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. 2020 Jul 14;42(1):656–666. doi: 10.1080/0886022X.2020.1792928

Table 1.

Detail information of different drug for crush syndrome therapy.

Drug category Drug/strategy Protective mechanism Specie Author Author Country Journal Year References
Chemical drugs Mitochondria-targeted anti-oxidants (SkQR1) Anti-oxidant, activate ischemia pre-processing signal pathway -
Rat
Koyner et al.
Plotnikov et al.
USA
Russia
2008
2011
[17,18]
  Dexamethasone Anti-inflammatory, reduce IRI through the PI3K-Akt-eNOS signal pathway Rat
Rat
Rat
Murata et al. Japan 2016
2015
2013
[24–26]
  Allopurinol Reduce oxidative stress, inhibit apoptosis, reduce inflammatory cell infiltration, increase cell proliferation Rat Gois et al. Brazil 2016 [42]
  Nitrite Inhibit IRI relate to NO Rat
Rat
-
Murata et al. Japan 2012
2017
2018
[47–49]
  Anisodamine Activate α7nAChR, reduce serum potassium, inhibit HMGB1 Mouse
Rat
Yu et al.
Fan et al.
China
China
2019
2016
[54,55]
  Astragaloside-IV Anti-oxidant, prevent mitochondrial dysfunction and inflammation response Rat Murata et al. Japan 2017 [67]
  Hydrogen sulfide (H2S) Anti-inflammatory, anti-oxidant, and anti-apoptotic Rat Teksen et al. Turkey 2019 [73]
  Bardoxolone methyl (BM) Anti-inflammatory, anti-oxidant, anti-apoptotic Rat Kadioglu et al. Turkey 2019 [76]
  N-(2-hydroxyphenyl) acetamide Downregulate (COX-2, NF-κB , iNOS), upregulate (HO-1, KIM-1), aiti-inflammatory, anti-oxidant, retain the renal tubule brush border and actin cytoskeleton Mouse Siddiqui et al. Pakistan 2019 [81]
  Ulinastatin Reduce inflammation, regulate the balance between Th17 and Treg cells Rat Yang et al. China 2020 [85]
Biological agents Recombinant human erythropoietin (rhEPO) Inhibit NF-κB and iNOS, regulate TLR4/NF-κB to promote M2 macrophages phenotypes Rat
Mouse
Mouse
Yang et al.
Wang et al.
Zhou et al.
Taiwan
China
China
2012
2017
2020
[91,92,93]
  Macrophage surface molecule Mac-1 inhibitor: Lactoferrin (Lf) Prevent platelet-mediated MET formation and related renal tubular injury Mouse Okubo et al. Japan 2018 [97]
Antibody treatment Anti-HMGB1 antibody Blocking HMGB1, reduce inflammatory response and renal cortical cell apoptosis Rat
Mouse
Shimazaki et al.
Zhang et al.
Japan
China
2012
2017
[15,104]
  Anti-RAGE Antibody Reduce inflammatory response, prevent the development of MOF Rat Matsumoto et al. Japan 2017 [106]
Cell therapy Mesenchymal stem cells (MSC) treatment Promote M2 macrophages phenotype -
Mouse
Almeida et al.
Duffy et al.
Geng et al.
Brazil
Ireland
2013
2014
2014
[110,111,112]
  Carbon monoxide-enriched red blood cell (CO-RBC) Reduce the oxidation, degrade cytochrome P450, inhibit free heme and hemoglobin Rat Taguchi et al. Japan 2020 [114]
Other treatment Icing treatment Inhibiting the increase of blood potassium concentrations and suppress acute inflammation reaction Rat Murata et al. Japan 2020 [115]

Abbreviation: SkQR1: Mitochondria-targeted anti-oxidants; IRI: ischemia/reperfusion injury; H2S: hydrogen sulfide; BM: Bardoxolone methyl; COX-2: Cyclooxygenase-2; NF-κB: Nuclear factor kappa-B; iNOS: Inducible nitric oxide synthase; HO-1: Heme oxygenase-1; KIM-1: Kidney injury molecule-1; rhEPO: Recombinant human erythropoietin; HMGB1: High mobility group box 1 protein; RAGE: Receptor for advanced glycation endproducts; MOF: multiple organ failure; MSC: Mesenchymal stem cells; CO-RBC: Carbon monoxide-enriched red blood cell.