{"title":"Lessons Learned From Large Animal Models of Trauma-Induced AKI.","authors":"David M Burmeister, Julia N Nguyen, Ian J Stewart","doi":"10.1016/j.semnephrol.2025.151670","DOIUrl":"https://doi.org/10.1016/j.semnephrol.2025.151670","url":null,"abstract":"<p><p>Acute kidney injury (AKI) is a relatively common complication of trauma and is associated with significant morbidity and mortality in clinical studies. Given logistical and cost constraints, the majority of animal research on trauma-induced AKI is done in small animal models. However, large animal models have significant advantages from a scientific standpoint compared to small animal models because their size and anatomy are more analogous to humans. This review discusses a variety of trauma models in dogs, sheep, pigs, and nonhuman primates and the impact on AKI in several settings: hemorrhagic shock, ischemia-reperfusion injury, rhabdomyolysis, extracorporeal therapies, burns, and polytrauma.</p>","PeriodicalId":21756,"journal":{"name":"Seminars in nephrology","volume":" ","pages":"151670"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eeshrita Jog, Tongyu Wu, Joseph C Maggiore, Neil A Hukriede
{"title":"Nontraditional Models for Acute Kidney Injury Research: Organoids, Zebrafish, and More.","authors":"Eeshrita Jog, Tongyu Wu, Joseph C Maggiore, Neil A Hukriede","doi":"10.1016/j.semnephrol.2025.151668","DOIUrl":"https://doi.org/10.1016/j.semnephrol.2025.151668","url":null,"abstract":"<p><p>Acute kidney injury (AKI) is a condition that is associated with increased mortality in the clinic and currently has no Food and Drug Administration-approved drug intervention that prevents progression to chronic kidney disease. To address the lack of therapy, it is imperative to use multiple model systems that can recapitulate the complex pathophysiology of AKI. Rodent AKI models are the gold standard and are widely used, but their genetic, metabolic, and circadian cycle divergence from humans can create hurdles in translational research. Similarly, well-established two-dimensional cell lines lack the complexity necessary to model heterogeneous injury occurring in multiple distinct renal cell types during AKI events. Advances in three-dimensional kidney organoids and microfluidic model systems are increasingly bridging the gap by improving structural and functional similarities to human renal tissue. Zebrafish and Drosophila models also provide functionally relevant systems that allow for high-content screening capabilities in whole organisms. In this review, we summarize three-dimensional in vitro and nonmammalian model systems and discuss how these systems have provided researchers with valuable platforms for furthering AKI drug discovery efforts.</p>","PeriodicalId":21756,"journal":{"name":"Seminars in nephrology","volume":" ","pages":"151668"},"PeriodicalIF":3.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myeloid Cells in Acute Kidney Injury.","authors":"Yohan Park, Kurt A Zimmerman, Sarah J Miller","doi":"10.1016/j.semnephrol.2025.151666","DOIUrl":"10.1016/j.semnephrol.2025.151666","url":null,"abstract":"<p><p>Acute kidney injury (AKI) is a serious and common clinical condition characterized by a sudden decline in kidney function. Although kidney function decline is typically reversible, a certain subset of AKI patients eventually develop chronic kidney disease (CKD) and kidney failure. Immune cells are well-known mediators of injury sequelae. Myeloid cells such as neutrophils, dendritic cells, and macrophages drive the initial inflammatory response following AKI but can change their phenotype after resolution of the injury to promote repair. Failure to resolve the initial injury, or improper tubular repair, drives persistent myeloid cell accumulation that can result in the development of kidney fibrosis and CKD. In this review, we focus on the role of myeloid cells following AKI including the mechanisms through which they promote injury and repair.</p>","PeriodicalId":21756,"journal":{"name":"Seminars in nephrology","volume":" ","pages":"151666"},"PeriodicalIF":3.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin G Burfeind, Daiki Aomura, Jessica F Hebert, Michael P Hutchens
{"title":"When the Heart Hurts the Kidneys: From Flow to Translational Future.","authors":"Kevin G Burfeind, Daiki Aomura, Jessica F Hebert, Michael P Hutchens","doi":"10.1016/j.semnephrol.2025.151667","DOIUrl":"10.1016/j.semnephrol.2025.151667","url":null,"abstract":"<p><p>Acute cardiorenal syndrome (cardiorenal syndrome type 1, CRS1) is a common complication of the most common cause of death, cardiovascular disease, and therefore is of considerable importance. Foundational research over the last 100 years detailed the elegant interplay between cardiovascular function and tubuloglomerular feedback that underpins the classic description of CRS1. However, as research into acute kidney injury has elucidated important modifying factors in sex difference, immune regulation, and proximal tubule function, these areas are ripe for investigation in CRS1. Here, we briefly review the nascent state of knowledge regarding CRS1 in women and sex differences, immune contributions, and proximal tubule transport function.</p>","PeriodicalId":21756,"journal":{"name":"Seminars in nephrology","volume":" ","pages":"151667"},"PeriodicalIF":3.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12431675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}