2019
DOI: 10.15761/crt.1000260
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Role of ischemia-reperfusion in oxidative stress-mediated injury during kidney transplantation

Abstract: Renal transplant (RT) is the definitive treatment for end-stage renal disease, which is known as a high prevalence pathology with strong economic repercussion both for patients and health systems. Solid organ transplantation is a classically described clinical setting in which massive amounts of reactive oxygen species (ROS) are produced due to ischaemia-reperfusion, thus becoming an essential pathophysiological element involved in delayed graft function in the context of RT. Nevertheless, no clinical protocol… Show more

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Cited by 5 publications
(4 citation statements)
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“…Reperfusion inhibits the cytochrome c oxidase and increases NO levels. These parameters are responsible for protein and lipid peroxidation (which increases MDA levels) along with DNA damage, which further aggravates cell necrosis and apoptosis [ 19 , 20 ]. Because of the redox imbalance, a local and systemic inflammatory process is activated.…”
Section: Resultsmentioning
confidence: 99%
“…Reperfusion inhibits the cytochrome c oxidase and increases NO levels. These parameters are responsible for protein and lipid peroxidation (which increases MDA levels) along with DNA damage, which further aggravates cell necrosis and apoptosis [ 19 , 20 ]. Because of the redox imbalance, a local and systemic inflammatory process is activated.…”
Section: Resultsmentioning
confidence: 99%
“…One final point of interest is that ischaemia/reperfusion during transplantation is known to lead to very high ROS levels in the transplanted tissue [ 76 , 77 , 78 , 79 ]. Given the results shown here, it is tempting to speculate that ischaemia/reperfusion could also result in increased CMV reactivation in the allograft.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, excessive increase of ROS is also because of the decreased activity of a variety of antioxidant molecules such as superoxide dismutase, catalase, and glutathione peroxidase. These events influence the mitochondrial respiratory chain activity and burst ROS, resulting in oxidative damage to the bimolecular, including proteins, lipids, and DNA, ending in apoptosis and cell death [ 16 ]. Apoptosis occurs in response to hypoxic stress, resulting from ischemia and ROS production from reperfusion [ 17 ].…”
Section: Introductionmentioning
confidence: 99%