The application of omic technologies to research in sepsis-associated acute kidney injury

Acute kidney injury (AKI) is common in critically ill children and adults, and sepsis-associated AKI (SA-AKI) is the most frequent cause of AKI in the ICU. To date, no mechanistically targeted therapeutic interventions have been identified. High-throughput "omic" technologies (e.g., genomics, proteomics, metabolomics, etc.) offer a new angle of approach to achieve this end. In this review, we provide an update on the current understanding of SA-AKI pathophysiology. Omic technologies themselves are briefly discussed to facilitate interpretation of studies using them. We next summarize the body of SA-AKI research to date that has employed omic technologies. Importantly, omic studies are helping to elucidate a pathophysiology of SA-AKI centered around cellular stress responses, metabolic changes, and dysregulation of energy production that underlie its clinical features. Finally, we propose opportunities for future research using clinically relevant animal models, integrating multiple omic technologies and ultimately progressing to translational human studies focusing therapeutic strategies on targeted disease mechanisms.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Pediatric nephrology (Berlin, Germany) - 36(2021), 5 vom: 30. Mai, Seite 1075-1086

Sprache:

Englisch

Beteiligte Personen:

Hasson, Denise [VerfasserIn]
Goldstein, Stuart L [VerfasserIn]
Standage, Stephen W [VerfasserIn]

Links:

Volltext

Themen:

Acute kidney injury
Genomics
Journal Article
Metabolomics
Proteomics
Research Support, N.I.H., Extramural
Review
Sepsis
Transcriptomics

Anmerkungen:

Date Completed 14.02.2022

Date Revised 03.05.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00467-020-04557-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM309398738