The therapeutic approaches of renal recovery after relief of the unilateral ureteral obstruction: A comprehensive review

  • سال انتشار: 1399
  • محل انتشار: مجله علوم پایه پزشکی ایران، دوره: 23، شماره: 11
  • کد COI اختصاصی: JR_IJBMS-23-11_001
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 409
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نویسندگان

Ayat Kaeidi

Physiology-Pharmacology Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Maryam Maleki

Department of Physiology, Ilam University of Medical Sciences, Ilam, Iran

Ali Shamsizadeh

Department of Physiology and Pharmacology, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Iman Fatemi

Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran

Elham Hakimizadeh

Physiology-Pharmacology Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Jalal Hassanshahi

Physiology-Pharmacology Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

چکیده

Unilateral ureteral obstruction (UUO) as a clinical disorder can cause renal damage. The permanent injury occurs if the obstruction is not relieved. Renal injury can be reversed with UUO removal (RUUO). RUUO attenuates the renal hemodynamic and functional impairment and decreases the renal fibrosis and apoptosis. Nevertheless, kidney injury may continue after RUUO, and synchronous medication therapy seems necessary. However, UUO and post-RUUO periods are also important in final renal recovery. To date, various therapeutic strategies have been applied to develop renal recoverability after RUUO. In animal studies, the effect of some pharmacological agents such as mesenchymal stem cells, anti-inflammation drugs, L-arginine, bone morphogenetic protein-7, epidermal growth factor, allopurinol, renin-angiotensin system antagonists, and endothelin A/B receptor blocker were surveyed in RUUO model. Also, post-RUUO renal recoverability has been studied in human researches. In these studies, the effective strategies have focused on surgery for RUUO creation via urethrotomy, urethroplasty, stent balloon dilatation, and stenting. Accordingly, in this review, we focused on the therapeutic procedure of renal recovery after the RUUO situation in human and animal studies.

کلیدواژه ها

Animal Human Recovery Relief Therapeutic procedure Unilateral Ureteral, Obstruction

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