Ischemic renal injury: can renal anatomy and associated vascular congestion explain why the medulla and not the cortex is where the trouble starts?

SC Ray, J Mason, PM O'Connor - Seminars in nephrology, 2019 - Elsevier
The kidneys receive approximately 20% of cardiac output and have a low fractional oxygen
extraction. Quite paradoxically, however, the kidneys are highly susceptible to ischemic …

Acute ischemic renal failure: review of experimental studies on pathophysiology and potential protective interventions

M Mohaupt, HJ Kramer - Renal failure, 1989 - Taylor & Francis
More than 70% of acute renal failure in man is of circulatory nature and results from hypoxic
injury to the kidney. Since intrarenal hemodynamic and metabolic events cannot be …

Lipopolysaccharide pretreatment prevents medullary vascular congestion following renal ischemia by limiting early reperfusion of the medullary circulation

SR McLarnon, K Wilson, B Patel, J Sun… - Journal of the …, 2022 - journals.lww.com
Background Vascular congestion of the renal medulla—trapped red blood cells in the
medullary microvasculature—is a hallmark finding at autopsy in patients with ischemic acute …

Hidden in plain sight: does medullary red blood cell congestion provide the explanation for ischemic acute kidney injury?

SC McLarnon, C Johnson, P Giddens… - Seminars in …, 2022 - Elsevier
Acute kidney injury (AKI) represents a sudden reduction in renal function and is a major
clinical problem with a high mortality rate. Despite decades of research, there are currently …

What makes the kidney susceptible to hypoxia?

RG Evans, DW Smith, CJ Lee, JP Ngo… - The Anatomical …, 2020 - Wiley Online Library
Per gram of tissue, the kidneys are among our most highly perfused organs. Yet the renal
cortex and, in particular, the renal medulla are susceptible to hypoxia. In turn, hypoxia is a …

The case for oxygen free radicals in the pathogenesis of ischemic acute renal failure

C Canavese, P Stratta, A Vercellone - Nephron, 1988 - karger.com
One of the more glaring paradoxes of ischemic acute renal failure is that such injury appears
to be worse in the kidney as opposed to other organs, even thouth the kidney is the best …

The role of medullary ischemia in acute renal failure.

SN Heyman, S Fuchs, M Brezis - New horizons (Baltimore, Md.), 1995 - europepmc.org
The introduction of new techniques for the determination of renal parenchymal oxygenation
and intrarenal microcirculation has elucidated some important aspects in the …

[PDF][PDF] Ischaemia and reperfusion injury in the kidney: current status and future direction

RG Woolfson, CGM Millar, GH Neild - Nephrology Dialysis …, 1994 - academia.edu
Both the interruption and subsequent restoration of blood flow (reperfusion) can cause
tissue injury in any organ although the consequences vary greatly. The impact is most …

[引用][C] Hypoxia of the renal medulla

FH EPSTEIN - QJM: An International Journal of Medicine, 1985 - academic.oup.com
The kidney poses an interesting paradox with regard to the adequacy of its oxygen supply.
Its flow of blood is high in relation to its weight, and renal arteriovenous oxygen difference is …

Cellular mechanisms of acute ischemic injury in the kidney

M Brezis, FH Epstein - Annual review of medicine, 1993 - annualreviews.org
Hypoxic injury to tubular cells represents an early event in acute renal failure. Although
important advances have been made in the understanding of hypoxic injury at the cellular …