Abstract
Acute renal failure (ARF) has been studied in the laboratory for many years in an attempt to define its pathophysiologic mechanisms and to define possible therapies to either prevent, reverse, or ameliorate the process. Like its clinical counterpart, experimental ARF is characterized by considerable heterogeneity and model to model variation as well as a number of unifying characteristics. This chapter will review the relevant model systems and describe current thoughts on the mechanisms of vascular and tubular cell injury in experimental ARF with a particular view to highlighting clinically relevant observations. Many agents have been described which moderate injury in the experimental setting, but few have so far moved into practical usage and it is commonly observed that clinical outcomes in ARF have improved little in recent decades. Nevertheless, a number of observations from the experimental literature suggest promising avenues for clinical trials, and these will be reviewed in the final section.
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Johnson, J.P., Rokaw, M.D. (1995). Experimental Acute Renal Failure. In: Bellomo, R., Ronco, C. (eds) Acute Renal Failure in the Critically Ill. Update in Intensive Care and Emergency Medicine, vol 20. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79244-1_2
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