Seminars in nephrology

How Sudden Kidney Injury May Lead to Long-Term Kidney Disease: Clinical Signs, Underlying Causes, and Potential Use of Traditional Chinese Medicine

Updated

Abstract

Acute kidney injury (AKI) is associated with increased risks of acute kidney disease, chronic kidney disease, and higher mortality.

  • AKI is common in hospitalized patients and may lead to a continuum of kidney-related diseases.
  • The transition from AKI to chronic kidney disease is characterized by maladaptive repair processes in kidney cells.
  • Key mechanisms involved include cellular arrest, sustained signaling that promotes fibrosis, and reduced blood supply leading to low oxygen levels.
  • Injuries are exacerbated by specific cell death pathways and ongoing inflammation.
  • Cellular aging in kidney cells contributes to a proinflammatory environment that may lead to permanent damage.
  • There is a need for effective therapies, with traditional Chinese medicine showing potential as a treatment option.

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