器官间的相互作用:肾脏在全身健康和疾病中的作用。

IF 9.2 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Carmine Zoccali, Rajiv Agarwal, Francesca Mallamaci, Kitty J Jager, Vianda Stel, Mehmet Kanbay, Carol Pollock, Kamyar Kalantar-Zadeh, Claudio Ronco, Raymond Vanholder
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引用次数: 0

摘要

本文综述了器官间串扰在全身健康中的重要作用,重点介绍了肾脏与心脏、骨髓、肺、肝、肠、骨血管和神经系统的相互作用。这些相互作用对维持生理稳态至关重要,并由激素、细胞因子和代谢物介导。肾脏在这些网络中的作用是关键的,因为功能障碍会加剧全身性疾病,因此需要综合治疗策略。慢性肾脏疾病和急性肾损伤是肾脏功能障碍如何影响其他器官,导致复杂疾病状态的关键例子。中心思想是肾脏在生理过程的网络中发挥作用,影响和被其他器官影响。本文综述了肾脏相关器官间通讯的机制,强调了这些相互作用在疾病进展中的重要性。我们将探索先进的计算模型和多组学方法如何增强我们对这些复杂网络的理解,为精准医疗铺平道路。从这项工作中获得的见解强调了未来研究开发针对这些复杂途径的创新治疗方法的潜力。通过促进跨学科合作和利用新兴技术,我们的目标是解决系统性疾病的多面性,为治疗干预提供新的途径。这篇综述代表了从还原论到综合方法的范式转变,强调了人体健康中系统平衡和适应的重要性,并为未来探索身体系统的相互联系奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inter-organ crosstalk: The kidney's role in systemic health and disease.

This review elucidates the critical role of inter-organ crosstalk in systemic health, focusing on the kidney's interactions with the heart, bone marrow, lung, liver, intestine, bone-vascular, and nervous system. These interactions are vital for maintaining physiological homeostasis and are mediated by hormones, cytokines, and metabolites. The kidney's role in these networks is pivotal, as dysfunction can exacerbate systemic diseases, highlighting the need for integrated therapeutic strategies. Chronic kidney disease and acute kidney injury serve as key examples of how kidney dysfunction impacts other organs, leading to complex disease states. The central idea is that the kidney functions within a network of physiological processes, influencing and being influenced by other organs. This review provides an overview of the mechanisms underlying kidney-related inter-organ communication, emphasizing the significance of these interactions in disease progression. We explore how advanced computational models and multi-omics approaches can enhance our understanding of these complex networks, paving the way for precision medicine. The insights derived from this work underscore the potential for future research in developing innovative treatments that target these intricate pathways. By fostering interdisciplinary collaboration and leveraging emerging technologies, we aim to address the multifaceted nature of systemic diseases, offering new avenues for therapeutic intervention. This review represents a paradigm shift from reductionist to integrative approaches, emphasizing the importance of systemic balance and adaptation in human health, and sets the stage for future exploration into the interconnectedness of body systems.

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来源期刊
Journal of Internal Medicine
Journal of Internal Medicine 医学-医学:内科
CiteScore
22.00
自引率
0.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: JIM – The Journal of Internal Medicine, in continuous publication since 1863, is an international, peer-reviewed scientific journal. It publishes original work in clinical science, spanning from bench to bedside, encompassing a wide range of internal medicine and its subspecialties. JIM showcases original articles, reviews, brief reports, and research letters in the field of internal medicine.
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