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February 1, 2024International Journal of Molecular SciencesOpen Access

From Acute to Chronic: Unraveling the Pathophysiological Mechanisms of the Progression from Acute Kidney Injury to Acute Kidney Disease to Chronic Kidney Disease

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Authors

TYTzu-Hsuan YehKTKuan-Chieh TuHWHsien‐Yi Wang

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Overview

Review uncovers molecular pathways driving acute-to-chronic kidney injury progression, highlighting the therapeutic potential of renin-angiotensin system inhibition.

Key Points

  • To delineate the biomarkers, pathophysiological mechanisms, and key signaling pathways driving the transition from acute kidney injury and acute kidney disease to chronic kidney disease.
  • Categorized acute kidney injury biomarkers across functional, damage, and stress classifications for clinical utility.
  • Synthesized molecular and cellular mechanisms of kidney damage progression, including hypoperfusion, sepsis, nephrotoxicity, and immune response.
  • Identified inflammation, hypoxia, mitochondrial dysfunction, cellular senescence, and key cascades—such as Wnt/β-catenin, TGF-β/SMAD, and Hippo/YAP/TAZ—as critical drivers of maladaptive repair and renal fibrosis.
  • Highlighted the renin-angiotensin-aldosterone system as a major promoter of oxidative stress and fibrotic changes leading to chronic kidney disease.
  • Observed qualitative clinical evidence supporting the use of renin-angiotensin system inhibitors to attenuate disease progression post-injury, pending larger trial confirmation.

Cite This Study

Yeh et al. (2024) studied this question.

synapsesocial.com/papers/69da22711e2c7d7b4fa3bfd9https://doi.org/10.3390/ijms25031755
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1From Acute to Chronic: Unraveling the Pathophysiological Mechanisms of Acute Kidney Injury, Acute Kidney Disease to Chronic Kidney Disease Progression2024 · 5 citations
  2. 2Transition from acute kidney injury to chronic kidney disease: molecular mechanisms and therapeutic interventions2026 · 3 citations
  3. 3The AKI-CKD Continuum: Mechanisms and Therapeutic Interventions2026 · 1 citations
  4. 4Molecular Basis of Oxidative Stress-Induced Acute Kidney Injury, Kidney Fibrosis, Chronic Kidney Disease, and Clinical Significance of Targeting Reactive Oxygen Species-Regulated Pathways to Treat Kidney Disease2025
  5. 5Mechanisms of progression of chronic kidney disease2007 · 264 citations