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Chronic kidney disease kidney transplantation and oxidative stress: a new look to successful kidney transplantation

机译:慢性肾脏疾病肾脏移植和氧化应激:成功肾脏移植的新面貌

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摘要

Oxidative stress plays a key role in the pathophysiological process of uremia and its complications, particularly in cardiovascular disease. The level of oxidative stress markers is known to increase as chronic kidney disease progresses and correlates significantly with the level of renal function. Hemodialysis and peritoneal dialysis are major modes of renal replacement therapy for end-stage renal disease patients, but unfortunately they are also accompanied by increased oxidative stress. Successful kidney transplantation, however, results in near normalization of the antioxidant status and lipid metabolism by eliminating free radicals despite the surge of oxidative stress caused by the surgical procedure and ischemic injury to the organ during the operation. This success is associated with both improved renal function, reduced cardiovascular complications and overall improved morbidity and mortality. Measuring oxidative stress markers such as malondialdehyde is promising in predicting allograft survival and delayed graft function.
机译:氧化应激在尿毒症及其并发症(尤其是心血管疾病)的病理生理过程中起着关键作用。氧化应激标志物的水平随着慢性肾脏疾病的进展而增加,并且与肾功能水平显着相关。血液透析和腹膜透析是终末期肾脏疾病患者的肾脏替代治疗的主要方式,但不幸的是,它们还伴随着氧化应激的增加。然而,成功的肾脏移植手术消除了自由基,尽管由于外科手术引起的氧化应激激增以及手术期间器官的缺血性损伤,但仍能通过消除自由基来使抗氧化剂状态和脂质代谢接近正常。这种成功与改善肾功能,减少心血管并发症以及总体改善发病率和死亡率有关。测量氧化应激标志物(如丙二醛)有望预测同种异体移植物的存活和移植物功能的延迟。

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