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Copper-Induced Nephropathy: Clinical Characterization of 36 Cases and Comprehensive Literature Review

delete2025-11-13
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PRE
AI
Y
Yiling Li
J
Jing Chen
J
Jinrong Zhang
T
Tingting Zhou
J
Jianchao Peng
Z
Zhixin Huang
K
Kang Nong *
M
Michael Aschner
姜岳明 (Yue‐Ming Jiang) *
DOI:10.1007/s12011-025-04869-7delete
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Abstract

Abstract

En 中文
The etiology of chronic kidney disease (CKD) is complex, with environmental copper exposure emerging as a non-traditional risk factor whose nephrotoxic mechanisms and impacts require in-depth investigation. This study conducted a retrospective analysis of 36 patients with abnormally elevated urinary copper levels, evaluating their clinical manifestations, biochemical indicators, and responses following copper chelation therapy, along with a literature review to explore the relationship between copper levels and renal injury. The results demonstrated a significant correlation between urinary copper content and the severity of renal dysfunction (P < 0.001). After treatment, improvements were observed in renal function (BUA P = 0.046), liver function (ALT P = 0.013), and anemia indicators (HGB P = 0.034). These findings indicate that abnormal urinary copper is a risk factor for kidney injury.
Keywords:
Nephrotic syndrome
Abnormal urinary copper
Gene-environment interaction mechanism
Copper chelation therapy

Journal

Biological Trace Element Research cover
Biological Trace Element Research
IF:
3.6
Papers:
8.8K
Citations:
1.8W

Organization

D
department of clinical toxicology
Scholars:
2
Papers: 1
Citations: 0
S
School of Public Health
Scholars:
5.7K
Papers: 2.1K
Citations: 0
D
Department of Molecular Pharmacology
Scholars:
34
Papers: 27
Citations: 0
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