Inflammation and innate immunity in renal ischemia/reperfusion injury

Autor: Vries, D.K. de
Přispěvatelé: Bockel, J.H. van, Schaapherder, A.F.M., Leiden University, Lindeman, J.H.N.
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: None
Popis: The studies in this thesis describe the systematical search for factors involved in the pathophysiology of human renal I/R injury. Many of the processes assumed to be involved in renal I/R injury based on animal studies could not be confirmed in our clinical study in humans. However, we found new evidence of complement activation and endothelial cell activation in human renal I/R injury. Moreover, there were large differences between deceased and living donor kidneys; brain dead donor kidneys have a unique proinflammatory cytokine release after reperfusion. Finally it appears that both brain dead and cardiac dead donor kidneys are not able to upregulate their metabolism-related genes upon reperfusion as living donor kidneys do, indicating that failure to restart metabolism may be a factor expanding I/R injury. All of these findings contribute to the understanding of renal I/R injury in humans and instigate the further search for therapeutical modalities to limit renal I/R injury.
Databáze: OpenAIRE