[Oxidative stress in patients after kidney transplantation]

J Vostálová1, A Galandáková, P Strebl

  • 1Ustav Lekarske chemie a biochemie Lekarske Fakulty UP Olomouc.

Vnitrni Lekarstvi
|May 29, 2013
PubMed

Insights

Kidney transplantation improves kidney function but increases oxidative stress (OS), a risk factor for cardiovascular disease. Immunosuppressants like calcineurin inhibitors can worsen OS and cardiovascular risk post-transplant.

Area of Science:

  • Nephrology
  • Cardiology
  • Endocrinology

Context:

  • Kidney transplantation (KT) restores renal excretory function.
  • Post-KT patients experience metabolic and endocrine function changes.
  • Cardiovascular diseases (CVD) are primary causes of morbidity and mortality in KT recipients.

Purpose:

  • To investigate the role of oxidative stress (OS) in post-KT patients.
  • To understand the impact of immunosuppressive drugs on OS and CVD risk.

Summary:

  • Successful KT normalizes kidney function but is linked to increased oxidative stress (OS).
  • OS levels may decrease over time post-transplantation.
  • Certain immunosuppressants, particularly calcineurin inhibitors, exacerbate OS and elevate CVD risk.

Impact:

  • Highlights the critical link between OS, immunosuppression, and CVD in KT patients.
  • Suggests potential targets for mitigating CVD risk in this population.
  • Informs clinical management strategies to improve long-term outcomes after kidney transplantation.

Related Concept Videos

Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...