Update on sepsis-associated acute kidney injury: emerging targeted therapies
- PMID: 27853353
- PMCID: PMC5106183
- DOI: 10.2147/BTT.S87385
Update on sepsis-associated acute kidney injury: emerging targeted therapies
Abstract
Sepsis-associated acute kidney injury (SA-AKI) is an independent predictor of increased mortality and morbidity. It is essential that further advances in the treatment of sepsis should prioritize targeted therapies in SA-AKI in order to improve these bleak outcomes. As yet, a unique therapy that effectively reduces the impact of acute kidney injury has not been demonstrated. However, the emergence of novel targeted therapies, perhaps in combination, has the possibility of significantly reducing the long-term sequelae of an episode of SA-AKI. In this review, we will focus on the shared etiology of these conditions and how this is managed with targeted therapy and finally the emerging novel therapies that may play an additional role to current treatment strategies.
Keywords: acute kidney injury; novel targeted therapy outcome; sepsis.
Conflict of interest statement
The authors report no conflicts of interest in this work.
Figures
Similar articles
-
Sepsis-associated acute kidney injury.Semin Nephrol. 2015 Jan;35(1):2-11. doi: 10.1016/j.semnephrol.2015.01.002. Semin Nephrol. 2015. PMID: 25795495 Free PMC article. Review.
-
Early recovery status and outcomes after sepsis-associated acute kidney injury in critically ill patients.Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022 May 28;47(5):535-545. doi: 10.11817/j.issn.1672-7347.2022.210368. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2022. PMID: 35753723 Free PMC article.
-
Prognostic and predictive value of endothelial dysfunction biomarkers in sepsis-associated acute kidney injury: risk-stratified analysis from a prospective observational cohort of pediatric septic shock.Crit Care. 2023 Jul 3;27(1):260. doi: 10.1186/s13054-023-04554-y. Crit Care. 2023. PMID: 37400882 Free PMC article.
-
A Precision Medicine Approach to Biomarker Utilization in Pediatric Sepsis-Associated Acute Kidney Injury.Front Pediatr. 2021 Apr 14;9:632248. doi: 10.3389/fped.2021.632248. eCollection 2021. Front Pediatr. 2021. PMID: 33937146 Free PMC article. Review.
-
Sepsis-associated acute kidney injury in the intensive care unit: incidence, patient characteristics, timing, trajectory, treatment, and associated outcomes. A multicenter, observational study.Intensive Care Med. 2023 Sep;49(9):1079-1089. doi: 10.1007/s00134-023-07138-0. Epub 2023 Jul 11. Intensive Care Med. 2023. PMID: 37432520 Free PMC article.
Cited by
-
Machine learning for the prediction of mortality in patients with sepsis-associated acute kidney injury: a systematic review and meta-analysis.BMC Infect Dis. 2024 Dec 21;24(1):1454. doi: 10.1186/s12879-024-10380-6. BMC Infect Dis. 2024. PMID: 39709376 Free PMC article.
-
Controversies Surrounding Albumin Use in Sepsis: Lessons from Cirrhosis.Int J Mol Sci. 2023 Dec 18;24(24):17606. doi: 10.3390/ijms242417606. Int J Mol Sci. 2023. PMID: 38139434 Free PMC article. Review.
-
RAB10 overexpression promotes tumor growth and indicates poor prognosis of hepatocellular carcinoma.Oncotarget. 2017 Apr 18;8(16):26434-26447. doi: 10.18632/oncotarget.15507. Oncotarget. 2017. PMID: 28460436 Free PMC article.
-
LncRNA CAIF suppresses LPS-induced inflammation and apoptosis of cardiomyocytes through regulating miR-16 demethylation.Immun Inflamm Dis. 2021 Dec;9(4):1468-1478. doi: 10.1002/iid3.498. Epub 2021 Sep 21. Immun Inflamm Dis. 2021. PMID: 34547186 Free PMC article.
-
A novel risk-predicted nomogram for sepsis associated-acute kidney injury among critically ill patients.BMC Nephrol. 2021 May 10;22(1):173. doi: 10.1186/s12882-021-02379-x. BMC Nephrol. 2021. PMID: 33971853 Free PMC article.
References
-
- Barbar SD, Binquet C, Monchi M, Bruyère R, Quenot JP. Impact on mortality of the timing of renal replacement therapy in patients with severe acute kidney injury in septic shock: the IDEAL-ICU study (initiation of dialysis early versus delayed in the intensive care unit): study protocol for a randomized controlled trial. Trials. 2014;15:270. - PMC - PubMed
-
- Mickells GE, Moge MA, Smith CM. Acute kidney injury in pediatric sepsis. Clin pediatr Emerg Med. 2014;15(2):185–192.
-
- Oppert M, Engel C, Brunkhorst FM, et al. Acute renal failure in patients with severe sepsis and septic shock – a significant independent risk factor for mortality: results from the German Prevalence Study. Nephrol Dial Transplant. 2008;23(3):904–909. - PubMed
-
- Prowle JR, Bellomo R. Sepsis-associated acute kidney injury: macrohemodynamic and microhemodynamic alterations in the renal circulation. Semin Nephrol. 2015;35(1):64–74. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials