Acute kidney injury: a conspiracy of toll-like receptor 4 on endothelia, leukocytes, and tubules

Ischemic acute kidney injury (AKI) contributes to considerable morbidity and mortality in hospitalized patients and can contribute to rejection during kidney transplantation. Maladaptive immune responses can exacerbate injury, and targeting these responses holds promise as therapy for AKI. In the la...

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Veröffentlicht in:Pediatric nephrology (Berlin, West) West), 2012-10, Vol.27 (10), p.1847-1854
Hauptverfasser: Lu, Christopher Y., Winterberg, Pamela D., Chen, Jianlin, Hartono, John R.
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container_end_page 1854
container_issue 10
container_start_page 1847
container_title Pediatric nephrology (Berlin, West)
container_volume 27
creator Lu, Christopher Y.
Winterberg, Pamela D.
Chen, Jianlin
Hartono, John R.
description Ischemic acute kidney injury (AKI) contributes to considerable morbidity and mortality in hospitalized patients and can contribute to rejection during kidney transplantation. Maladaptive immune responses can exacerbate injury, and targeting these responses holds promise as therapy for AKI. In the last decade, a number of molecules and receptors were identified in the innate immune response to ischemia–reperfusion injury. This review primarily focuses on one pathway that leads to maladaptive inflammation: toll-like receptor 4 (TLR4) and one of its ligands, high mobility group box protein 1 (HMGB1). The temporal–spatial roles and potential therapeutics targeting this particular receptor–ligand interaction are also explored.
doi_str_mv 10.1007/s00467-011-2029-0
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subjects Acute Kidney Injury - immunology
Acute Kidney Injury - pathology
Animals
Chromosomal proteins
Conspiracy
Endothelial Cells - immunology
Endothelial Cells - pathology
HMGB1 Protein - metabolism
Humans
Immune system
Immunity, Innate
Infections
Inflammation
Inflammation - immunology
Ischemia
Kidney diseases
Kidney transplants
Kidney Tubules - immunology
Kidney Tubules - pathology
Leukocytes
Leukocytes - immunology
Leukocytes - pathology
Ligands
Medicine
Medicine & Public Health
Mortality
Mutation
Nephrology
Pathogenesis
Pathogens
Pediatrics
Review
Signal Transduction
Toll-Like Receptor 4 - metabolism
Urology
title Acute kidney injury: a conspiracy of toll-like receptor 4 on endothelia, leukocytes, and tubules
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