Molecular and Cellular Mechanisms Involved in Adipose-derived stem cell and their extracellular vesicles in an Experimental Model of Cardio- renal Syndrome type 3: Histological and Biochemical Study

Alasmari, Wardah Abdullah; Hosny, Somaya; Fouad, Hanan; Quthami, Khalid Al; Althobiany, Essa Abdulaziz Mohammed; Faruk, Eman Mohamed

doi:10.1016/j.tice.2022.101842

Cited by 1 publication

(1 citation statement)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These favorable qualities has been demonstrated in experimental models of acute and chronic kidney injury [ 155 , 156 , 157 ]. A recent study reported that adipose-derived stem cells (ADSCs) can alleviate the pathophysiological changes of CRS3 [ 158 ]. The results of this study demonstrated that the levels of inflammatory factors, such as serum Interferon-

(IFN-

), TNF-

, IL-1

, IL-6 and interleukin-10 (IL-10) levels, were significantly increased in the CRS3 murine model.…”

Section: Therapeutic Strategies For Crs3mentioning

confidence: 99%

The Molecular Mechanism and Therapeutic Strategy of Cardiorenal Syndrome Type 3

Liu¹,

Xu²,

Shao³

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

Cardiorenal syndrome type 3 (CRS3) is defined as acute kidney injury (AKI)-induced acute cardiac dysfunction, characterized by high morbidity and mortality. CRS3 often occurs in elderly patients with AKI who need intensive care. Approximately 70% of AKI patients develop into CRS3. CRS3 may also progress towards chronic kidney disease (CKD) and chronic cardiovascular disease (CVD). However, there is currently no effective treatment. Although the major intermediate factors that can mediate cardiac dysfunction remain elusive, recent studies have summarized the AKI biomarkers, identified direct mechanisms, including mitochondrial dysfunction, inflammation, oxidative stress, apoptosis and activation of the sympathetic nervous system (SNS) and renin-angiotensin-aldosterone system (RAAS), inflammasome, as well as indirect mechanisms such as fluid overload, electrolyte imbalances, acidemia and uremic toxins, which are involved in the pathophysiological changes of CRS3. This study reviews the main pathological characteristics, underlying molecular mechanisms, and potential therapeutic strategies of CRS3. Mitochondrial dysfunction and inflammatory factors have been identified as the key initiators and abnormal links between the impaired heart and kidney, which contribute to the formation of a vicious circle, ultimately accelerating the progression of CRS3. Therefore, targeting mitochondrial dysfunction, antioxidants, Klotho, melatonin, gene therapy, stem cells, exosomes, nanodrugs, intestinal microbiota and Traditional Chinese Medicine may serve as promising therapeutic approaches against CRS3.

show abstract