ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2012, Vol. 21 ›› Issue (3): 287-290.

• 论文 • 上一篇    下一篇

移植肾缺血-再灌注损伤与炎症和微血管病变

  

  • 出版日期:2012-06-28 发布日期:2012-06-25

Inflammation and microvasculopathy in ischemia-reperfusion injury in renal transplantation

  • Online:2012-06-28 Published:2012-06-25

摘要:

摘 要 移植肾早期不可避免的存在缺血再灌注损伤,它对移植肾的早期恢复和远期预后均有重要影响。缺血-再灌注既可损伤肾小管上皮细胞,也可导致间质炎症和间质微血管病,而后者是IRI引起肾功能障碍的关键原因。缺血后微血管病以内皮细胞肿胀和随之而来的微血管闭塞为特征,导致再灌注不能顺利进行(无复流现象)。内皮细胞功能障碍机制的阐明为移植肾缺血-再灌注损伤的治疗提供了新的思路。

关键词: 关键词  , 肾移植 缺血再灌注损伤 炎症 微血管病变

Abstract:

ABSTRACT  Ischemia-reperfusion injury (IRI) has been an inevitable event accompanying kidney transplantation. It has a profound influence on both the early and the late function of a transplanted kidney. Ischemia-reperfusion does not exclusively lead to alterations of epithelial cells but also causes interstitial inflammation and interstitial microvasculopathy. Both inflammation and microvasculopathy are particularly important in terms of post-ischemic kidney repair. Post-ischemic microvasculopathy is characterized by endothelial cell swelling with subsequent microvascular occlusion. Thus, reperfusion is inhibited (no-reflow phenomenon). Such endothelial cell dysfunction offers new therapeutic perspectives in IRI in renal transplantation.

Key words: Key words , renal transplantation , ischemia-reperfusion injury , inflammation microvasculopathy