Demystifying normal‐anion‐gap metabolic acidosis: pathophysiology, aetiology, evaluation and diagnosis DOI Creative Commons
Ritesh Bhandari, Adel Ekladious, Muhammad M Javaid

и другие.

Internal Medicine Journal, Год журнала: 2024, Номер 54(7), С. 1056 - 1065

Опубликована: Июнь 5, 2024

Normal-anion-gap metabolic acidosis (NAGMA) is a common but often under-recognised and poorly understood condition, especially by less-experienced clinicians. In adults, NAGMA might be an initial clue to more significant underlying pathology, such as autoimmune diseases, hypergammaglobulinemia or drug toxicities. However, identifying the aetiology can challenging due diverse processes involved in development of acidosis. A better understanding pathophysiology help treating physicians suspect evaluate condition early reach correct diagnosis. This article provides overview renal acid-base regulation, discusses pathophysiological developing framework for evaluation accurate

Язык: Английский

Analysis of reproducibility and robustness of a renal proximal tubule microphysiological system OrganoPlate 3-lane 40 for in vitro studies of drug transport and toxicity DOI

Courtney Sakolish,

Haley L. Moyer,

Han‐Hsuan D. Tsai

и другие.

Toxicological Sciences, Год журнала: 2023, Номер 196(1), С. 52 - 70

Опубликована: Авг. 8, 2023

Microphysiological systems are an emerging area of in vitro drug development, and their independent evaluation is important for wide adoption use. The primary goal this study was to test reproducibility robustness a renal proximal tubule microphysiological system, OrganoPlate 3-lane 40, as model transport toxicity studies. This microfluidic compared with static multiwell cultures tested using several human epithelial cell (RPTEC) types. characterized terms the functional various tubule-specific proteins, permeability small molecules (cisplatin, tenofovir, perfluorooctanoic acid) versus large (fluorescent dextrans, 60-150 kDa), gene expression response nephrotoxic xenobiotic. advantages offered by 40 presence media flow, albeit intermittent, increased throughput other models. However, appeared offer only limited (eg, MRP-mediated transport) either or when plate culture conditions. Although can be used cellular uptake direct toxic effects molecules, it may have utility Overall, offers refined experimental protocols comprehensive comparative data on function RPETCs traditional information that will invaluable prospective end-users models tubule.

Язык: Английский

Процитировано

10

Animal models to study cognitive impairment of chronic kidney disease DOI
Pedro Henrique Imenez Silva, Marion Pépin, Andreja Figurek

и другие.

AJP Renal Physiology, Год журнала: 2024, Номер 326(6), С. F894 - F916

Опубликована: Апрель 18, 2024

Mild cognitive impairment (MCI) is common in people with chronic kidney disease (CKD), and its prevalence increases progressive loss of function. MCI characterized by a decline performance greater than expected for an individual age education level but minimal instrumental activities daily living. Deterioration can affect one or several domains (attention, memory, executive functions, language, perceptual motor social cognition). Given the increasing disease, more CKD will also develop causing enormous burden these individuals, their relatives, society. However, underlying pathomechanisms are poorly understood, current therapies mostly aim at supporting patients lives. This illustrates urgent need to elucidate pathogenesis potential therapeutic targets test novel appropriate preclinical models. Here, we outline necessary criteria experimental modeling disorders CKD. We discuss use mice, rats, zebrafish as model systems present valuable techniques through which function be assessed this setting. Our objective enable researchers overcome hurdles accelerate research aimed improving therapy MCI.

Язык: Английский

Процитировано

4

Cucumeropsis mannii seed oil shields against cyclophosphamide-induced hepatorenal toxicity by modulating redox imbalance and iNOS/IL-β1 signalling in rats DOI Creative Commons

A. C. Agbara,

Ejike Daniel Eze,

Christian Emeka Offor

и другие.

Heliyon, Год журнала: 2025, Номер 11(2), С. e41624 - e41624

Опубликована: Янв. 1, 2025

This study aimed to determine whether C. mannii seed oil (CMSO) could shield rats from cyclophosphamide-induced hepatorenal toxicity. The focus was on its antioxidant and anti-inflammatory properties. We randomly assigned thirty-six (36) male Wistar into six groups of each. Groups A B served as normal negative controls, respectively. Group C, the standard control, administered 300 mg/kg body weight (bw) Omega 3 for 27 days, followed by 100 bw cyclophosphamide day 28. D, E, F received 5, 2.5, 1.5 ml/kg b.w. CMSO then measured weights experimental every week. Rats all were sacrificed 30 collected blood biochemical analysis using methods. phytochemical constituents determined spectrophotometric method. indicated relative composition constituents(mg/100g) phenols (30%), tannins (20%), flavonoids (18%), terpenoids (15%), glycosides (10%), alkaloids (5%), HCN (2%) in Cucumeropsis oil. When given albino rats, it greatly decreased activities catalase (CAT) superoxide dismutase (SOD), but increased iNOS levels MDA IL-1β. Cyclophosphamide ALT (52.3 U/L), AST (48.7 ALP (46.5 total bilirubin (1.4 mg/dL), conjugated (0.8 creatinine urea (45.6 BUN (15.7 with a reduction albumin (4.8 g/dL) level. administration also caused hepatocellular necrosis, inflammatory leukocyte infiltration, tubular proteinaceous deposits Bowman's space kidney. However, combining oils significantly restored altered histology architecture, antioxidant, markers, liver kidney function parameters comparable group, thereby reducing harmful effects cyclophosphamide. effect did not depend dose. These results suggest that CMSO, being an anti-inflammatory, potentially aid preventing treating toxicity resulting

Язык: Английский

Процитировано

0

Kidney Function and Extreme Endurance Races: Risks, Mechanisms, and Preventing Strategies DOI Creative Commons

Julia Kulbacka,

Karol Dziedzic,

Filip Arczewski

и другие.

Quality in Sport, Год журнала: 2025, Номер 37, С. 57434 - 57434

Опубликована: Янв. 15, 2025

Background: The increasing popularity of ultra-endurance sports emphasizes the need for a deeper understanding their health implications, particularly impact on kidney function. Given kidneys’ crucial role in waste filtration, fluid and electrolyte balance, close connection to physiological demands intense physical activity, it requires detailed investigation from this perspective. Purpose: objective study is present current state knowledge topic function context sports. It examines risk factors, underlying mechanisms, potential strategies preventing renal injuries associated with these specific types activities. Findings: Ultra-endurance significant risks health, including acute injury (AKI) estimated affect approximately 40% participants, rhabdomyolysis dehydration, which are often compounded by additional factors such as gastrointestinal distress use non-steroidal anti-inflammatory drugs (NSAIDs). There improved diagnostic criteria detect population, novel biomarkers neutrophil gelatinase-associated lipocalin (NGAL), molecule-1 (KIM-1), cystatin C showing promise. A multifaceted preventive approach mandatory pre-event screening, personal monitoring devices, proper hydration nutrition, adequate race preparation, avoidance NSAIDs mitigate maintain athletes.

Язык: Английский

Процитировано

0

Urinary Biomarkers Of Kidney Function As Predictors Of Cardiovascular Health: A Systematic Review DOI Creative Commons
Anja Degenaar, Ruan Kruger, Adriaan Jacobs

и другие.

Current Hypertension Reports, Год журнала: 2025, Номер 27(1)

Опубликована: Фев. 21, 2025

Abstract Purpose of Review The growing burden cardiovascular diseases has become a significant concern in both adult and youth populations. Urinary biomarkers kidney function could provide useful insights that may aid the early identification individuals at higher risk adverse outcomes. This systematic review aimed to assess associations between urinary different measures health. Recent Findings PubMed, Scopus, EBSCOhost were searched for articles published January 2018 December 2023. Studies exploring (alpha-1 microglobulin (uA1M), neutrophil gelatinase-associated lipocalin (uNGAL), uromodulin (uUMOD) CKD273 classifier) health (blood pressure markers target organ damage) included. We identified 1186 articles, with 22 studies eligible inclusion. Among 12 reporting uA1M health, six indicated positive office blood three observed damage. Out nine explored link uUMOD parameters, four found negative pressure. With regard uNGAL, only two out seven analysed reported varying pressure, while neither focusing on any statistically results. Summary Biomarkers tubule function, represented by uUMOD, are relevant setting should be assessed utilisation clinical practice identify outcomes an stage allowing timely intervention. Graphical

Язык: Английский

Процитировано

0

Ozone exposure induced kidney damage in diabetic mice: the key role of lipid metabolism and water-electrolyte homeostasis DOI

Ya-Ru Zhang,

Zhipeng Yan,

Nan Nan

и другие.

Environmental Pollution, Год журнала: 2025, Номер 372, С. 125963 - 125963

Опубликована: Март 2, 2025

Язык: Английский

Процитировано

0

Association between urinary albumin-to-creatinine ratio within normal range and kidney stones in U.S. adults: a cross-sectional observational study DOI Creative Commons

Yuan-Zhuo Du,

Chi-Teng Zhang,

Deye Zeng

и другие.

Frontiers in Endocrinology, Год журнала: 2025, Номер 16

Опубликована: Март 14, 2025

Kidney stones are a major public health concern, and their prevalence has increased significantly in recent decades. While urinary albumin-to-creatinine ratio (UACR) is recognized marker for kidney disease, its relationship with stones, especially within the normal UACR range, remains unclear. The purpose of this study was to investigate association between levels range risk developing stones. We analyzed data from National Health Nutrition Examination Survey (NHANES) conducted 2009 2018, focusing on adults aged 20 years older available data. Using weighted multivariable logistic regression restricted cubic spline (RCS) models, we assessed adjusting relevant covariates. Subgroup analyses were also performed evaluate consistency across demographic health-related factors. found that higher associated an likelihood Specifically, individuals highest quartile had 36% odds compared those lowest (OR: 1.36, 95% CI: 1.04-1.77). A non-linear, dose-response observed stone (P < 0.001), remaining consistent various subgroups. Elevated levels, even strongly This finding highlights potential as valuable biomarker assessing clinical practice.

Язык: Английский

Процитировано

0

“ Advancing Nephrogenetics: Utilizing Single-Cell RNA Sequencing and Organoid Models for Precision Kidney Disease Treatment” DOI

Mohanapriya C.D.,

Praveen Kumar Kochuthakidiyel Suresh

Current Pediatrics Reports, Год журнала: 2025, Номер 13(1)

Опубликована: Март 17, 2025

Язык: Английский

Процитировано

0

Duodenal mucosa resurfacing: the endoscopic silver bullet against metabolic disorders? DOI Open Access
Amedeo Lonardo, Ashwani K. Singal

Metabolism and Target Organ Damage, Год журнала: 2025, Номер 5(1)

Опубликована: Март 21, 2025

With the backset of epidemic surge type 2 diabetes (T2D), obesity, and metabolic dysfunction-associated steatotic liver disease (MASLD), key role jejunal mucosa in development disorders, beyond its normal function nutrient absorption, has become increasingly appreciated. In humans, compared to non-diabetic controls, diabetic patients have hypertrophy, hyperplasia enteroendocrine cells, increased numbers cells enterocytes. Moreover, functional changes also been observed, including variations glucose transporters, enteric nerves, intestinal microbiota composition. Duodenal resurfacing (DMR) starts with assumption that mucosal interface will reset correct any abnormal signaling from duodenal will, therefore, result improved pancreatic endocrine tolerance owing restored surface. The endoscopic technique DMR involves hydrothermal ablation more superficial layers. Data reviewed indicate is a safe well-tolerated procedure, favorable outcomes on homeostasis among those T2D, body weight tests MASLD. Additional studies are therefore urgently needed ascertain, various surgical, medical choices, best precision medicine option fit individual patient

Язык: Английский

Процитировано

0

Cadmium Toxicity in Children and Its Detection Using Colorimetric and Fluorimetric Methods DOI
Alaa Shafie, Amal Adnan Ashour

Journal of Fluorescence, Год журнала: 2025, Номер unknown

Опубликована: Апрель 7, 2025

Язык: Английский

Процитировано

0