High-Density Lipoproteins and Acute Kidney Injury

High-density lipoprotein (HDL) particles, best known for their anti-atherosclerotic effects, also may play a beneficial role during acute renal stress. HDL from healthy human beings also shows anti-inflammatory and anti-oxidant capacities, promotes endothelial function and repair, and serves as a sy...

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Veröffentlicht in:Seminars in nephrology 2020-03, Vol.40 (2), p.232-242
1. Verfasser: Smith, Loren E.
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description High-density lipoprotein (HDL) particles, best known for their anti-atherosclerotic effects, also may play a beneficial role during acute renal stress. HDL from healthy human beings also shows anti-inflammatory and anti-oxidant capacities, promotes endothelial function and repair, and serves as a systemic signaling mechanism facilitating rapid interorgan communication during times of physiologic stress. Higher concentrations of HDL are associated with less acute kidney injury after sepsis, cardiac and vascular surgery, and contrast-exposure during percutaneous coronary interventions. A better understanding of the interplay between HDL and the kidney both under homeostatic conditions and under acute physiologic stress could lead to the identification of novel risk factors and therapeutic targets for acute kidney injury prevention and treatment in the future.
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subjects acute kidney injury
Acute Kidney Injury - etiology
Acute Kidney Injury - metabolism
Animals
Cardiovascular Surgical Procedures
Contrast Media - adverse effects
contrast-induced AKI
High-density lipoproteins
Humans
Ischemia - complications
Ischemia - metabolism
Kidney Tubules, Proximal - metabolism
lipoproteins
Lipoproteins, HDL - metabolism
postoperative AKI
Postoperative Complications - metabolism
sepsis
Sepsis - complications
Sepsis - metabolism
Signal Transduction
Stress, Physiological
title High-Density Lipoproteins and Acute Kidney Injury
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