학술논문

New developments in septic acute kidney injury
Document Type
Text
Source
Physiological research | 2010 Volume:59 | Number:6
Subject
Fyziologie člověka a srovnávací fyziologie
sepse
patologická fyziologie
proteomika
sepsis
pathological physiology
proteomics
acute kidney injury
14
612
Language
English
Abstract
J. Chvojka, R. Sýkora, T. Karvunidis, J. Raděj, A. Kroužecký, I. Novák, M. Matějovič.
Obsahuje bibliografii
The kidney is a common “victim organ” of various insults in critically ill patients. Sepsis and septic shock are the dominant causes of acute kidney injury, accounting for nearly 50 % of episodes of acute renal failure. Despite our substantial progress in the understanding of mechanisms involved in septic acute kidney injury there is still a huge pool of questions preclusive of the development of effective ther apeutic strategies. This review briefly summarizes our current knowledge of pathophysiological mechanisms of septic acute kidney injury focusing on hemodynamic alterations, peritubular dysfunction, role of inflammatory mediators and nitric oxide, mitochondrial dysfunction and structural chan ges. Role of proteomics, new promising laboratory method, is mentioned.