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10.4103/ijn.IJN_40_17

http://scihub22266oqcxt.onion/10.4103/ijn.IJN_40_17
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C5590413!5590413!28904432
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suck abstract from ncbi


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pmid28904432      Indian+J+Nephrol 2017 ; 27 (5): 365-71
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  • Impact of Steroids on the Inflammatory Response after Ischemic Acute Kidney Injury in Rats #MMPMID28904432
  • Fontana J; Vogt A; Hohenstein A; Vettermann U; Doroshenko E; Lammer E; Yard BA; Hoeger S
  • Indian J Nephrol 2017[Sep]; 27 (5): 365-71 PMID28904432show ga
  • Inflammation plays a crucial role in acute kidney injury (AKI). The current study was designed to analyze the influence of prednisolone treatment on the inflammatory reaction during the first 96 h after AKI induction in a rat model. AKI was induced by unilateral clipping of the renal vessels. The treatment group received prednisolone 5 mg/kg s.c. daily. Infiltration rates of macrophages, leukocytes, and T-cells (24, 96 h) as well as plasma concentrations of the inflammatory markers intercellular adhesion molecule, interleukin-1 beta (IL-1?), IL-18, IL-6, and tumor necrosis factor-alpha (0, 6, 24, 96 h) were determined by fluorescence-activated cell sorting (FACS) analysis only. Ninety-six hours after AKI induction, the prednisolone group demonstrated significantly lower creatinine concentrations compared to the control group (P < 0.05). Twenty-four hours after induction of AKI, a significantly higher rate of infiltrating leukocytes was detectable with FACS analysis in the control group (P < 0.01) with a corresponding significantly higher rate of macrophages after 96 h (P < 0.01). IL-6 and IL-1? demonstrated a peak after 6 h with a significantly higher release in the control group (IL-6: P < 0.01; IL-1?: P < 0.05). In contrast to the control group, the prednisolone group demonstrated no further incline of IL-18 after 24 h. The results demonstrate the importance of stretching the observation period in an ischemia-reperfusion-induced AKI setting beyond the first 24 h. Despite the demonstrated protective effects of a continuous prednisolone application, it seems that this single anti-inflammatory agent will not be able to completely suppress the inflammatory response after an ischemia-reperfusion-induced AKI.
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