Metabolic Reprogramming and Host Tolerance: A Novel Concept to Understand Sepsis-Associated AKI.

ABSTRACT: Acute kidney injury (AKI) is a frequent complication of sepsis that increases mortality and the risk of progression to chronic kidney disease. However, the mechanisms leading to sepsis-associated AKI are still poorly understood. The recognition that sepsis induces organ dysfunction in the absence of overt necrosis or apoptosis has led to the consideration that tubular epithelial cells (TEC) may deploy defense mechanisms to survive the insult. This concept dovetails well with the notion that the defense against infection does not only depend on the capacity of the immune system to limit the microbial load (known as resistance), but also on the capacity of cells and tissues to limit tissue injury (known as tolerance). In this review, we discuss the importance of TEC metabolic reprogramming a

SUBMITTER: Toro J 

PROVIDER: S-EPMC8471000 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature