Hyperoxia and Acute Kidney Injury: A Tale of Oxygen and the Kidney

Semin Nephrol. 2022 May;42(3):151282. doi: 10.1016/j.semnephrol.2022.10.008. Epub 2022 Nov 18.

Abstract

Although oxygen supplementation is beneficial to support life in the clinic, excessive oxygen therapy also has been linked to damage to organs such as the lung or the eye. However, there is a lack of understanding of whether high oxygen therapy directly affects the kidney, leading to acute kidney injury, and what molecular mechanisms may be involved in this process. In this review, we revise our current understanding of the mechanisms by which hyperoxia leads to organ damage and highlight possible areas of investigation for the scientific community interested in novel mechanisms of kidney disease. Overall, we found a significant need for both animal and clinical studies evaluating the role of hyperoxia in inducing kidney damage. Thus, we urge the research community to further investigate oxygen therapy and its impact on kidney health with the goal of optimizing oxygen therapy guidelines and improving patient care.

Keywords: High oxygen supplementation; interorgan communication; kidney; reactive oxygen species.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury* / etiology
  • Acute Kidney Injury* / therapy
  • Animals
  • Humans
  • Hyperoxia* / complications
  • Kidney
  • Oxidative Stress
  • Oxygen

Substances

  • Oxygen