Certain pharmacological drugs induce nephrotoxicity through direct tubular injury and altered renal hemodynamics
Certain pharmacological drugs induce nephrotoxicity through direct tubular injury and altered renal hemodynamics.
The retrieved literature strongly supports the claim that various pharmacological agents (such as lithium, aminoglycosides, and cisplatin) cause nephrotoxicity via direct tubular injury and altered renal hemodynamics, driven by mechanisms like intracellular drug accumulation and mitochondrial dysfunction.
Krishnan N, Perazella MA. Diagnosis and Management of Acute and Chronic Lithium-Associated Nephrotoxicity.. 2026. https://doi.org/10.1681/asn.0000001172
Lithium accumulates via sodium transport pathways, disrupting cellular signaling and causing mitochondrial dysfunction leading to nephrotoxicity.
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Krishnan N, Perazella MA. Biology of drug-induced acute nephrotoxicity: focus on the tubulointerstitium.. 2026. https://doi.org/10.1093/ndt/gfaf266
Drug-induced nephrotoxicity commonly targets the tubulointerstitium through direct acute tubular injury mechanisms.
Mark A Perazella. Drug-induced acute kidney injury: diverse mechanisms of tubular injury.. 2019. https://doi.org/10.1097/MCC.0000000000000653
Medications cause acute kidney injury via direct tubular injury, such as aminoglycoside endocytosis and transporter-mediated intracellular drug accumulation.
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