空气污染加剧了缺血-再输血诱导的急性损伤
Talita Rojas Sanches1, Antonio Carlos Parra1, Peiqi Sun2
1Laboratory of Basic Science in Renal Diseases (LIM-12), Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil.
The Journal of pathology
|June 27, 2024
概括
暴露于细颗粒物 (PM2.5) 会使急性损伤 (AKI) 从缺血-再输液损伤 (IRI) 恶化. 暴露于PM2.5会增加AKI患者患慢性病 (CKD) 的易感性.
科学领域:
- 环境健康 环境健康
- 腎臟病學 (nephrology) 是一種醫學專業.
- 毒理学 毒理学 毒理学
背景情况:
- 慢性病 (CKD) 是一个日益严重的全球健康问题.
- 细颗粒物 (PM2.5) 暴露与功能下降有关.
- 缺血-再输液损伤 (IRI) 诱导的急性损伤 (AKI) 与PM2.5毒性共享机制,是CKD风险因素.
研究的目的:
- 调查PM2.5暴露对IRI诱导的AKI的影响.
- 探索PM2.5对损伤的影响背后的细胞和分子机制.
主要方法:
- 在接受IRI之前,小鼠被暴露在PM2.5或过空气中12周.
- 评估了功能,管状损伤,免疫反应,线粒体功能和cGAS-STING通路.
- 在体外研究中使用了暴露于PM2.5和低氧/低氧化的近接管状上皮细胞.
主要成果:
- 暴露于PM2.5加剧了IRI诱导的AKI,导致淋巴膜过率降低和尿度受损.
- PM2.5加剧了炎症,线粒体功能障碍和cGAS-STING通路的激活,导致衰老和纤维化.
- 在体外,PM2.5和低氧/低氧化增加了STING激活和管道损伤.
结论:
- PM2.5使细胞对IRI敏感,增加了对AKI的敏感性.
- 暴露于PM2.5可能会增加从AKI发展为CKD的风险.
- 减少PM2.5暴露可以改善AKI患者的治疗结果,并预防CKD的发展.
相关概念视频
Dialysis
288
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
288
Factors Affecting Renal Clearance: Renal Impairment
81
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
81
Antihypertensive Drugs: Direct Renin Inhibitors
557
The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
557
Renal Failure: Dose Adjustments
79
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
79
Renal Drug Excretion: Effect of Urine pH, Flow Rate, and Drug pKa
163
The pH of urine, the drug's pKa, and the urine flow rate are vital parameters for drug reabsorption and excretion. Urinary pH varies between 4.6 and 8.0 and is influenced by diet, drug intake, and the patient's pathophysiology. It affects a drug's ionization state and reabsorption. For instance, carbohydrate-rich food produces alkaline urine promoting drug excretion, while proteins and certain medications like ascorbic acid lead to acidic urine enhancing reabsorption.
The pKa of a...
The pKa of a...
163


