Pharmacologic treatment of acute kidney injury: why drugs haven't worked and what is on the horizon

被引:187
作者
Jo, Sang Kyung [1 ]
Rosner, Mitchell H. [1 ]
Okusa, Mark D. [1 ]
机构
[1] Univ Virginia, Dept Med, Charlottesville, VA USA
来源
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY | 2007年 / 2卷 / 02期
关键词
D O I
10.2215/CJN.03280906
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Current strategies to limit the extent of injury in acute renal failure are based on extensive studies that identified cellular and molecular mechanisms of acute kidney injury. Despite successes in various animal models, translation to human studies has failed or studies are inconclusive. This review describes past failures and barriers to successful clinical trials. It also focuses on promising preclinical studies using novel compounds that currently are in or close to human investigation. Implementation of previous or novel compounds in well-designed clinical trials provides hope for the successful treatment of this devastating disorder.
引用
收藏
页码:356 / 365
页数:10
相关论文
共 116 条
[81]   Selective A2A adenosine receptor activation reduces ischemia-reperfusion injury in rat kidney [J].
Okusa, MD ;
Linden, J ;
Macdonald, T ;
Huang, LP .
AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY, 1999, 277 (03) :F404-F412
[82]   Enhanced protection from renal ischemia:: Reperfusion injury with A2A-adenosine receptor activation and PDE 4 inhibition [J].
Okusa, MD ;
Linden, J ;
Huang, LP ;
Rosin, DL ;
Smith, DF ;
Sullivan, G .
KIDNEY INTERNATIONAL, 2001, 59 (06) :2114-2125
[83]   Cell death induced by acute renal injury: a perspective on the contributions of apoptosis and necrosis [J].
Padanilam, BJ .
AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY, 2003, 284 (04) :F608-F627
[84]  
Palevsky Paul M, 2002, Curr Opin Crit Care, V8, P515, DOI 10.1097/00075198-200212000-00006
[85]   Urinary IL-18 is an early predictive biomarker of acute kidney injury after cardiac surgery [J].
Parikh, C. R. ;
Mishra, J. ;
Thiessen-Philbrook, H. ;
Dursun, B. ;
Ma, Q. ;
Kelly, C. ;
Dent, C. ;
Devarajan, P. ;
Edelstein, C. L. .
KIDNEY INTERNATIONAL, 2006, 70 (01) :199-203
[86]   Dynamics of mobilization and homing of endothelial progenitor cells after acute renal ischemia: modulation by ischemic preconditioning [J].
Patschan, Daniel ;
Krupincza, Krystina ;
Patschan, Susann ;
Zhang, Zhongtao ;
Hamby, Carl ;
Goligorsky, Michael S. .
AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY, 2006, 291 (01) :F176-F185
[87]  
Rabb H, 2001, CONTRIB NEPHROL, V132, P41
[88]  
Rabkin R, 2001, J AM SOC NEPHROL, V12, P531, DOI 10.1681/ASN.V123531
[89]   Protective effects of IL-6 blockade in sepsis are linked to reduced C5a receptor expression [J].
Riedemann, NC ;
Neff, TA ;
Guo, RF ;
Bernacki, KD ;
Laudes, IJ ;
Sarma, JV ;
Lambris, JD ;
Ward, PA .
JOURNAL OF IMMUNOLOGY, 2003, 170 (01) :503-507
[90]   Prevention of acute renal failure in the critically ill [J].
Ronco, C ;
Bellomo, R .
NEPHRON CLINICAL PRACTICE, 2003, 93 (01) :C13-C20