Ischemic acute kidney injury and klotho in renal transplantation.

Abstract:

:Post-transplant ischemic acute kidney injury (AKI), secondary to ischemia reperfusion injury (IRI), is a major problem influencing on the short and long term graft and patient survival. Many molecular and cellular modifications are observed during IRI, for example, tissue damage result production of reactive oxygen species (ROS), cytokines, chemokines, and leukocytes recruitment which are activated by NF-κB (nuclear factor kappa B) signaling pathway. Therefore, inhibiting these processes can significantly protect renal parenchyma from tissue damage. Klotho protein, mainly produced in distal convoluted tubules (DCT), is an anti-senescence protein. There is increasing evidence to confirm a relationship between Klotho levels and renal allograft function. Many studies have also demonstrated that expression of the Klotho gene would be down regulated with IRI, so it will be used as an early biomarker for acute kidney injury after renal transplantation. Other studies suggest that Klotho may have a renoprotective effect for attenuating of kidney injury. In this review, we will discuss pathophysiology of IRI-induced acute kidney injury and its relation with klotho level in renal transplantation procedure.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Panah F,Ghorbanihaghjo A,Argani H,Asadi Zarmehri M,Nazari Soltan Ahmad S

doi

10.1016/j.clinbiochem.2018.03.022

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

3-8

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(18)30209-1

journal_volume

55

pub_type

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