1072:
628:
435:
832:
863:
1000:
676:(GFR) in patients is regulated by vasoconstriction of the efferent arteriole. When ACEI is taken by the patient, this vasoconstrictor effect of the efferent arteriole is blocked. This then leads to a decrease in GFR and leads to acute renal failure. Studies have shown that 6-38% of patients with renal vascular disease or hypertension will develop acute renal ischemia through acute renal failure.
950:. The camera then takes images at intervals and a measurement of the radioactivity is taken. By performing this scan, doctors can differentiate between kidney ischemia and intrinsic renal disease by checking the amount of time for the radioactivity to peak and decline. Renovascular hypertension is very sensitive to this imaging, with a specificity of 95% and sensitivity of 96%.
1156:. Acute kidney ischemia is associated with high mortality. Chronic ischemic kidney disease (CIKD) usually involves loss of renal parenchyma or reduction of GFR caused by gradual vascular obstruction. Clinically, the term “ischemic renal disease” most often describes CIKD, which contributes to 6–27% of end-stage kidney disease, particularly among patients older than 50 years
869:
868:
865:
864:
870:
867:
743:- Cystatin C is produced in kidney cells and is used as a biomarker. The level of cystatin C is used to determine whether the kidney is functioning well or not since it is removed from the kidney through glomerular filtration. Therefore, a high amount of cystatin C in the blood is a determinant of kidney injury.
737:- Clusterin is a protein ubiquitously expressed in different cell lines. Secreted clusterin is involved in lipid transport. The cells release clusterin as a response to cell stress. This is due to clusterin being able to protect the cell by reducing oxidative stress and by binding to misfolded proteins.
1040:, or the amount of the drug that reaches the blood circulation, is reduced if taken orally. Fenoldopam is used as a vasodilator and can increase blood flow to the kidneys, as well as renin secretion. Thus, it can be used to regulate the blood pressure in the arteries and reduce injury due to ischemia.
438:
Examples of Signs and
Symptoms of Kidney Ischemia. On the left shows the difference in the size of the kidneys resulting from Kidney Ischemia. Kidney Ischemia may result in a shrinkage of the kidney to about 2cm or more. The top right shows the disruption of the mitochondria due to dysfunctions, This
416:
is activated in kidney injury. In hypoxia-induced studies of mice, an upregulation of the synthesis of IL-17C was evident upon oxygen loss in the kidney. Moreover, Knockout variants of the IL-17C decreased the inflammation caused by activation of IL-17C.Using antibodies and siRNA against IL-17C also
965:
Our knowledge of renal ischemia comes from animal studies. Based on these studies, kidney transplants and retrospective partial nephrectomy series indicate the risk of renal function impairment the longer the ischemic injury persists. However, based on historical studies, the use of the duration of
636:
Kidney features can be clinically suggestive of renal ischemia. Because renal failure can be correlated to hypertension, both of these situations have been observed. In general, kidney sizes differ in patients with acute kidney ischemia. Hypertension, acute renal failure, progressive azotemia, and
631:
Physical symptoms implicated with kidney ischemia includes kidney shrinkage or a difference in kidney sizes, renovascular hypertension, acute renal failure, progressive azotemia, diagnosed by an increase of nitrogen compounds in urine, and acute pulmonary edema which is excess fluid in the lungs.
988:
is given. In ischemic preconditioning, the kidney is given a tolerable amount of ischemia. This preconditions the kidney to tolerate subsequent ischemia-induced injuries. This reduces cell lysis and apoptosis of kidney cells and improves the overall renal function of the kidneys post-ischemia as
1060:
is currently in clinical studies targeting mitochondrial dysfunction. It is protective in rat models of kidney ischemia when it was administered before the injury. Bendavia binds to cardiolipin on the inner mitochondrial membrane and this inhibits cytochrome c peroxidase activity. This protects
1018:
or a return of blood supply to the organs. As such, using diuretics has helped in getting rid of excess water in the kidneys after reperfusion. Taking furosemide as a tablet, as a liquid solution, or via injection is used as a preventative measure or as treatment of kidney ischemia has shown to
248:
protein has occurred in mice models after a 24h period of ischemic injury. This is also shown in cell-based assays wherein tubule cells are monitored after ischemic-like injury. This shows that the Fas-pathway may play a role in the pathogenesis of the apoptosis of tubule cells during the early
113:
Little is known as to what causes ischemic injury in the kidneys; however, several physical insults are stated to be activated during injury. Physical stress such as infarction, surgery and transplant may produce kidney ischemia. Dietary habits and genetics could cause ischemic injury, as well.
708:
Acute pulmonary edema is characterized as a fluid collection in the air sacs of the lungs. This makes it difficult for patients to breathe. Patients with poorly-controlled hypertension and renal insufficiency usually also have recurrent acute pulmonary edema. While patients may have other risk
919:
and urine output. This is considered a non-invasive test and patients who are taking ACEIs should opt to take it. This is because it is useful in detecting renovascular hypertension, one of the symptoms of kidney ischemia, with sensitivity going to 90%. However, renal failure may diminish the
209:
Several genetic pathways that lead to apoptosis of kidney cells have been implicated in mice models and in-vitro assays. These are proapoptotic genes that can be categorized in two: extrinsic and intrinsic pathways. The extrinsic pathway are directly induced upon renal ischemic injury, while
163:
In studies of mice models, a high-fat diet can induce greater injury to the kidney with renal ischemia-reperfusion as compared to mice with normal diet. This is because in a high-fat diet model, accumulation of phospholipids resulted in enlarged lysosomes within proximal tubular cells. This
803:- Ischemic Modified Albumin. IMA can be used as an early biomarker for ischemic injury. Moreover, the amount of IMA in the blood is proportional to the duration of ischemic injury and necrosis factor, as such it can be used as a biomarker to determine how long the injury has been.
486:
requires a high concentration of oxygen. These compounds, as well as some reactive oxygen species, are required for the kidney to function properly. With an injury, cellular respiration is compromised. This leads to an imbalance of the supply of oxygen and the products of
697:
Likewise above, patients who are being treated with an antihypertensive drug for renovascular, refractory or severe hypertension exhibit progressive azotemia. Acute kidney ischemia may result from taking ACEIs due to the alteration of intrarenal hemodynamics.
387:
regulates vasomotor movement by controlling blood pressure going through the kidneys. Similarly to the APO-E polymorphism, patients with the D-allele for ACE has an increased risk of acute kidney injury after coronary artery bypass grafting, as well.
851:
and for patients with hypertension, it is not necessary to relieve the administration of ACEIs. By assessing the velocity of blood flow, the doctors can measure whether the kidney is receiving enough blood and nutrients to function normally.
417:
provided the same results. Also, studies of IL-60174GG showed that carriers of this polymorphism have a higher creatinine levels in the blood; however, carriers of the G-allele of IL-10 have a decreased risk of death after organ failure.
1132:(MSCs) are multipotent mature stem cells that are capable of differentiating into different types of cells. This is a promising line of therapy as regenerative medicine has shown benefits in the restoration of the kidneys. MSCs have
572:
by which proteins, organelles, and cytoplasmic components are recycled and degraded by the lysosomes. The process of autophagy helps in removing unnecessary components of the cells to maintain more important functions. In this case,
731:- Serum creatinine is a standard biomarker to define acute kidney injury. However, it is insensitive, nonspecific. Also, it is a fairly late marker of damage, highly dependent on diet, skeletal muscle function, and kidney stability.
886:
and occlusions in the kidney. This test can also be used to determine aneurysms in the brain. More clinical uses of MRA is used to check blood vessels in different parts of the body, such as the thorax, lower limbs, and the heart.
198:
restrict blood flow and consequently prevent necessary nutrients to reach the kidneys. This accounts for 60-97% of renal arterial lesions, which could lead to the occlusion of the renal artery and ischemic atrophy of the kidneys.
164:
accumulation of phospholipids lead to an increase aggregation of ubiquitin in the kidney cells. When this happens, autophagy becomes exaggerated and results in malfunction of the mitochondria and inflammation of the tissue.
1075:
This figure shows how Carbon
Monoxide, Nitric Oxide, and Hydrogen Sulfide help in attenuating kidney ischemia by reducing inflammation, tissue injury, hypoxia, apoptosis of cells, and vasoconstriction. This was drawn using
933:
uses radioisotopes in diagnosing renovascular disease. This test compares normal function of kidney versus stenotic kidney by measuring the amount of the radionucleotides going to the kidney and being excreted by it. Two
966:
the ischemia as a dichotomous marker has been found to have significant flaws in predicting renal function outcomes. The duration of kidney ischemia does not affect kidney function either in the short term or long term.
866:
797:. (SOURCE). NGAL is used as a biomarker for kidney injury. This is because a high NGAL excretion can be correlated to ischemic insult. NGAL is secreted at high levels in the blood and urine within two hours of injury.
1019:
reduce the severity of renal failure, reduce apoptosis induced by ischemia, and speed the recovery of renal function. This as also lead to the reduction of the need of surgical renal replacement in some patients.
50:, and a need for surgery. What causes kidney ischemia is not entirely known, but several pathophysiology relating to this disease have been elucidated. Possible causes of kidney ischemia include the activation of
439:
leads to a release of proapoptotic proteins such as cytochrome c and results in cell death. The lower right shows inflammation of the glomeruli of the kidneys. This schematic diagram was drawn using BioRender.com
647:
In normal patients, the length of the two kidneys only differ by less than 1.5 cm; however, hypertensive patients tend to have an asymmetric kidney size. This strongly suggests ischemic renal disease.
1547:
Yamamoto, Takeshi; Takabatake, Yoshitsugu; Takahashi, Atsushi; Kimura, Tomonori; Namba, Tomoko; Matsuda, Jun; Minami, Satoshi; Kaimori, Jun-ya; Matsui, Isao; Matsusaka, Taiji; Niimura, Fumio (2017-05-01).
813:. In the distal tubular regions, there is an elevation of the expression of TIMP2 and IGFBP7 and this is linked to early tubular damage in ischemic injury and reperfusion, as well as acute kidney injury.
755:- also known as Kidney Injury Model 1 is a protein that is highly expressed upon kidney injury. Therefore, higher levels of KIM-1 signifies that there is an injury with proximal tubes due to ischemia.
58:
due to surgery or transplant. Several signs and symptoms include injury to the microvascular endothelium, apoptosis of kidney cells due to overstress in the endoplasmic reticulum, dysfunctions of the
942:(mercaptoacetyltriglycine) and TC99m-DTPA (diethylenetriaminepentacetate). In this test, the radionucleotides are injected intravenously to the system. The compound then progresses through the
658:
Renovascular hypertension or renal artery stenosis is characterized as an increase in blood pressure through the arteries to the kidneys. This is due to an abnormal narrowing of the arteries.
1119:. Like with NO, inhalation of H2S has been found to be therapeutic and has been shown to stabilize hypothermia and stabilize cardiovascular hemodynamics which protects from ischemic injury.
767:- Endothelin-1 is a vasoconstrictor and can be detected in the urine. More specifically, urinary endothelin-1 levels are used as an acute marker in cold ischemic reperfusion and injury.
761:- Interleukin-6 expression is a response to ischemia and reperfusion injury linked to renal dysfunction. This is also highly expressed when a transplant of the kidney is rejected.
524:(UPR). The unfolded protein response is an adaptive mechanism to restore cell and tissue homeostasis. If the stress is too severe, the maladaptive response is activated and the
1140:
into kidney cells. Moreover, they can give anti-inflammatory and immuno-modulatory properties and therefore protecting the kidney as well as repairing it from ischemic injury.
42:
which results in poor blood flow in the kidneys. More complications happen when failure of the kidney functions result in toxicity in various parts of the body which may cause
882:(MRA) also images blood vessels. MRA uses magnetic resonance and unlike a traditional angiogram, this does not require inserting a catheter. This test can be used to evaluate
587:
The renal inflammatory process involves events that lead to injury or death of renal cells. When the kidneys undergo inflammatory responses, it produces mediators such as
2266:
Bennett, Michael; Dent, Catherine L.; Ma, Qing; Dastrala, Sudha; Grenier, Frank; Workman, Ryan; Syed, Hina; Ali, Salman; Barasch, Jonathan; Devarajan, Prasad (May 2008).
210:
intrinsic pathways are dependent on mitochondrial signaling pathways. Moreover, several genes have been implicated as risk factors in the development of ischemic injury.
1061:
respiration during the early reperfusion and accelerates the recovery of ATP. In the animal models, it was found that tubular cell death and dysfunction were reduced.
1818:
Wang, Feng; Yin, Jianyong; Lin, Yingying; Zhang, Fangfei; Liu, Xuanchen; Zhang, Guangyuan; Kong, Yiwei; Lu, Zeyuan; Wu, Rui; Wang, Niansong; Xing, Tao (2020-06-01).
2574:
Bove, Tiziana; Belletti, Alessandro; Putzu, Alessandro; Pappacena, Simone; Denaro, Giuseppe; Landoni, Giovanni; Bagshaw, Sean M.; Zangrillo, Alberto (2018-04-24).
3082:
770:
1477:"Preclinical Evidence for the Efficacy of Ischemic Postconditioning against Renal Ischemia-Reperfusion Injury, a Systematic Review and Meta-Analysis"
1111:
during renal ischemia. Hydrogen
Sulfide (H2S) is also an endogenous product of metabolic activity in cells. This is a byproduct of the metabolism of
550:. When mitochondrial dysfunction happens, cellular respiration is disrupted. This leads to the mitochondria releasing pro-apoptotic proteins such as
2852:
194:
refers to the buildup of cholesterol and fats in the artery walls. Because the blood vessels carry oxygen and nutrients throughout the body, having
2022:
448:
Several pathophysiological conditions that change when the kidney is undergoing ischemic injuries are listed below. This includes changes in the
85:, it was found that it has significant flaws in predicting renal function outcomes. More emerging treatments are in the clinical trials such as
1666:
2501:
1136:
properties and has been applied in animal and human patients. Because of their regenerative capabilities, the kidney can benefit from it by
1071:
2668:
Noce, Annalisa; Marrone, Giulia; Rovella, Valentina; Busca, Andrea; Gola, Caterina; Ferrannini, Michele; Di
Daniele, Nicola (April 2019).
2323:
428:
326:
2157:
847:, to locate and assess the renal artery and the velocity of blood flowing through it. This test is useful even in the presence of
2576:"Intermittent furosemide administration in patients with or at risk for acute kidney injury: Meta-analysis of randomized trials"
2903:
1103:. This gas is available in all cells, and inhalation of NO has been found to be therapeutically active. This reduces pulmonary
347:
2073:
843:(DDS) is an imaging test for evaluating blood flow in the kidney or the renal system. B-mode ultrasonography is combined with
131:
or death of a group of cells in the tissue. In studies of mice models, clamping of the kidney may result in kidney ischemia.
3092:
981:
879:
142:
627:
434:
2908:
384:
314:
1701:"Gene expression in early ischemic renal injury: clues towards pathogenesis, biomarker discovery, and novel therapeutics"
1087:, which helps in regulating autophagy and hypoxic response. Through this, inflammation and tissue injury are stabilized.
603:. In mice models, studies wherein removal of these mediators from plasma were observed and has shown beneficial to mice.
2845:
2879:
1116:
749:- lower levels of EGF mRNA and proteins in the kidneys are indicative of injury after kidney ischemia and reperfusion.
617:
become maladaptive. This leads to cell and tissue malfunction. This could lead to chronic kidney disease progression.
681:
Progressive
Azotemia (with Renovascular Hypertension, refractory or severe hypertension, or atherosclerotic diseases)
831:
2968:
2099:"Emerging biomarkers and metabolomics for assessing toxic nephropathy and acute kidney injury (AKI) in neonatology"
1550:"High-Fat Diet–Induced Lysosomal Dysfunction and Impaired Autophagic Flux Contribute to Lipotoxicity in the Kidney"
1475:
Jonker, Simone J.; Menting, Theo P.; Warlé, Michiel C.; Ritskes-Hoitinga, Merel; Wever, Kimberley E. (2016-03-10).
673:
254:
250:
709:
factors for having pulmonary edema, volume-dependent renovascular hypertension appears to be the dominant factor.
694:(BUN) in the plasma. Patients who have renovascular hypertension often get a deterioration of the renal function.
3003:
1153:
916:
800:
565:
521:
1940:"Novel pharmacological approaches to the treatment of renal ischemia-reperfusion injury: a comprehensive review"
672:, treatment of the disease using Angiotensin-converting enzyme inhibitors (ACEIs) are sometimes necessary. The
3153:
3104:
2998:
985:
525:
2211:
Shiva, Niharika; Sharma, Nisha; Kulkarni, Yogesh A.; Mulay, Shrikant R.; Gaikwad, Anil
Bhanudas (2020-09-01).
1819:
1014:
is a substance that promotes excretion of water from the body. When the kidneys undergo ischemia, it leads to
2787:"Concise review: Mesenchymal stem cell treatment for ischemic kidney disease: MSC in Ischemic Kidney Disease"
3008:
2838:
844:
746:
354:
e4 allele was found to have a decreased risk of acute kidney injury compared to non-carriers of the allele.
305:
Polymorphisms in genes have been shown to increase or decrease risk of renal ischemic injury. Genes such as
1036:, if used before kidney damage. Similar to Furosemide, this can be taken orally or intravenously; however,
3044:
2958:
2950:
2915:
2898:
977:
479:
478:
require a high amount of oxygen, as such the oxygen supply to the kidney is well regulated. Production of
333:
or the formation of blood vessels have all been shown to have significant effects in acute kidney injury.
2433:"Radionuclides in Nephrourology, Part 1: Radiopharmaceuticals, Quality Control, and Quantitative Indices"
3067:
2988:
1129:
1100:
904:
600:
453:
1699:
Devarajan, Prasad; Mishra, Jaya; Supavekin, Suroj; Patterson, Larry T; Steven Potter, S (2003-12-01).
613:
When an injury is severe, the adaptive responses that are activated to restore normal cell and tissue
3072:
2938:
2587:
2212:
1761:
Lu, Jonathan C. T.; Coca, Steven G.; Patel, Uptal D.; Cantley, Lloyd; Parikh, Chirag R. (June 2009).
1700:
1488:
1137:
488:
82:
2408:"Renin Test: What is a Renin Test? Renin Test Definition, Procedure, Considerations, Results - UCLA"
3039:
1033:
691:
146:
2523:
717:
Screening of
Biomarkers is one way to diagnose a patient if their kidney is functioning normally.
367:
regulates oxidative stress by conjugating with reactive oxygen species in cells. Polymorphisms in
3130:
3087:
2248:
1975:
1639:
1257:
1202:
1015:
912:
543:
261:-induced apoptosis and renal induction of TGF-beta is well documented in renal ischemia studies.
102:
98:
2268:"Urine NGAL Predicts Severity of Acute Kidney Injury After Cardiac Surgery: A Prospective Study"
1612:"Ischemic renal disease: an emerging cause of chronic renal failure and end-stage renal disease"
637:
acute pulmonary edema are also signs of a developing ischemic injury for hypertensive patients.
3158:
2933:
2816:
2764:
2746:
2707:
2689:
2623:
2605:
2553:
2497:
2472:
2454:
2389:
2371:
2305:
2287:
2240:
2232:
2153:
2130:
2023:"Ischemic renal disease: an emerging cause of chronic renal... : Journal of Hypertension"
1967:
1959:
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1571:
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1439:
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1316:
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1249:
1241:
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1133:
94:
55:
2491:
2980:
2928:
2923:
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2798:
2754:
2738:
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2681:
2613:
2595:
2543:
2535:
2462:
2444:
2379:
2361:
2295:
2279:
2224:
2120:
2110:
1951:
1907:
1891:
1831:
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1712:
1623:
1579:
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1514:
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1447:
1431:
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1350:
1306:
1288:
1233:
1186:
1104:
794:
492:
351:
343:
183:
150:
295:
into the cytosol. This then activates pro-caspase 9 and results in apoptosis of the cells.
1080:
1037:
1010:
is a common diuretic and is used for the prevention or to reverse acute kidney injury. A
539:
195:
191:
179:
175:
2407:
105:
have shown promise in animal studies; however, they have not been proven clinically yet.
2591:
1611:
1492:
1394:
38:
is a disease with a high morbidity and mortality rate. Blood vessels shrink and undergo
3120:
2993:
2963:
2869:
2861:
2811:
2786:
2759:
2726:
2702:
2669:
2618:
2575:
2467:
2432:
2384:
2349:
2300:
2267:
2125:
2098:
1912:
1879:
1795:
1762:
1584:
1549:
1519:
1476:
1452:
1419:
1371:
1338:
1311:
1276:
596:
577:
is induced in kidneys in response to hypoxia to protect against further kidney injury.
517:
374:
and with the T allele has been shown to have a greater risk of dialysis and mortality.
2685:
1895:
73:
Kidney ischemia can be diagnosed by checking the levels of several biomarkers such as
3147:
3099:
3034:
2644:
2252:
1627:
758:
547:
457:
368:
364:
310:
276:
90:
1979:
1643:
1261:
1206:
999:
3125:
3115:
3077:
1088:
947:
943:
935:
874:
Assessment of the kidneys magnetic resonance angiography in perfusion and diffusion
764:
669:
551:
483:
413:
330:
292:
241:
225:
187:
67:
59:
51:
43:
2049:
346:
are proteins that metabolize fats in the body. In studies of patients undergoing
145:
grafting can produce renal ischemia and reperfusion injury. This could lead to an
2600:
1501:
1221:
1174:
3111:
2890:
2173:
1716:
1435:
790:
774:
614:
449:
322:
288:
236:. This series of signaling cascade generally regulates programmed cell-death or
221:
47:
2539:
1836:
127:
is defined as the blockage of blood flow in tissues or organs, which may cause
2449:
2228:
2213:"Renal ischemia/reperfusion injury: An insight on in vitro and in vivo models"
1955:
1096:
1029:
1007:
840:
786:
740:
728:
687:
588:
496:
124:
78:
17:
2750:
2693:
2609:
2458:
2375:
2291:
2236:
1963:
1903:
1845:
1786:
1763:"Searching for Genes That Matter in Acute Kidney Injury: A Systematic Review"
1724:
1575:
1510:
1443:
1362:
1302:
1245:
431:
with a homozygous A allele resulted in reduced risk for acute kidney injury.
3029:
3024:
2366:
1939:
1108:
734:
592:
574:
569:
513:
461:
237:
224:
initiates apoptosis via signaling from cell-surface death receptors such as
74:
63:
39:
2820:
2768:
2711:
2670:"Fenoldopam Mesylate: A Narrative Review of Its Use in Acute Kidney Injury"
2627:
2557:
2476:
2393:
2348:
Hartung, Michael P; Grist, Thomas M; François, Christopher J (2011-03-09).
2309:
2244:
2134:
1971:
1921:
1853:
1804:
1732:
1593:
1566:
1528:
1461:
1380:
1320:
1293:
1253:
1237:
1198:
1190:
2115:
1635:
1354:
2548:
2283:
1778:
1420:"Mouse model of ischemic acute kidney injury: technical notes and tricks"
1149:
1112:
1092:
1057:
1011:
930:
883:
848:
782:
500:
258:
128:
86:
34:
564:
During ischemic stress, the cross-talk between the mitochondria and the
495:
and injury to the microvascular endothelium promotes the recruitment of
402:
gene with the G allele gave an increased risk for acute kidney injury.
371:
272:
149:. Moreover, renal ischemia can cause the delay of graft function after
2802:
2350:"Magnetic resonance angiography: current status and future directions"
1339:"Renal ischemia/reperfusion injury; from pathophysiology to treatment"
3049:
810:
778:
752:
475:
31:
2742:
1820:"IL-17C has a pathogenic role in kidney ischemia/reperfusion injury"
291:
and Bak triggers a signaling cascade that results in the release of
2785:
Zhu, Xiang-Yang; Lerman, Amir; Lerman, Lilach O. (September 2013).
1084:
1070:
998:
908:
907:
is also known as renin assay. This assay measures the activity of
861:
830:
806:
626:
433:
399:
318:
306:
284:
280:
2830:
542:
are vulnerable to mitochondrial dysfunction because they rely on
313:
which regulates oxidative stress, Angiotensin-converting enzyme (
1275:
Munshi, Raj; Hsu, Christine; Himmelfarb, Jonathan (2011-02-02).
939:
245:
233:
229:
2834:
773:- neutrophil gelatinase-associated lipocalin 2 is expressed in
2097:
Mussap, M.; Noto, A.; Fanos, V.; Van Den Anker, J. N. (2014).
2050:"Renovascular hypertension: MedlinePlus Medical Encyclopedia"
464:
of cells, inflammation, and incorrect or maladaptive repair.
1173:
Sharfuddin, Asif A.; Molitoris, Bruce A. (April 16, 2011).
1003:
A vial of furosemide taken intravenously or intramuscularly
663:
Acute Renal
Failure caused by the treatment of hypertension
520:
accumulate in the endoplasmic reticulum. This triggers the
2522:
Mir Maria C.; Pavan Nicola; Parekh Dipen J. (2016-06-01).
1667:"Arteriosclerosis / atherosclerosis - Symptoms and causes"
503:. This leads to changes in perfusion and oxygen delivery.
186:
is defined as the thickening or stiffening or both of the
546:
and they are in a more oxidized state as compared to the
427:
Unlike with HSP72 polymorphism, infant studies show that
2727:"Ischemia and reperfusion—from mechanism to translation"
1277:"Advances in understanding ischemic acute kidney injury"
1220:
Sharfuddin, Asif A.; Molitoris, Bruce A. (April 2011).
114:
Diseases such as sepsis can cause kidney ischemia too.
2272:
Clinical
Journal of the American Society of Nephrology
1767:
Clinical
Journal of the American Society of Nephrology
1610:
Preston, Richard A.; Epstein, Murray (December 1997).
2725:
Eltzschig, Holger K.; Eckle, Tobias (November 2011).
528:
pathway (CHOP) is induced. This leads to apoptosis.
3060:
3017:
2979:
2949:
2889:
2868:
325:cytokines which is an inflammation modulator, and
2524:"Current Paradigm for Ischemia in Kidney Surgery"
1661:
1659:
1222:"Pathophysiology of ischemic acute kidney injury"
1175:"Pathophysiology of ischemic acute kidney injury"
1152:, irreversible renal dysfunction, and a need for
1424:American Journal of Physiology. Renal Physiology
1337:Malek, Maryam; Nematbakhsh, Mehdi (2015-06-01).
81:. While the duration of ischemia was used as a
1944:Naunyn-Schmiedeberg's Archives of Pharmacology
1878:Zuk, Anna; Bonventre, Joseph V. (2016-01-14).
279:signaling pathways which are regulated by the
2846:
1554:Journal of the American Society of Nephrology
994:Furosemide to Promote Post-perfusion Diuresis
321:which helps in tolerance of ischemic injury,
8:
2354:Journal of Cardiovascular Magnetic Resonance
989:compared to not having the preconditioning.
686:Azotemia is characterized as an increase of
174:A common cause of ischemic renal disease is
153:and can cause rejection of the transplant.
2853:
2839:
2831:
2645:"Furosemide: MedlinePlus Drug Information"
491:. When that happens, the kidney undergoes
2810:
2758:
2701:
2617:
2599:
2547:
2496:. Springer Science & Business Media.
2466:
2448:
2383:
2365:
2299:
2124:
2114:
1911:
1835:
1794:
1583:
1565:
1518:
1500:
1451:
1418:Wei, Qingqing; Dong, Zheng (2012-12-01).
1370:
1310:
1292:
1091:(NO) is a byproduct of the metabolism of
632:This diagram is drawn using BioRender.com
595:, and pro-inflammatory cytokines such as
554:and end up in the death of kidney cells.
309:, which controls cholesterol metabolism,
249:ischemic-reperfusion period. The role of
182:is a specific type of arteriosclerosis.
70:of the kidneys, and maladaptive repair.
2074:"Pulmonary edema - Symptoms and causes"
1165:
1148:Ischemic kidney injury might result in
925:Renography after administration of ACEI
2639:
2637:
2569:
2567:
2490:Elgazzar, Abdelhamid H. (2011-05-10).
2324:"Magnetic Resonance Angiography (MRA)"
2017:
2015:
2013:
2011:
2009:
1756:
1754:
1752:
1750:
1748:
1746:
1744:
1742:
1694:
1692:
1690:
1688:
1686:
2780:
2778:
2517:
2515:
2513:
2206:
2204:
2202:
2200:
2198:
2196:
2194:
2150:Comprehensive Medicinal Chemistry III
2044:
2042:
2007:
2005:
2003:
2001:
1999:
1997:
1995:
1993:
1991:
1989:
1933:
1931:
1873:
1871:
1869:
1867:
1865:
1863:
398:In infant studies, it was shown that
7:
3083:Abderhalden–Kaufmann–Lignac syndrome
2674:Current Pharmaceutical Biotechnology
1938:Chatterjee, Prabal K. (2007-10-01).
1605:
1603:
1542:
1540:
1538:
1332:
1330:
1032:is used postoperatively in treating
2493:A Concise Guide to Nuclear Medicine
1343:Journal of Renal Injury Prevention
1066:Therapeutic Gases: CO, NO, and H2S
283:family of proteins. Activation of
93:dysfunction and using Mesenchymal
25:
2686:10.2174/1389201020666190417124711
1896:10.1146/annurev-med-050214-013407
1705:Molecular Genetics and Metabolism
2431:Taylor, Andrew T. (2014-04-01).
1628:10.1097/00004872-199715120-00001
257:mediates both Fas-dependent and
348:coronary artery bypass grafting
938:are used in renography: Tc99m-
880:Magnetic Resonance Angiography
857:Magnetic Resonance Angiography
568:is activated. This results in
538:In acute kidney ischemia, the
1:
2103:BioMed Research International
385:Angiotensin-converting enzyme
379:Angiotensin-converting Enzyme
119:Infarction or Physical Injury
2601:10.1371/journal.pone.0196088
1502:10.1371/journal.pone.0150863
508:Endoplasmic Reticulum Stress
412:Researchers have found that
317:) for vasomotor regulation,
136:Renal Surgery and Transplant
2880:Template:Glomerular disease
2437:Journal of Nuclear Medicine
1717:10.1016/j.ymgme.2003.09.012
1436:10.1152/ajprenal.00352.2012
1209:– via www.nature.com.
456:stress, disfunction of the
253:is still unclear; however,
228:proteins and their ligands
3175:
2969:Balkan endemic nephropathy
2540:10.1016/j.juro.2015.09.099
2178:National Kidney Foundation
1837:10.1016/j.kint.2020.01.015
1395:"Definition of INFARCTION"
1083:(CO) helps in stabilizing
674:glomerular filtration rate
3004:Renovascular hypertension
2450:10.2967/jnumed.113.133447
2229:10.1016/j.lfs.2020.117860
1956:10.1007/s00210-007-0183-5
1884:Annual Review of Medicine
1226:Nature Reviews Nephrology
1179:Nature Reviews Nephrology
1154:renal replacement therapy
917:blood pressure regulation
826:Duplex Doppler Sonography
777:and in low levels in the
653:Renovascular hypertension
533:Mitochondrial Dysfunction
522:unfolded protein response
3105:Renal papillary necrosis
2999:Hypertensive nephropathy
1117:cystathionine-b-synthase
986:ischemic preconditioning
971:Ischemic Preconditioning
915:, which plays a role in
526:C/EBP Homologous Protein
474:Normal functions of the
307:Apolipoprotein E (APO E)
3009:Renal cortical necrosis
2367:10.1186/1532-429X-13-19
2328:www.hopkinsmedicine.org
1616:Journal of Hypertension
1399:www.merriam-webster.com
920:accuracy of this test.
845:Doppler ultrasonography
713:Diagnosis and Screening
642:Kidney size differences
601:tumor necrosis factor-a
3045:Chronic kidney disease
2959:Interstitial nephritis
2916:Acute tubular necrosis
2899:Renal tubular acidosis
1567:10.1681/ASN.2016070731
1294:10.1186/1741-7015-9-11
1238:10.1038/nrneph.2011.16
1191:10.1038/nrneph.2011.16
1130:Mesenchymal Stem Cells
1077:
1004:
982:coronary artery bypass
976:In patients who get a
960:Traditional Treatments
946:and is tracked with a
875:
836:
633:
480:adenosine triphosphate
440:
143:coronary artery bypass
3068:Analgesic nephropathy
2989:Renal artery stenosis
1880:"Acute Kidney Injury"
1355:10.12861/jrip.2015.06
1124:Mesenchymal Stem Cell
1074:
1002:
905:Plasma renin activity
899:Plasma renin activity
873:
834:
703:Acute pulmonary edema
630:
454:endoplasmic reticulum
437:
190:; more specifically,
3073:Renal osteodystrophy
2284:10.2215/CJN.04010907
1824:Kidney International
1779:10.2215/CJN.05411008
1138:transdifferentiation
489:cellular respiration
300:Genetic Risk Factors
97:. Several receptors
3040:Acute renal failure
2592:2018PLoSO..1396088B
2148:Tarrant, J (2017).
2116:10.1155/2014/602526
1493:2016PLoSO..1150863J
1430:(11): F1487–F1494.
1045:Emerging Treatments
1034:Acute Kidney Injury
1024:Fenoldopam Mesylate
692:blood urea nitrogen
147:acute kidney injury
3131:Reflux nephropathy
3088:Diabetes insipidus
2870:Glomerular disease
2528:Journal of Urology
2412:www.uclahealth.org
2330:. 19 November 2019
1078:
1005:
913:angiotensinogenase
876:
837:
835:Sonography example
634:
608:Maladaptive Repair
544:aerobic metabolism
441:
240:. Upregulation of
141:Renal surgery and
3141:
3140:
3018:General syndromes
2939:Liddle's syndrome
2934:Gitelman syndrome
2803:10.1002/stem.1449
2737:(11): 1391–1401.
2503:978-3-642-19426-9
1622:(12): 1365–1377.
1134:anti-inflammatory
978:kidney transplant
871:
795:alimentary tracts
668:In patients with
622:Physical Symptoms
518:unfolded proteins
266:Intrinsic Pathway
215:Extrinsic Pathway
95:Stem Cell Therapy
16:(Redirected from
3166:
2929:Bartter syndrome
2924:Fanconi syndrome
2855:
2848:
2841:
2832:
2825:
2824:
2814:
2797:(9): 1731–1736.
2782:
2773:
2772:
2762:
2722:
2716:
2715:
2705:
2665:
2659:
2658:
2656:
2655:
2641:
2632:
2631:
2621:
2603:
2571:
2562:
2561:
2551:
2534:(6): 1655–1663.
2519:
2508:
2507:
2487:
2481:
2480:
2470:
2452:
2428:
2422:
2421:
2419:
2418:
2404:
2398:
2397:
2387:
2369:
2345:
2339:
2338:
2336:
2335:
2320:
2314:
2313:
2303:
2263:
2257:
2256:
2208:
2189:
2188:
2186:
2185:
2170:
2164:
2163:
2145:
2139:
2138:
2128:
2118:
2094:
2088:
2087:
2085:
2084:
2070:
2064:
2063:
2061:
2060:
2046:
2037:
2036:
2034:
2033:
2019:
1984:
1983:
1935:
1926:
1925:
1915:
1875:
1858:
1857:
1839:
1830:(6): 1219–1229.
1815:
1809:
1808:
1798:
1773:(6): 1020–1031.
1758:
1737:
1736:
1696:
1681:
1680:
1678:
1677:
1663:
1654:
1653:
1651:
1650:
1607:
1598:
1597:
1587:
1569:
1560:(5): 1534–1551.
1544:
1533:
1532:
1522:
1504:
1472:
1466:
1465:
1455:
1415:
1409:
1408:
1406:
1405:
1391:
1385:
1384:
1374:
1334:
1325:
1324:
1314:
1296:
1272:
1266:
1265:
1217:
1211:
1210:
1170:
1105:vasoconstriction
911:, also known as
892:Functional Tests
878:Similar to DDS,
872:
540:proximal tubules
493:oxidative stress
344:Apolipoprotein E
338:Apolipoprotein E
329:which regulates
275:is dependent on
184:Arteriosclerosis
151:renal transplant
21:
3174:
3173:
3169:
3168:
3167:
3165:
3164:
3163:
3154:Kidney diseases
3144:
3143:
3142:
3137:
3056:
3013:
2975:
2945:
2885:
2864:
2859:
2829:
2828:
2784:
2783:
2776:
2743:10.1038/nm.2507
2731:Nature Medicine
2724:
2723:
2719:
2667:
2666:
2662:
2653:
2651:
2649:medlineplus.gov
2643:
2642:
2635:
2586:(4): e0196088.
2573:
2572:
2565:
2521:
2520:
2511:
2504:
2489:
2488:
2484:
2430:
2429:
2425:
2416:
2414:
2406:
2405:
2401:
2347:
2346:
2342:
2333:
2331:
2322:
2321:
2317:
2265:
2264:
2260:
2210:
2209:
2192:
2183:
2181:
2172:
2171:
2167:
2160:
2147:
2146:
2142:
2096:
2095:
2091:
2082:
2080:
2072:
2071:
2067:
2058:
2056:
2054:medlineplus.gov
2048:
2047:
2040:
2031:
2029:
2021:
2020:
1987:
1937:
1936:
1929:
1877:
1876:
1861:
1817:
1816:
1812:
1760:
1759:
1740:
1698:
1697:
1684:
1675:
1673:
1665:
1664:
1657:
1648:
1646:
1609:
1608:
1601:
1546:
1545:
1536:
1487:(3): e0150863.
1474:
1473:
1469:
1417:
1416:
1412:
1403:
1401:
1393:
1392:
1388:
1336:
1335:
1328:
1274:
1273:
1269:
1219:
1218:
1214:
1172:
1171:
1167:
1162:
1146:
1127:
1081:Carbon monoxide
1069:
1055:
1048:
1038:bioavailability
1027:
997:
974:
963:
956:
928:
902:
895:
862:
860:
839:Duplex Doppler
829:
822:
725:
715:
706:
684:
666:
656:
645:
625:
611:
585:
562:
536:
511:
472:
446:
444:Pathophysiology
425:
410:
396:
382:
362:
341:
303:
269:
218:
207:
196:atherosclerosis
192:atherosclerosis
180:Atherosclerosis
176:atherosclerosis
172:
169:Atherosclerosis
161:
139:
122:
111:
28:
23:
22:
15:
12:
11:
5:
3172:
3170:
3162:
3161:
3156:
3146:
3145:
3139:
3138:
3136:
3135:
3134:
3133:
3128:
3123:
3121:Hydronephrosis
3109:
3108:
3107:
3097:
3096:
3095:
3085:
3080:
3075:
3070:
3064:
3062:
3058:
3057:
3055:
3054:
3053:
3052:
3047:
3042:
3032:
3027:
3021:
3019:
3015:
3014:
3012:
3011:
3006:
3001:
2996:
2994:Renal ischemia
2991:
2985:
2983:
2977:
2976:
2974:
2973:
2972:
2971:
2966:
2964:Pyelonephritis
2955:
2953:
2947:
2946:
2944:
2943:
2942:
2941:
2936:
2931:
2926:
2918:
2913:
2912:
2911:
2906:
2895:
2893:
2887:
2886:
2884:
2883:
2874:
2872:
2866:
2865:
2862:Kidney disease
2860:
2858:
2857:
2850:
2843:
2835:
2827:
2826:
2774:
2717:
2680:(5): 366–375.
2660:
2633:
2563:
2509:
2502:
2482:
2443:(4): 608–615.
2423:
2399:
2340:
2315:
2278:(3): 665–673.
2258:
2190:
2165:
2158:
2140:
2089:
2065:
2038:
1985:
1927:
1890:(1): 293–307.
1859:
1810:
1738:
1711:(4): 365–376.
1682:
1655:
1599:
1534:
1467:
1410:
1386:
1326:
1267:
1232:(4): 189–200.
1212:
1185:(4): 189–200.
1164:
1163:
1161:
1158:
1145:
1142:
1126:
1121:
1068:
1063:
1054:
1049:
1047:
1042:
1026:
1021:
996:
991:
973:
968:
962:
957:
955:
952:
927:
922:
901:
896:
894:
889:
859:
854:
828:
823:
821:
816:
815:
814:
804:
798:
768:
762:
756:
750:
744:
738:
732:
724:
719:
714:
711:
705:
700:
683:
678:
665:
660:
655:
650:
644:
639:
624:
619:
610:
605:
584:
579:
561:
556:
548:distal tubules
535:
530:
510:
505:
471:
466:
445:
442:
424:
419:
409:
404:
395:
390:
381:
376:
361:
356:
350:, carriers of
340:
335:
302:
297:
285:Bcl-2 proteins
271:Activation of
268:
263:
220:Activation of
217:
212:
206:
201:
171:
166:
160:
158:Dietary Habits
155:
138:
133:
121:
116:
110:
107:
27:Kidney disease
26:
24:
18:Renal ischemia
14:
13:
10:
9:
6:
4:
3:
2:
3171:
3160:
3157:
3155:
3152:
3151:
3149:
3132:
3129:
3127:
3124:
3122:
3119:
3118:
3117:
3113:
3110:
3106:
3103:
3102:
3101:
3100:Renal papilla
3098:
3094:
3091:
3090:
3089:
3086:
3084:
3081:
3079:
3076:
3074:
3071:
3069:
3066:
3065:
3063:
3059:
3051:
3048:
3046:
3043:
3041:
3038:
3037:
3036:
3035:Renal failure
3033:
3031:
3028:
3026:
3023:
3022:
3020:
3016:
3010:
3007:
3005:
3002:
3000:
2997:
2995:
2992:
2990:
2987:
2986:
2984:
2982:
2978:
2970:
2967:
2965:
2962:
2961:
2960:
2957:
2956:
2954:
2952:
2948:
2940:
2937:
2935:
2932:
2930:
2927:
2925:
2922:
2921:
2919:
2917:
2914:
2910:
2907:
2905:
2902:
2901:
2900:
2897:
2896:
2894:
2892:
2888:
2882:
2881:
2876:
2875:
2873:
2871:
2867:
2863:
2856:
2851:
2849:
2844:
2842:
2837:
2836:
2833:
2822:
2818:
2813:
2808:
2804:
2800:
2796:
2792:
2788:
2781:
2779:
2775:
2770:
2766:
2761:
2756:
2752:
2748:
2744:
2740:
2736:
2732:
2728:
2721:
2718:
2713:
2709:
2704:
2699:
2695:
2691:
2687:
2683:
2679:
2675:
2671:
2664:
2661:
2650:
2646:
2640:
2638:
2634:
2629:
2625:
2620:
2615:
2611:
2607:
2602:
2597:
2593:
2589:
2585:
2581:
2577:
2570:
2568:
2564:
2559:
2555:
2550:
2549:11368/2968852
2545:
2541:
2537:
2533:
2529:
2525:
2518:
2516:
2514:
2510:
2505:
2499:
2495:
2494:
2486:
2483:
2478:
2474:
2469:
2464:
2460:
2456:
2451:
2446:
2442:
2438:
2434:
2427:
2424:
2413:
2409:
2403:
2400:
2395:
2391:
2386:
2381:
2377:
2373:
2368:
2363:
2359:
2355:
2351:
2344:
2341:
2329:
2325:
2319:
2316:
2311:
2307:
2302:
2297:
2293:
2289:
2285:
2281:
2277:
2273:
2269:
2262:
2259:
2254:
2250:
2246:
2242:
2238:
2234:
2230:
2226:
2222:
2218:
2217:Life Sciences
2214:
2207:
2205:
2203:
2201:
2199:
2197:
2195:
2191:
2179:
2175:
2169:
2166:
2161:
2159:9780128032008
2155:
2151:
2144:
2141:
2136:
2132:
2127:
2122:
2117:
2112:
2108:
2104:
2100:
2093:
2090:
2079:
2075:
2069:
2066:
2055:
2051:
2045:
2043:
2039:
2028:
2024:
2018:
2016:
2014:
2012:
2010:
2008:
2006:
2004:
2002:
2000:
1998:
1996:
1994:
1992:
1990:
1986:
1981:
1977:
1973:
1969:
1965:
1961:
1957:
1953:
1949:
1945:
1941:
1934:
1932:
1928:
1923:
1919:
1914:
1909:
1905:
1901:
1897:
1893:
1889:
1885:
1881:
1874:
1872:
1870:
1868:
1866:
1864:
1860:
1855:
1851:
1847:
1843:
1838:
1833:
1829:
1825:
1821:
1814:
1811:
1806:
1802:
1797:
1792:
1788:
1784:
1780:
1776:
1772:
1768:
1764:
1757:
1755:
1753:
1751:
1749:
1747:
1745:
1743:
1739:
1734:
1730:
1726:
1722:
1718:
1714:
1710:
1706:
1702:
1695:
1693:
1691:
1689:
1687:
1683:
1672:
1668:
1662:
1660:
1656:
1645:
1641:
1637:
1633:
1629:
1625:
1621:
1617:
1613:
1606:
1604:
1600:
1595:
1591:
1586:
1581:
1577:
1573:
1568:
1563:
1559:
1555:
1551:
1543:
1541:
1539:
1535:
1530:
1526:
1521:
1516:
1512:
1508:
1503:
1498:
1494:
1490:
1486:
1482:
1478:
1471:
1468:
1463:
1459:
1454:
1449:
1445:
1441:
1437:
1433:
1429:
1425:
1421:
1414:
1411:
1400:
1396:
1390:
1387:
1382:
1378:
1373:
1368:
1364:
1360:
1356:
1352:
1348:
1344:
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3078:Nephroptosis
2951:Interstitium
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2180:. 2015-12-24
2177:
2174:"Cystatin C"
2168:
2152:. Elsevier.
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68:inflammation
60:mitochondria
44:septic shock
30:
29:
3112:Major calyx
3093:Nephrogenic
2078:Mayo Clinic
1950:(1): 1–43.
1671:Mayo Clinic
1101:NO synthase
1016:reperfusion
791:respiratory
775:neutrophils
615:homeostasis
469:Vasculature
450:vasculature
407:Interleukin
323:Interleukin
103:antagonists
48:hypovolemia
3148:Categories
2791:Stem Cells
2654:2020-12-11
2417:2020-12-10
2334:2020-12-10
2223:: 117860.
2184:2020-12-07
2109:: 602526.
2083:2020-12-10
2059:2020-12-09
2032:2020-12-09
1676:2020-12-10
1649:2020-12-10
1404:2020-12-09
1160:References
1097:citrulline
1030:Fenoldopam
1008:Furosemide
954:Treatments
931:Renography
841:Sonography
741:Cystatin C
729:Creatinine
722:Biomarkers
688:creatinine
589:bradykinin
497:leukocytes
125:Infarction
79:cystatin C
3030:Nephrosis
3025:Nephritis
2751:1546-170X
2694:1389-2010
2610:1932-6203
2459:0161-5505
2376:1097-6647
2360:(1): 19.
2292:1555-9041
2253:219637062
2237:0024-3205
1964:1432-1912
1904:0066-4219
1846:0085-2538
1787:1555-9041
1725:1096-7192
1576:1046-6673
1511:1932-6203
1444:1931-857X
1363:2345-2781
1303:1741-7015
1287:(1): 11.
1246:1759-507X
1109:apoptosis
787:epithelia
735:Clusterin
593:histamine
575:autophagy
570:autophagy
559:Autophagy
514:Misfolded
501:platelets
462:autophagy
238:apoptosis
83:biomarker
75:clusterin
64:autophagy
40:apoptosis
3159:Ischemia
2981:Vascular
2920:Genetic
2904:proximal
2821:23766020
2769:22064429
2712:31038062
2628:29689116
2580:PLOS ONE
2558:26804756
2477:24549283
2394:21388544
2310:18337554
2245:32534037
2135:25013791
1980:25227803
1972:18038125
1922:26768243
1854:32331702
1805:19443624
1733:14654349
1644:25715659
1594:27932476
1529:26963819
1481:PLOS ONE
1462:22993069
1381:26060833
1321:21288330
1262:32234965
1254:21364518
1207:32234965
1199:21364518
1150:fibrosis
1113:cysteine
1093:arginine
1058:Bendavia
1052:Bendavia
1012:diuretic
884:stenosis
849:azotemia
783:prostate
287:such as
259:TGF-beta
204:Genetics
129:necrosis
99:agonists
87:Bendavia
35:ischemia
2891:Tubules
2812:3795813
2760:3886192
2703:6751352
2619:5915682
2588:Bibcode
2468:4061739
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2301:2386703
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1636:9431840
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1520:4786316
1489:Bibcode
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372:p22phox
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2249:S2CID
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1640:S2CID
1258:S2CID
1203:S2CID
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