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Renal effects of tr...
Renal effects of treatment with a TLR4-inhibitor in conscious septic sheep
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- Fenhammar, Johan (författare)
- Karolinska Institutet
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- Rundgren, Mats (författare)
- Karolinska Institutet
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- Hultenby, Kjell (författare)
- Karolinska Institutet
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- Forestier, Jakob (författare)
- Karolinska Institutet
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- Taavo, Micael (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Kenne, Ellinor (författare)
- Karolinska Institutet
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- Weitzberg, Eddie (författare)
- Karolinska Institutet
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Eriksson, Stefan (författare)
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- Ozenci, Volkan (författare)
- Karolinska Institutet
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- Wernerson, Annika (författare)
- Karolinska Institutet
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- Frithiof, Robert (författare)
- Karolinska Institutet,Uppsala universitet,Anestesiologi och intensivvård
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(creator_code:org_t)
- 2014-09-03
- 2014
- Engelska.
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Ingår i: Critical Care. - : Springer Science and Business Media LLC. - 1364-8535 .- 1466-609X. ; 18:5, s. 488-
- Relaterad länk:
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https://uu.diva-port... (primary) (Raw object)
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https://ccforum.biom...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Introduction: Acute kidney injury (AKI) is a common and feared complication of sepsis. The pathogenesis of sepsis-induced AKI is largely unknown, and therapeutic interventions are mainly supportive. In the present study, we tested the hypothesis that pharmacological inhibition of Toll-like receptor 4 (TLR4) would improve renal function and reduce renal damage in experimental sepsis, even after AKI had already developed. Methods: Sheep were surgically instrumented and subjected to a 36-hour intravenous infusion of live Escherichia coli. After 12 hours, they were randomized to treatment with a selective TLR4 inhibitor (TAK-242) or vehicle. Results: The E. coli caused normotensive sepsis characterized by fever, increased cardiac index, hyperlactemia, oliguria, and decreased creatinine clearance. TAK-242 significantly improved creatinine clearance and urine output. The increase in N-acetyl-beta-D-glucosaminidas, a marker of tubular damage, was attenuated. Furthermore, TAK-242 reduced the renal neutrophil accumulation and glomerular endothelial swelling caused by sepsis. These effects were independent of changes in renal artery blood flow and renal microvascular perfusion in both cortex and medulla. TAK-242 had no effect per se on the measured parameters. Conclusions: These results show that treatment with a TLR4 inhibitor is able to reverse a manifest impairment in renal function caused by sepsis. In addition, the results provide evidence that the mechanism underlying the effect of TAK-242 on renal function does not involve improved macro-circulation or micro-circulation, enhanced renal oxygen delivery, or attenuation of tubular necrosis. TLR4-mediated inflammation resulting in glomerular endothelial swelling may be an important part of the pathogenesis underlying Gram-negative septic acute kidney injury.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Fenhammar, Johan
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Rundgren, Mats
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Hultenby, Kjell
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Forestier, Jakob
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Taavo, Micael
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Kenne, Ellinor
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visa fler...
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Weitzberg, Eddie
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Eriksson, Stefan
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Ozenci, Volkan
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Wernerson, Annik ...
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Frithiof, Robert
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
- Artiklar i publikationen
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Critical Care
- Av lärosätet
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Uppsala universitet
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Karolinska Institutet