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Immunoregulatory mechanism of acute kidney injury in sepsis: A Narrative Review

2023/01/06 by Shujun Sun, Rui Chen, Xiaoke Dou +4
Biochemistry, Genetics and Molecular Biology · Immunology and Microbiology · Medicine · #Acute Kidney Injury Research #Immune Response and Inflammation #Inflammasome and immune disorders

paper · doi:10.1016/j.biopha.2022.114202

openalex publication_date 2023/01/06 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01

Abstract

Sepsis acute kidney injury (SAKI) is a common complication of sepsis, accounting for 26-50 % of all acute kidney injury (AKI). AKI is an independent risk factor for increased mortality risk in patients with sepsis. The excessive inflammatory cascade reaction in SAKI is one of the main causes of kidney damage. Both the innate immune system and the adaptive immune system are involved in the inflammation process of SAKI. Under the action of endotoxin, neutrophils, monocytes, macrophages, T cells and other complex immune network reactions occur, and a large number of endogenous inflammatory mediators are released, resulting in the amplification and loss of control of the inflammatory response. The study of immune cells in SAKI will help improve the understanding of the immune mechanisms of SAKI, and will lay a foundation for the development of new diagnostic and therapeutic targets. This article reviews the role of known immune mechanisms in the occurrence and development of SAKI, with a view to finding new targets for SAKI treatment.

Citations