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Published on: October 28, 2022
Hyperoxia and Acute Kidney Injury: A Tale of Oxygen and the Kidney
Abigayle C Kraus1, Carmen De Miguel1
1Section of Cardio-Renal Physiology and Medicine, Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Abstract:
Although oxygen supplementation is beneficial to support life in the clinic, excessive oxygen therapy also has been linked to damage to organs such as the lung or the eye. However, there is a lack of understanding of whether high oxygen therapy directly affects the kidney, leading to acute kidney injury, and what molecular mechanisms may be involved in this process. In this review, we revise our current understanding of the mechanisms by which hyperoxia leads to organ damage and highlight possible areas of investigation for the scientific community interested in novel mechanisms of kidney disease. Overall, we found a significant need for both animal and clinical studies evaluating the role of hyperoxia in inducing kidney damage. Thus, we urge the research community to further investigate oxygen therapy and its impact on kidney health with the goal of optimizing oxygen therapy guidelines and improving patient care.
Insights
Excessive oxygen therapy may harm the kidney, causing acute kidney injury. Further research is needed to understand hyperoxia
Area of Science:
- Nephrology
- Pulmonology
- Critical Care Medicine
Background:
- Oxygen supplementation is vital in clinical settings.
- Excessive oxygen therapy (hyperoxia) is linked to lung and eye damage.
- The impact of hyperoxia on kidney function and acute kidney injury remains unclear.
Purpose of the Study:
- To review current understanding of hyperoxia-induced organ damage.
- To explore potential molecular mechanisms of kidney injury from hyperoxia.
- To identify research gaps in hyperoxia and kidney health.
Main Methods:
- Literature review of existing studies on hyperoxia and organ damage.
- Analysis of proposed molecular pathways.
- Identification of areas for future research.
Main Results:
- Hyperoxia's direct effect on kidney injury is not well understood.
- Molecular mechanisms linking hyperoxia to kidney damage require further investigation.
- A significant need exists for animal and clinical studies on hyperoxia and kidney damage.
Conclusions:
- Hyperoxia may contribute to acute kidney injury.
- Further research is crucial to elucidate mechanisms of kidney damage.
- Optimizing oxygen therapy guidelines requires understanding its renal effects.
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