Nephropathy and nephrotoxicity are significant causes of renal impairment, with both conditions contributing to a substantial global healthcare burden. Nephropathy encompasses a range of kidney diseases, including glomerulonephritis, diabetic nephropathy, hypertensive nephropathy, and polycystic kidney disease, each with distinct pathophysiological mechanisms and clinical manifestations. Nephrotoxicity, often induced by environmental toxins or medications, can lead to acute kidney injury (AKI) or chronic kidney disease (CKD) if not properly managed. Understanding the underlying processes and risk factors for kidney damage is crucial to preventing and treating these conditions effectively. However, while considerable research exists on each of these topics, there remains a gap in integrated knowledge regarding the diverse pathophysiological pathways, the role of early detection, and the optimal management strategies for nephropathy and nephrotoxicity. While substantial research has been conducted on nephropathy and nephrotoxicity, there remains a year gap in fully understanding the diverse mechanisms of kidney damage across different etiologies and their long-term implications for renal health. This work aimed to fill this gap by synthesizing current research on the pathophysiology, clinical manifestations, and treatment approaches for both nephropathy and nephrotoxicity. Major findings highlight the importance of early detection through biomarkers, the need for vigilant monitoring of renal function, and the role of avoiding nephrotoxic agents in both medical and environmental contexts. The paper also emphasizes the critical role of individualized treatment approaches, including the careful use of medications to prevent drug-induced nephropathy.
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http://dx.doi.org/10.1515/jbcpp-2024-0220 | DOI Listing |
Cells
March 2025
Division of Renal Disease and Hypertension, Department of Medicine, School of Medicine, University of Colorado, Aurora, CO 80045, USA.
Nephrin is an essential constituent of the slit diaphragm of the kidney filtering unit. Loss of nephrin expression leads to protein leakage into the urine, one of the hallmarks of kidney damage. Autoantibodies against nephrin have been reported in patients with minimal change disease and recurrent focal segmental glomerulosclerosis.
View Article and Find Full Text PDFNephrol Ther
March 2025
Département de néphrologie et transplantation d’organe, CHU Toulouse, France
Due to increased use of kidneys from extended criteria donors, there is an increase early use of belatacept to avoid the nephrotoxicity of calcineurin inhibitors. A belatacept calcineurin inhibitors-free regimen is associated with an increased risk of T-cell mediated rejection and opportunistic infections, particularly cytomegalovirus infection. To prevent cytomegalovirus infection, a novel anti-viral drug, letermovir, is now available.
View Article and Find Full Text PDFBMC Nephrol
March 2025
Department of Emergency Center, Shandong University of Traditional Chinese Medicine Affiliated Hospital, No. 42, Wenhua West Road, Jinan, Shandong, 250014, China.
Objective: N-acetylcysteine (NAC) has antioxidant effects in reducing acute kidney injury. This study systematically reviewed and assessed the efficacy of NAC in preventing antimicrobials induced nephrotoxicity.
Methods: Pubmed, Embase, Web of Science, and the Cochrane Library were searched extensively for relevant studies that evaluating NAC on antimicrobials induced nephrotoxicity until June 1, 2024.
Phytomedicine
February 2025
Nephropathy Department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, 250014, PR China. Electronic address:
Background: The clinical application of cyclosporine A (CsA) is limited due to nephrotoxicity. Lipid metabolism disorders play important roles in renal injury, but their role in CsA nephrotoxicity is not yet clear. Huangqi (Astragalus mongholicus Bunge) and Danshen (Salvia miltiorrhiza Bunge) (HD) play roles in ameliorating the nephrotoxicity of CsA, but their mechanisms still need to be fully clarified.
View Article and Find Full Text PDFIran J Kidney Dis
February 2025
Gaziantep University Medical Faculty, Department of Urology, Gaziantep, Turkey.
Introduction: This study was conducted to evaluate the predictive power of the Surgical Apgar Score (SAS) based on surgical blood loss, the lowest intraoperative heart rate and mean arterial pressure in foreseeing short- and long-term effects of radical nephrectomy (RN) on renal function.
Methods: A prospective investigation was conducted on 111 patients who underwent RN for kidney tumors at a tertiary hospital between 2016 and 2019. The SAS and age-adjusted Charlson Comorbidity Index (CCI) scores were calculated in relation to glomerular filtration rates (GFR) changes on postoperative 1st day, 3rd and 12th months.
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