Mediators of inflammation in acute kidney injury

Mediators Inflamm. 2009:2009:137072. doi: 10.1155/2009/137072. Epub 2010 Feb 21.

Abstract

Acute kidney injury (AKI) remains to be an independent risk factor for mortality and morbidity. Inflammation is now believed to play a major role in the pathophysiology of AKI. It is hypothesized that in ischemia, sepsis and nephrotoxic models that the initial insult results in morphological and/or functional changes in vascular endothelial cells and/or in tubular epithelium. Then, leukocytes including neutrophils, macrophages, natural killer cells, and lymphocytes infiltrate into the injured kidneys. The injury induces the generation of inflammatory mediators like cytokines and chemokines by tubular and endothelial cells which contribute to the recruiting of leukocytes into the kidneys. Thus, inflammation has an important role in the initiation and extension phases of AKI. This review will focus on the mediators of inflammation contributing to the pathogenesis of AKI.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Acute Kidney Injury / mortality
  • Acute Kidney Injury / pathology
  • Acute Kidney Injury / physiopathology*
  • Cell Adhesion Molecules / metabolism
  • Chemokines / immunology
  • Complement System Proteins / immunology
  • Cytokines / immunology
  • Endoplasmic Reticulum / metabolism
  • Endothelial Cells / cytology
  • Endothelial Cells / metabolism
  • Humans
  • Inflammation / metabolism*
  • Inflammation Mediators / metabolism*
  • Kidney Tubules / metabolism
  • Kidney Tubules / pathology
  • Stress, Physiological
  • Toll-Like Receptors / immunology

Substances

  • Cell Adhesion Molecules
  • Chemokines
  • Cytokines
  • Inflammation Mediators
  • Toll-Like Receptors
  • Complement System Proteins