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当心脏损伤肾脏时:从血流到转化医学的未来。

When the Heart Hurts the Kidneys: From Flow to Translational Future.

作者信息

Burfeind Kevin G, Aomura Daiki, Hebert Jessica F, Hutchens Michael P

机构信息

Department of Anesthesiology & Perioperative Medicine, Oregon Health and Science University, Portland, OR.

Divison of Nephrology & Hypertension, Oregon Health and Science University, Portland, OR.

出版信息

Semin Nephrol. 2025 Sep 10:151667. doi: 10.1016/j.semnephrol.2025.151667.

Abstract

Acute cardiorenal syndrome (cardiorenal syndrome type 1, CRS1) is a common complication of the most common cause of death, cardiovascular disease, and therefore is of considerable importance. Foundational research over the last 100 years detailed the elegant interplay between cardiovascular function and tubuloglomerular feedback that underpins the classic description of CRS1. However, as research into acute kidney injury has elucidated important modifying factors in sex difference, immune regulation, and proximal tubule function, these areas are ripe for investigation in CRS1. Here, we briefly review the nascent state of knowledge regarding CRS1 in women and sex differences, immune contributions, and proximal tubule transport function.

摘要

急性心肾综合征(1型心肾综合征,CRS1)是最常见死因——心血管疾病的常见并发症,因此具有相当重要的意义。过去100年的基础研究详细阐述了心血管功能与肾小管-肾小球反馈之间的精妙相互作用,这构成了CRS1经典描述的基础。然而,随着对急性肾损伤的研究阐明了性别差异、免疫调节和近端小管功能等重要调节因素,这些领域在CRS1研究中已具备充分的研究条件。在此,我们简要回顾一下关于女性CRS1、性别差异、免疫作用以及近端小管转运功能的最新知识状况。

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