The molecular mechanism of contrast-induced nephropathy (CIN) and its link to in vitro studies on iodinated contrast media (CM)
Author(s) -
JaiSing Yang,
Yan-Ru Peng,
Shih-Chang Tsai,
Yeu-Sheng Tyan,
ChiCheng Lu,
Hong-Yi Chiu,
YuJen Chiu,
Sheng-Chu Kuo,
Yuh-Feng Tsai,
Ping-Chin Lin,
FuuJen Tsai
Publication year - 2018
Publication title -
biomedicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.498
H-Index - 26
eISSN - 2211-8039
pISSN - 2211-8020
DOI - 10.1051/bmdcn/2018080101
Subject(s) - iodinated contrast , iodinated contrast media , nephropathy , medicine , contrast (vision) , iodine , contrast medium , osmotic concentration , pharmacology , chemistry , urology , endocrinology , radiology , computed tomography , organic chemistry , artificial intelligence , computer science , diabetes mellitus
Iodinated contrast media (iodinated CM) have increased ability to absorb x-rays and to visualize structures that normally are impossible to observe in a radiological examination. The use of iodinated CM may destory renal function, commonly known as contrast-induced nephropathy (CIN), which can result in acute renal failure (ARF). This review article mainly focuses on the following areas: (1) classifications of iodinated CM: ionic or non-ionic, high-osmolarity contrast media (HOCM), low-osmolarity contrast media (LOCM) and iso-osmolarity contrast media (IOCM); (2) an introduction to the physical and chemical properties of the non-ionic iodinated CM; (3) the management of anaphylactic reaction by iodinated CM; (4) a suggested single injection of adult doses and maximum dose for non-ionic iodinated CM; (5) the molecular mechanism of contrast-induced nephropathy (CIN); (6) In vitro studies on iodinated CM. Based on above information, this review article provide an insight for understanding the drug safety of iodinated CM.
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