Universität zu Köln

Voggel, Jenny ORCID: 0000-0001-9120-2203, Mohr, Jasmine, Nuesken, Kai-Dietrich, Doetsch, Jorg, Nuesken, Eva and Alcazar, Miguel A. Alejandre (2022). Translational insights into mechanisms and preventive strategies after renal injury in neonates. Semin. Fetal Neonatal Med., 27 (1). OXFORD: ELSEVIER SCI LTD. ISSN 1878-0946

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Abstract

Adverse perinatal circumstances can cause acute kidney injury (AKI) and contribute to chronic kidney disease (CKD). Accumulating evidence indicate that a wide spectrum of perinatal conditions interferes with normal kidney development and ultimately leads to aberrant kidney structure and function later in life. The present review addresses the lack of mechanistic knowledge with regard to perinatal origins of CKD and provides a comprehensive overview of pre- and peri-natal insults, including genetic predisposition, suboptimal nutritional supply, obesity and maternal metabolic disorders as well as placental insufficiency leading to intrauterine growth restriction (IUGR), prematurity, infections, inflammatory processes, and the need for life-saving treatments (e.g. oxygen supplementation, mechanical ventilation, medications) in neonates. Finally, we discuss future preventive, therapeutic, and regenerative directions. In summary, this review highlights the perinatal vulnerability of the kidney and the early origins of increased susceptibility toward AKI and CKD during postnatal life. Promotion of kidney health and prevention of disease require the understanding of perinatal injury in order to optimize perinatal micro- and macro-environments and enable normal kidney development.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Voggel, Jenny UNSPECIFIED orcid.org/0000-0001-9120-2203 UNSPECIFIED Mohr, Jasmine UNSPECIFIED UNSPECIFIED UNSPECIFIED Nuesken, Kai-Dietrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Doetsch, Jorg UNSPECIFIED UNSPECIFIED UNSPECIFIED Nuesken, Eva UNSPECIFIED UNSPECIFIED UNSPECIFIED Alcazar, Miguel A. Alejandre UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-663029
DOI:	10.1016/j.siny.2021.101245
Journal or Publication Title:	Semin. Fetal Neonatal Med.
Volume:	27
Number:	1
Date:	2022
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1878-0946
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ACUTE KIDNEY INJURY; FETAL-GROWTH RESTRICTION; LOW-BIRTH-WEIGHT; FATTY-ACID SUPPLEMENTATION; LOW-PROTEIN DIET; MATERNAL NUTRIENT RESTRICTION; GLOMERULAR-FILTRATION-RATE; RENIN-ANGIOTENSIN SYSTEM; BODY-MASS INDEX; BLOOD-PRESSURE Multiple languages Pediatrics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66302