In the 19^(th)century,von Frerichs F and Flint A identified a type of acute renal impairment associated with advanced liver disease,characterized by oliguria,absence of proteinuria,and normal renal histology,which was...In the 19^(th)century,von Frerichs F and Flint A identified a type of acute renal impairment associated with advanced liver disease,characterized by oliguria,absence of proteinuria,and normal renal histology,which was later termed hepatorenal syndrome(HRS).HRS primarily affects cirrhotic patients with ascites and often follows severe infections,digestive hemorrhages,or high-volume paracentesis.Pathophysiologically,HRS involves low glomerular filtration rate,hypotension,renin-angiotensin axis activation,water clearance,hyponatremia,and minimal urinary sodium excretion.These conditions mimic those seen in decreased effective circulatory volume(ECV)scenarios such as septic shock or heart failure.HRS represents a specific form of prerenal acute kidney injury(AKI)in patients with baseline renal ischemia,where the kidney attempts to correct decreased ECV by retaining sodium and water.Intense renal vasoconstriction,passive hyperemia from ascites,and acute tubular necrosis(ATN)with specific urinary sediment changes are observed.Persistent oliguria may transition HRS to ATN,although this shift is less straightforward than in other prerenal AKI contexts.Notably,liver grafts from HRS patients can recover function more rapidly than those from other ischemic conditions.Experimental studies,such as those by Duailibe et al,using omega-3 fatty acids in cirrhotic rat models,have shown promising results in reducing oxidative stress and improving kidney function.These findings suggest potential therapeutic strategies and underscore the need for further research to understand the mechanisms of HRS and explore possible treatments.Future research should address the impact of omega-3 on survival and secondary outcomes,as well as consider the balance of therapeutic risks and benefits in severe liver disease.展开更多
Dear readers:Spring has set in as the Chinese Spring Festival marks the beginning of the charming and life-booming season of the year when the hibernates wake up and the plants come back to life to the summon of the M...Dear readers:Spring has set in as the Chinese Spring Festival marks the beginning of the charming and life-booming season of the year when the hibernates wake up and the plants come back to life to the summon of the Mother Nature,where tree leafs turn green,rivers break the ice to run,the landscape is burgeoning with vigorous fauna and flora,the blessings that we feel very thankful for.But it is not the seasonal warmth that we are now feeling in the economic climate of the troubled world.展开更多
The diversity of rodents in Asian deserts is high.Nevertheless,little is known about their use of daily torpor and hibernation,which are employed by many small mammals worldwide for energy and water conservation to pe...The diversity of rodents in Asian deserts is high.Nevertheless,little is known about their use of daily torpor and hibernation,which are employed by many small mammals worldwide for energy and water conservation to permit survival under adverse environmental conditions.We quantified for the first time,using temperature transponders and data loggers,long-term torpor expression and patterns in sympatric desert hamsters Phodopus roborovskii,striped hamsters Cricetulus barabensis and 3-toed jerboas Dipus sagitta under controlled conditions.Animals were live-trapped in Inner Mongolia in August and held in captivity under short photoperiods and low ambient temperatures(T,s)for about 6 months.Both hamster species(~half of individuals)expressed spontaneous(food available)daily torpor.Daily torpor in desert hamsters was less frequent and shallower than that in striped hamsters,which also had longer torpor bouts during torpor at T 15.8±0.4℃.Only one individual jerboa entered hibernation spontaneously at T,6.2±0.5℃,but all hibernated after food deprivation.The 2 hamster species only slightly changed their body mass during the acclimation,whereas jerboas greatly increased their body mass by 27.9%during the first 2 months of acclimation probably as a preparation for the hibernating season.Our data show that short photoperiod and moderately low T,induces spontaneous daily torpor in the 2 hamster species,suggesting that it is used regularly in the wild.Hibernation in Jerboas occurred at T,6.2±0.5°C especially when food was withheld suggesting limited food availability is the proximate trigger of their hibernation.展开更多
文摘In the 19^(th)century,von Frerichs F and Flint A identified a type of acute renal impairment associated with advanced liver disease,characterized by oliguria,absence of proteinuria,and normal renal histology,which was later termed hepatorenal syndrome(HRS).HRS primarily affects cirrhotic patients with ascites and often follows severe infections,digestive hemorrhages,or high-volume paracentesis.Pathophysiologically,HRS involves low glomerular filtration rate,hypotension,renin-angiotensin axis activation,water clearance,hyponatremia,and minimal urinary sodium excretion.These conditions mimic those seen in decreased effective circulatory volume(ECV)scenarios such as septic shock or heart failure.HRS represents a specific form of prerenal acute kidney injury(AKI)in patients with baseline renal ischemia,where the kidney attempts to correct decreased ECV by retaining sodium and water.Intense renal vasoconstriction,passive hyperemia from ascites,and acute tubular necrosis(ATN)with specific urinary sediment changes are observed.Persistent oliguria may transition HRS to ATN,although this shift is less straightforward than in other prerenal AKI contexts.Notably,liver grafts from HRS patients can recover function more rapidly than those from other ischemic conditions.Experimental studies,such as those by Duailibe et al,using omega-3 fatty acids in cirrhotic rat models,have shown promising results in reducing oxidative stress and improving kidney function.These findings suggest potential therapeutic strategies and underscore the need for further research to understand the mechanisms of HRS and explore possible treatments.Future research should address the impact of omega-3 on survival and secondary outcomes,as well as consider the balance of therapeutic risks and benefits in severe liver disease.
文摘Dear readers:Spring has set in as the Chinese Spring Festival marks the beginning of the charming and life-booming season of the year when the hibernates wake up and the plants come back to life to the summon of the Mother Nature,where tree leafs turn green,rivers break the ice to run,the landscape is burgeoning with vigorous fauna and flora,the blessings that we feel very thankful for.But it is not the seasonal warmth that we are now feeling in the economic climate of the troubled world.
基金supported by grants from the National Natural Science Foundation of China to QSC(31470473 and 32260261)a Chinese Academy of Sciences Visiting Scientists Fellowship to FG.
文摘The diversity of rodents in Asian deserts is high.Nevertheless,little is known about their use of daily torpor and hibernation,which are employed by many small mammals worldwide for energy and water conservation to permit survival under adverse environmental conditions.We quantified for the first time,using temperature transponders and data loggers,long-term torpor expression and patterns in sympatric desert hamsters Phodopus roborovskii,striped hamsters Cricetulus barabensis and 3-toed jerboas Dipus sagitta under controlled conditions.Animals were live-trapped in Inner Mongolia in August and held in captivity under short photoperiods and low ambient temperatures(T,s)for about 6 months.Both hamster species(~half of individuals)expressed spontaneous(food available)daily torpor.Daily torpor in desert hamsters was less frequent and shallower than that in striped hamsters,which also had longer torpor bouts during torpor at T 15.8±0.4℃.Only one individual jerboa entered hibernation spontaneously at T,6.2±0.5℃,but all hibernated after food deprivation.The 2 hamster species only slightly changed their body mass during the acclimation,whereas jerboas greatly increased their body mass by 27.9%during the first 2 months of acclimation probably as a preparation for the hibernating season.Our data show that short photoperiod and moderately low T,induces spontaneous daily torpor in the 2 hamster species,suggesting that it is used regularly in the wild.Hibernation in Jerboas occurred at T,6.2±0.5°C especially when food was withheld suggesting limited food availability is the proximate trigger of their hibernation.
