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Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
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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...
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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...
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Updated: Dec 16, 2025

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Ferroptosis and kidney disease.

Diego Martin-Sanchez1, Miguel Fontecha-Barriuso1, Julio M Martinez-Moreno1

  • 1Research Institute-Fundacion Jimenez Diaz, Autonoma University, Madrid, Spain; REDINREN, Madrid, Spain.

Nefrologia
|July 7, 2020
PubMed
Summary

Ferroptosis, a regulated cell death form, plays a role in kidney disease. Inhibiting ferroptosis may offer new therapeutic strategies for conditions like nephrotoxicity and kidney transplantation.

Keywords:
Acute kidney injuryCell deathChronic kidney diseaseEnfermedad renal crónicaFerroptosisInflamaciónInflammationLesión renal agudaMuerte celularNecrosis reguladaRegulated necrosis

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Area of Science:

  • Nephrology
  • Cell Biology
  • Biochemistry

Background:

  • Regulated cell death, including apoptosis and necrosis, presents therapeutic intervention opportunities.
  • Necroptosis and ferroptosis are key regulated necrosis pathways implicated in kidney disease.

Purpose of the Study:

  • To review evidence for ferroptosis's role in kidney disease.
  • To explore ferroptosis-targeting therapeutic strategies for kidney disorders.

Main Methods:

  • Functional definition of ferroptosis: lipid peroxidation suppressed by GPX4, inhibited by iron chelators and antioxidants.
  • Analysis of ferroptosis involvement in nephrotoxic acute kidney injury models.

Main Results:

  • Ferroptosis contributes to acute kidney injury by initiating inflammation and promoting necroptosis.
  • Evidence supports ferroptosis's involvement in various kidney diseases.

Conclusions:

  • Ferroptosis inhibitors show potential as prophylactic agents for clinical nephrotoxicity and ischemia-reperfusion injury.
  • Ex vivo application of anti-ferroptosis agents in kidney transplantation circumvents in vivo pharmacokinetic challenges.