The role of gadolinium chelates in the mechanism of nephrogenic systemic fibrosis: A critical update.

Abstract:

:Nephrogenic systemic fibrosis (NSF) is an iatrogenic scleroderma-like fibrosing systemic disorder occurring in patients with severe or end-stage renal disease. It was established as a new clinical entity in the year 2000. A causal role for gadolinium chelates (GC), widely used as contrast agents for magnetic resonance imaging, was suggested six years later. It rapidly appeared that the occurrence of NSF was associated with prior administration of GCs with lower thermodynamic stability, leading to warnings being published by health authorities and learned societies worldwide. Although a role for the chelated form of the less stable GCs has been proposed, the most commonly accepted hypothesis involves the gradual release of dissociated gadolinium in the body, leading to systemic fibrosis. However, the entire chain of events is still not fully understood in a causal way and many uncertainties remain.

journal_name

Crit Rev Toxicol

authors

Idée JM,Fretellier N,Robic C,Corot C

doi

10.3109/10408444.2014.955568

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

895-913

issue

10

eissn

1040-8444

issn

1547-6898

journal_volume

44

pub_type

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