Mamudu Collins Ojonugwa, Polidoro Rafael, Gallego-Delgado Julio
Department of Biological Sciences, Lehman College, City University of New York. Bronx, New York, NY, USA; PhD Program in Biochemistry, The Graduate Center, City University of New York, New York, NY, USA.
Department of Pediatrics, Ryan White Center for Pediatric Infectious Diseases and Global Health, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA.
Semin Nephrol. 2025 May;45(3):151616. doi: 10.1016/j.semnephrol.2025.151616. Epub 2025 May 15.
Malaria-associated acute kidney injury (MAKI) is a critical complication of severe malaria, particularly in infections caused by Plasmodium falciparum, which is responsible for most malaria-related deaths. MAKI affects 40-60% ofs severe malaria cases, significantly increasing mortality, especially in pediatric patients. Its pathogenesis remains unclear, though mechanisms such as hemodynamic disturbances, oxidative stress, and immune responses are implicated. Animal models, particularly murine and nonhuman primates, provide valuable insights into MAKI's underlying processes. Murine models, though not fully replicative of human malaria, allow for the exploration of immune responses, kidney injury biomarkers, and therapeutic approaches. Nonhuman primate models, closer to human physiology, offer additional complexity for studying malaria's renal manifestations. This review critically examines the existing animal models, addressing their strengths and limitations in replicating human MAKI and highlighting the importance of advancing research in this field to develop targeted treatments. Semin Nephrol 36:x-xx © 20XX Elsevier Inc. All rights reserved.
疟疾相关的急性肾损伤(MAKI)是重症疟疾的一种关键并发症,特别是在由恶性疟原虫引起的感染中,该寄生虫导致了大多数与疟疾相关的死亡。MAKI影响40%-60%的重症疟疾病例,显著增加死亡率,尤其是在儿科患者中。其发病机制尚不清楚,不过涉及血流动力学紊乱、氧化应激和免疫反应等机制。动物模型,特别是小鼠和非人类灵长类动物模型,为MAKI的潜在过程提供了有价值的见解。小鼠模型虽然不能完全复制人类疟疾,但可用于探索免疫反应、肾损伤生物标志物和治疗方法。非人类灵长类动物模型更接近人类生理学,为研究疟疾的肾脏表现提供了更多复杂性。本综述批判性地审视了现有的动物模型,阐述了它们在复制人类MAKI方面的优势和局限性,并强调了推进该领域研究以开发靶向治疗方法的重要性。《肾脏病学研讨会》36:x-xx © 20XX爱思唯尔公司。保留所有权利。
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