Publications by authors named "Maxime Schleef"

Article Synopsis
  • Conventional kidney function tests like glomerular filtration rate offer limited insight, while advanced multi-parametric and multi-nuclear MRI techniques provide a more comprehensive understanding of kidney physiology, including assessing perfusion and tissue characteristics without invasive methods.
  • Multi-parametric MRI can evaluate critical aspects of kidney health, such as fibrosis and oxygenation, while multi-nuclear MRI techniques like sodium and phosphorus MRI enable insights into sodium storage and oxidative metabolism, relevant for conditions like chronic kidney disease.
  • These non-invasive MRI techniques are particularly advantageous for pediatric patients, allowing for longitudinal assessments and improved understanding of kidney function with minimal risk and short acquisition times.
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The consequences of partial nephrectomy (PN) compared to radical nephrectomy (RN) are less documented in patients with pre-existing chronic kidney disease (CKD) or with solitary kidney (SK). We assessed renal outcomes, and their determinants, after PN or RN in a retrospective cohort of patients with moderate-to-severe CKD (RN-CKD and PN-CKD) or SK (PN-SK). All surgical procedures conducted between 2013 and 2018 in our institution in patients with pre-operative estimated glomerular filtration rate (eGFR)<60 mL/min/1.

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Cyclosporine A (CsA) preconditioning is known to target mitochondrial permeability transition pore and protect renal function after ischemia reperfusion (IR). The upregulation of heat-shock protein 70 (Hsp70) expression after CsA injection is thought to be associated with renal protection. The aim of this study was to test the effect of Hsp70 expression on kidney and mitochondria functions after IR.

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Purpose Of Review: Chronic kidney disease (CKD) is highly prevalent in patients with heart failure and reduced ejection fraction (HFrEF), representing a major factor of adverse outcomes. In clinical practice, it is one of the main reasons for not initiating, not titrating, and even withdrawing efficient heart failure drug therapies in patients.

Recent Findings: Despite limited data, studies show that HFrEF therapies maintain their benefits on cardiovascular outcomes in patients with CKD.

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Renal ischemia-reperfusion (IR) injury can lead to acute kidney injury, increasing the risk of developing chronic kidney disease. We hypothesized that mild therapeutic hypothermia (mTH), 34 °C, applied during ischemia could protect the function and structure of kidneys against IR injuries in mice. In vivo bilateral renal IR led to an increase in plasma urea and acute tubular necrosis at 24 h prevented by mTH.

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