary or adjunctive therapy for the past 50 years, both in experimental and clinical studies. HBO is a treatment in which the patient is occasionally exposed to 100% oxygen at a pressure greater than atmospheric pressure at sea level. However, despite decades of extensive research, the potentially beneficial effects of this therapeutic approach are still not fully understood, although many potential mechanisms have been proposed, such as antioxidative, anti-inflammatory, anti-apoptotic, etc. Furthermore, the low cost and insignificant adverse events make HBO a potentially important strategy in the prevention and treatment of different diseases. Considering all of this, this review highlights the potential role of HBO in maintaining cellular homeostasis disrupted due to AKI, caused in different experimental models.
尽管在治疗方面不断取得进展,但急性肾损伤(AKI)仍然是一个重大的公共卫生问题,也是人类死亡的原因之一。在发达国家,AKI 是一种严重且频繁的医院并发症,尤其是在重症监护病房接受治疗的患者中,死亡率可高达 50%。此外,AKI 已被认为是慢性肾脏病发展的一个独立危险因素。高压氧治疗(HBO)在过去的 50 年中已被用作主要或辅助治疗方法,在实验和临床研究中均有应用。HBO 是一种治疗方法,患者偶尔会在海平面以上的压力下暴露于 100%的氧气中。然而,尽管经过数十年的广泛研究,这种治疗方法的潜在有益效果仍未被完全理解,尽管已经提出了许多潜在的机制,如抗氧化、抗炎、抗细胞凋亡等。此外,其成本低且不良事件不明显,这使得 HBO 成为预防和治疗不同疾病的一种有潜在重要意义的策略。有鉴于此,本综述强调了 HBO 在维持因 AKI 导致的细胞内稳态方面的潜在作用,AKI 在不同的实验模型中被诱发。