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Journal of Education, Health and Sport

Aristolochic acid nephropathy - still real danger
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Aristolochic acid nephropathy - still real danger

Authors

  • Rafał Oleszczuk Medical University of Lublin https://orcid.org/0000-0001-5690-1973
  • Agnieszka M. Grzebalska Medical University of Lublin https://orcid.org/0000-0002-2266-0988
  • Iga Kozińska Medical University of Lublin https://orcid.org/0000-0001-5891-2211
  • Maciej Orczykowski Medical University of Lublin https://orcid.org/0000-0002-2319-3082
  • Anna Oleszczuk Medical University of Lublin https://orcid.org/0000-0002-5133-572X

DOI:

https://doi.org/10.12775/JEHS.2022.12.10.013

Keywords

aristolochic acid nephropathy, aristolochic acid, Chinese herbal nephropathy, urinary tract cancer

Abstract

Arystolocholic acid nephropathy is chronic kidney disease caused by the use of substances of natural origin that contain arystolocholic acid. The effects of their use are arystolochic acid nephropathies, which include "Chinese Herbs" nephropathy. The course of the disease is very fast, resulting in progression to end-stage renal disease, and in the future it results in the development of urinary tract cancer. That is why it is so important to recognize it early and start treatment. However, due to disease progression, some patients require dialysis and even kidney transplantation. Although the World Health Organization is trying to stop the spread of the use of harmful substances, there are still reports of this nephropathy appearing in some populations. Despite warnings from the Food and Drug Administration regarding the safety of botanicals containing arystolochic acid and its classification as a human carcinogen, products containing it are still available for purchase online. The purpose of the literature review below is to analyze the latest knowledge on aristolochic acid nephropathy and its associated complication.

Author Biographies

Rafał Oleszczuk, Medical University of Lublin

Students’ Research Group at the Department of Nephrology, Medical University of Lublin

Agnieszka M. Grzebalska, Medical University of Lublin

Department of Nephrology, Medical University of Lublin

Iga Kozińska, Medical University of Lublin

Students’ Research Group at the Department of Nephrology, Medical University of Lublin

Maciej Orczykowski, Medical University of Lublin

Students’ Research Group at the Department of Nephrology, Medical University of Lublin

Anna Oleszczuk, Medical University of Lublin

Students’ Research Group at the Department of Nephrology, Medical University of Lublin

References

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Ban TH, Min JW, Seo C i in. Update of aristolochic acid nephropathy in Korea. Korean J Intern Med. 2018 Sep;33(5):961-969. doi: 10.3904/kjim.2016.288.

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Chen D, Tang Z, Luo C i in.: Clinical and pathological spectrums of aristolochic acid nephropathy. Clin Nephrol. 2012;78(1):54-60.

Cosyns JP, Dehoux JP, Guiot Y i in. Chronic aristolochic acid toxicity in rabbits: a model of Chinese herbs nephropathy? Kidney Int. 2001 Jun;59(6):2164-73.

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De Broe M.: Nephropathy induced by aristolochic acid (AA) containing herbs, Uptodate. 2021.

Debelle FD, Vanherweghem JL, Nortier JL.: Aristolochic acid nephropathy: a worldwide problem. Kidney Int. 2008;74(2):158-69.

Gökmen MR, Cosyns JP, Arlt VM, i in.: The epidemiology, diagnosis, and management of aristolochic acid nephropathy: a narrative review. Ann Intern Med. 2013;158(6):469-77.

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Schmeiser HH, Nortier JL, Singh R i in.: Exceptionally long-term persistence of DNA adducts formed by carcinogenic aristolochic acid I in renal tissue from patients with aristolochic acid nephropathy. Int J Cancer. 2014;135(2):502-7.

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Published

2022-10-05

How to Cite

1.
OLESZCZUK, Rafał, GRZEBALSKA, Agnieszka M., KOZIŃSKA, Iga, ORCZYKOWSKI, Maciej and OLESZCZUK, Anna. Aristolochic acid nephropathy - still real danger. Journal of Education, Health and Sport. Online. 5 October 2022. Vol. 12, no. 10, pp. 107-112. [Accessed 29 June 2025]. DOI 10.12775/JEHS.2022.12.10.013.
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Issue

Vol. 12 No. 10 (2022)

Section

Review Articles

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Copyright (c) 2022 Rafał Oleszczuk, Agnieszka M. Grzebalska, Iga Kozińska, Maciej Orczykowski, Anna Oleszczuk

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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