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Cited by 783

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

A Unified Theory of Sepsis-Induced Acute Kidney Injury: Inflammation, Microcirculatory Dysfunction, Bioenergetics, and the Tubular Cell Adaptation to Injury

Open access
Gomez, Hernando, Ince, Can, De Backer, Daniel, Pickkers, Peter, Payen, Didier, Hotchkiss, John, Kellum, John A.·2014·Shock

Abstract

Given that the leading clinical conditions associated with acute kidney injury (AKI), namely, sepsis, major surgery, heart failure, and hypovolemia, are all associated with shock, it is tempting to attribute all AKI to ischemia on the basis of macrohemodynamic changes. However, an increasing body of evidence has suggested that in many patients, AKI can occur in the absence of overt signs of global renal hypoperfusion. Indeed, sepsis-induced AKI can occur in the setting of normal or even increased renal blood flow. Accordingly, renal injury may not be entirely explained solely on the basis of the classic paradigm of hypoperfusion, and thus other mechanisms must come into play. Herein, we put forward a "unifying theory" to explain the interplay between inflammation and oxidative stress, microvascular dysfunction, and the adaptive response of the tubular epithelial cell to the septic insult. We propose that this response is mostly adaptive in origin, that it is driven by mitochondria, and that it ultimately results in and explains the clinical phenotype of sepsis-induced AKI.

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Metadata

Authors
Gomez, H., Ince, C., De Backer, D., Pickkers, P., Payen, D., Hotchkiss, J., & Kellum, J. A.
Venue
Shock
Published
2014-01
Volume
41
Issue
1
Pages
3-11
ISSN
1073-2322 (ISSN-L)
OpenAlex
W2000167232
Cited by
783
References
4
FWCI
31.82
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: A Unified Theory of Sepsis-Induced Acute Kidney Injury: Inflammation, Microcirculatory Dysfunction, Bioenergetics, and the Tubular Cell Adaptation to Injury. https://app.cochat.ai/papers/10.1097/shk.0000000000000052
The paper
Gomez, H., Ince, C., De Backer, D., Pickkers, P., Payen, D., Hotchkiss, J., & Kellum, J. A. (2014). A Unified Theory of Sepsis-Induced Acute Kidney Injury: Inflammation, Microcirculatory Dysfunction, Bioenergetics, and the Tubular Cell Adaptation to Injury. Shock. https://doi.org/10.1097/shk.0000000000000052

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.