Cell-based strategies for the treatment of kidney dysfunction: a review.

Abstract:

:Conventional treatment of acute and chronic renal diseases has focused on solute removal. Novel strategies aim to treat the multifactorial disease states of acute kidney injury and chronic kidney disease by mitigating inflammation. Cell-based technologies for the treatment of kidney dysfunction fall under two broad categories: cell therapy and cell processing. Cell therapy utilizes cells that are isolated, cultured outside of the body, and reintroduced as therapy, leveraging beneficial metabolic and synthetic functions. For example, renal tubule cells have been used to provide gluconeogenesis, ammoniagenesis, metabolism of glutathione, catabolism of important peptide hormones, growth factors, and cytokines critical to multiorgan homeostasis and immunomodulation to treat renal dysfunction. Cell processing focuses on altering the characteristics of cell populations inside the body to provide therapy. The selective cytopheretic device is an example of this novel therapeutic strategy that aims to modulate the innate immune response during organ dysfunction, additional organ injury, by binding and deactivating leukocytes. In this review, both cell therapy and cell processing approaches will be discussed in the context of acute kidney injury and chronic renal disease.

journal_name

Blood Purif

journal_title

Blood purification

authors

Pino CJ,Yevzlin AS,Tumlin J,Humes HD

doi

10.1159/000341649

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

117-23

issue

2

eissn

0253-5068

issn

1421-9735

pii

000341649

journal_volume

34

pub_type

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