Tasić Danijela, Dimitrijević Zorica
Clinic of Nephrology Prof Dr Spira Strahinjić, University Clinical Center Niš, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
Diagnostics (Basel). 2024 Sep 23;14(18):2094. doi: 10.3390/diagnostics14182094.
Despite a large amount of research on synchronous and mutually induced kidney and heart damage, the basis of the disease is still not fully clarified. Healthy mitochondria are essential for normal kidney and heart function. Mitochondrial dysfunction occurs when the clearance or process of generation and fragmentation of mitochondria is disturbed. The kidney is the second organ after the heart in terms of the number of mitochondria. Kidney tubules are rich in mitochondria due to the high energy requirements for absorption of large amounts of ultrafiltrate and dissolved substances. The place of action of oxidative stress is the influence on the balance in the production and breakdown of the mitochondrial reactive oxygen species. A more precise determination of the place and role of key factors that play a role in the onset of the disease is necessary for understanding the nature of the onset of the disease and the creation of therapy in the future. This underscores the urgent need for further research. The narrative review integrates results found in previously performed studies that have evaluated oxidative stress participation in cardiorenal syndrome type 3.
尽管对同步性和相互诱导的肾心损伤进行了大量研究,但该疾病的发病机制仍未完全阐明。健康的线粒体对于正常的肾脏和心脏功能至关重要。当线粒体的清除或生成及分裂过程受到干扰时,就会发生线粒体功能障碍。就线粒体数量而言,肾脏是仅次于心脏的第二大器官。由于肾小管需要大量能量来吸收大量超滤液和溶解物质,因此肾小管富含线粒体。氧化应激的作用部位是对线粒体活性氧产生和分解平衡的影响。更精确地确定在疾病发生中起作用的关键因素的位置和作用,对于理解疾病的发病本质以及未来治疗方法的创建是必要的。这凸显了进一步研究的迫切需求。本叙述性综述整合了先前进行的评估氧化应激在3型心肾综合征中作用的研究结果。