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10.3390/toxins12050300

http://scihub22266oqcxt.onion/10.3390/toxins12050300
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suck abstract from ncbi


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pmid32384617      Toxins+(Basel) 2020 ; 12 (5): ä
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  • Chronic Kidney Disease-Associated Immune Dysfunctions: Impact of Protein-Bound Uremic Retention Solutes on Immune Cells #MMPMID32384617
  • Espi M; Koppe L; Fouque D; Thaunat O
  • Toxins (Basel) 2020[May]; 12 (5): ä PMID32384617show ga
  • Regardless of the primary disease responsible for kidney failure, patients suffering from chronic kidney disease (CKD) have in common multiple impairments of both the innate and adaptive immune systems, the pathophysiology of which has long remained enigmatic. CKD-associated immune dysfunction includes chronic low-grade activation of monocytes and neutrophils, which induces endothelial damage and increases cardiovascular risk. Although innate immune effectors are activated during CKD, their anti-bacterial capacity is impaired, leading to increased susceptibility to extracellular bacterial infections. Finally, CKD patients are also characterized by profound alterations of cellular and humoral adaptive immune responses, which account for an increased risk for malignancies and viral infections. This review summarizes the recent emerging data that link the pathophysiology of CKD-associated immune dysfunctions with the accumulation of microbiota-derived metabolites, including indoxyl sulfate and p-cresyl sulfate, the two best characterized protein-bound uremic retention solutes.
  • |Animals[MESH]
  • |Cresols/*blood[MESH]
  • |Humans[MESH]
  • |Immune System/*immunology/metabolism/physiopathology[MESH]
  • |Immunity, Cellular[MESH]
  • |Immunity, Humoral[MESH]
  • |Immunity, Innate[MESH]
  • |Indican/*blood[MESH]
  • |Kidney/*immunology/metabolism/physiopathology[MESH]
  • |Protein Binding[MESH]
  • |Renal Insufficiency, Chronic/blood/*immunology/physiopathology[MESH]
  • |Sulfuric Acid Esters/*blood[MESH]
  • |T-Lymphocytes/immunology/metabolism[MESH]


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