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急性肾损伤的整体研究方法:整合人类肾脏的临床和分子数据

A Holistic Approach to AKI: Integrating Clinical and Molecular Data in the Human Kidney.

作者信息

Schaub Jennifer A, Alaba Mathew, Kretzler Matthias

机构信息

Division of Nephrology, Internal Medicine, University of Michigan, Ann Arbor, MI.

Division of Nephrology, Internal Medicine, University of Michigan, Ann Arbor, MI.

出版信息

Semin Nephrol. 2025 Sep 8:151663. doi: 10.1016/j.semnephrol.2025.151663.

DOI:10.1016/j.semnephrol.2025.151663
PMID:40925758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12435924/
Abstract

Despite intensive research efforts, acute kidney injury (AKI) is a common clinical syndrome that has limited treatment options apart from supportive care. The increasing availability of molecular interrogation data from patients with Acute Kidney Injury provides an unparalleled opportunity to leverage systems biology approaches. In this review, we discuss the challenges with AKI research, explain how systems biology approaches can link molecular data to clinical phenotypes, review available molecular interrogation tools and techniques, and provide examples where systems biology approaches have been successfully applied in nephrology. Semin Nephrol 36:x-xx © 20XX Elsevier Inc. All rights reserved.

摘要

尽管进行了深入的研究,但急性肾损伤(AKI)仍是一种常见的临床综合征,除了支持性治疗外,治疗选择有限。急性肾损伤患者分子检测数据的日益增多,为利用系统生物学方法提供了前所未有的机会。在本综述中,我们讨论了AKI研究面临的挑战,解释了系统生物学方法如何将分子数据与临床表型联系起来,回顾了可用的分子检测工具和技术,并提供了系统生物学方法在肾脏病学中成功应用的实例。《肾脏病学研讨会》36:x-xx © 20XX爱思唯尔公司。保留所有权利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/12435924/ffd996d95397/nihms-2110190-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/12435924/148bf719ec2b/nihms-2110190-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/12435924/ffd996d95397/nihms-2110190-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/12435924/148bf719ec2b/nihms-2110190-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfe/12435924/ffd996d95397/nihms-2110190-f0002.jpg

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本文引用的文献

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Multiomic analysis of human kidney disease identifies a tractable inflammatory and pro-fibrotic tubular cell phenotype.人类肾脏疾病的多组学分析确定了一种可治疗的炎症性和促纤维化肾小管细胞表型。
Nat Commun. 2025 May 22;16(1):4745. doi: 10.1038/s41467-025-59997-4.
2
Spatial Metabolomics and Lipidomics in Kidney Disease.肾脏疾病中的空间代谢组学和脂质组学
Semin Nephrol. 2024 Nov;44(6):151582. doi: 10.1016/j.semnephrol.2025.151582. Epub 2025 Apr 15.
3
Imaging and spatially resolved mass spectrometry applications in nephrology.成像技术与空间分辨质谱技术在肾脏病学中的应用
Nat Rev Nephrol. 2025 Jun;21(6):399-416. doi: 10.1038/s41581-025-00946-1. Epub 2025 Mar 27.
4
Leveraging complementary multi-omics data integration methods for mechanistic insights in kidney diseases.利用互补的多组学数据整合方法以获得对肾脏疾病的机制性见解。
JCI Insight. 2025 Mar 10;10(5):e186070. doi: 10.1172/jci.insight.186070.
5
Frailty and sarcopenia metabolomic signatures in kidney transplant candidates: the FRAILMar study.肾移植候选者的衰弱和肌肉减少症代谢组学特征:FRAILMar研究
Clin Kidney J. 2024 Nov 23;18(1):sfae366. doi: 10.1093/ckj/sfae366. eCollection 2025 Jan.
6
Resazurin dye is an in vivo sensor of kidney tubular function.刃天青染料是肾小管功能的一种体内传感器。
Kidney Int. 2025 Mar;107(3):508-520. doi: 10.1016/j.kint.2024.12.008. Epub 2024 Dec 27.
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Genetic variants associated with sepsis-associated acute kidney injury.与脓毒症相关的急性肾损伤相关的基因变异
PLoS One. 2024 Dec 5;19(12):e0311318. doi: 10.1371/journal.pone.0311318. eCollection 2024.
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Extracorporeal Blood Purification and Acute Kidney Injury in Cardiac Surgery: The SIRAKI02 Randomized Clinical Trial.体外血液净化与心脏手术中的急性肾损伤:SIRAKI02 随机临床试验。
JAMA. 2024 Nov 5;332(17):1446-1454. doi: 10.1001/jama.2024.20630.
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Am J Physiol Renal Physiol. 2024 Nov 1;327(5):F788-F805. doi: 10.1152/ajprenal.00184.2024. Epub 2024 Sep 19.
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