ISSN 1006-298X      CN 32-1425/R

导航

肾脏病与透析肾移植杂志 ›› 2014, Vol. 23 ›› Issue (5): 486-490.

• 论文 • 上一篇    下一篇

心脏死亡器官捐献供肾的缺血再灌注损伤

  

  • 出版日期:2014-10-28 发布日期:2014-11-03

Donation after cardiac death and renal ischemia reperfusion injury

  • Online:2014-10-28 Published:2014-11-03

摘要:

摘要 心脏死亡器官捐献(DCD)供肾移植后移植肾功能延迟恢复(DGF)发生率明显高于传统尸体供肾,其根本原因是DCD供肾缺血再灌注损伤(IRI)。最近研究发现DCD供者体内补体C3a和 C5a活化与供肾缺血再灌注损伤密切相关。本文就此最近研究进展作一综述。该研究将完善对C3a和C5a激活在DCD供肾IRI中作用机制的认识,并为DCD供肾IRI的防治寻找新的靶点。

关键词: 肾移植, 心脏死亡器官捐献, 缺血再灌注损伤, 机制

Abstract:

ABSTRACT It has been reported that the delayed graft function (DGF) incidence of donation after cardiac death (DCD) donor renal transplantation was significantly higher than that of traditional cadaveric donor, the fundamental reason is renal ischemia reperfusion injury (IRI) in DCD. Recent studies have found that C3a and C5a activation in the DCD is closely related to renal ischemia reperfusion injury. This paper will review the recent researches on the pathogenesis of C3a and C5a activation in the role of the DCD renal IRI for finding a new therapy trarget in the management of C3a and C5a activation in renal IRI of DCD.

Key words: renal transplantation, Organ donation after cardiac death, ischemia reperfusion injury, mechanism