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Stem cell therapy in acute kidney Injury

机译:干细胞治疗急性肾损伤

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Acute kidney injury (AKI), formerly known as acute renal failure, is a heterogeneous group of conditions characterized by a sudden decrease in glomerular filtration rate and classified by stage and cause (Levey James, 2017; Karathanasis Karaolia,2019). AKI is prevalent among hospital patients and even more so in critically ill patients (Bellomo et al., 2012). According to current Kidney Disease: Improving Global Outcomes (KDIGO) guidelines, AKI is diagnosed based on two functional markers, increased serum creatinine and decreased urine output, which are not renal-specific and have some limitations. Causes of AKI include direct kidney damage, consequences of treating severe hypoxic respiratory failure, secondary infection, and exposure to nephrotoxic drugs (Hilton et al., 2022). In severe AKI patients with oliguria and fluid accumulation, renal replacement therapy is the only supportive measure, with mode and timing still under investigation (Romagnoli et al., 2018). Stem cell therapy for AKI is a topic of interest in both basic and translational medical research. This text aims to provide a discussion on the subject.
机译:急性肾损伤 (AKI),以前称为急性肾功能衰竭,是一组异质性疾病,其特征是肾小球滤过率突然下降,并按阶段和原因分类(Levey & James,2017 年;Karathanasis和Karaolia,2019)。AKI在医院患者中普遍存在,在危重患者中更是如此(Bellomo等人,2012)。根据当前的肾脏疾病:改善全球预后 (KDIGO) 指南,AKI 的诊断基于两种功能标志物,即血清肌酐升高和尿量减少,这些标志物不是肾脏特异性的,并且有一些局限性。AKI 的病因包括直接肾脏损伤、治疗严重缺氧性呼吸衰竭的后果、继发感染和接触肾毒性药物(Hilton 等人,2022 年)。在伴有少尿和积液的严重AKI患者中,肾脏替代疗法是唯一的支持性措施,其方式和时机仍在研究中(Romagnoli等人,2018)。AKI的干细胞疗法是基础医学和转化医学研究的一个感兴趣的话题。本文旨在就该主题进行讨论。

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