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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Majalah Kedokteran Andalas Indonesian Journal of Kidney and Hypertension Nusantara Science and Technology Proceedings Unri Conference Series: Community Engagement Respiratory Science Jurnal EduHealth
Ligat Pribadi Sembiring
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Public Health Veterinary

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Lung–Kidney Interactions: Impact for Systemic Disease Simatupang, Elvando Tunggul Mauliate; Wijaya, Dewi; Sembiring, Ligat Pribadi
Respiratory Science Vol. 6 No. 2 (2026): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v6i2.199

Abstract

Lung–kidney interaction is increasingly recognized as an important determinant of prognosis in systemic and critical illnesses. This is physiologically based and often occurs in daily medical practice. Evidence shows that dysfunction in one organ may trigger or worsen injury in the other, making this relationship relevant in clinical assessment and therapeutic decision-making. Understanding this bidirectional interaction is essential, as it influences disease severity, treatment response, and mortality. Direct or indirect, lung–kidney interactions are frequently observed in clinical practice. Hypercapnia, hypoxemia, and systemic inflammatory response are among many factors that can induce renal involvement in lung disease. Between lung complications and kidney function abnormalities, there is a correlation, such as pulmonary edema, pleural effusion, chronic kidney disease and acute kidney injury. The patients of acute kidney injury and chronic kidney disease may be more susceptible to lung issues due to several internal risk factors, including uremia, metabolic acidosis, electrolyte imbalances, and volume overload or increased fluid volume. Other external risk factors that also contribute to lung issues include systemic inflammation and oxidative stress. Occupational and environmental exposures may also contribute to lung disease, and indirectly accelerate renal function decline.  Despite clinical relevance, lung–kidney interactions remain underrecognized in autoimmune diseases.
Co-Authors Ade Novita Reslina, Ade Novita Agung Ramadhan Alfarez, Muhammad Rendi Carlo Manuel Perangin-angin Dani Rosdiana Definov Tacsa Meta Eka Bebasari Erika Yusticia Handayani Faradilla Monita, Faradilla Ferry Anggriawan Garneta, Shafira Garnetta, Shafira Indriani, Haidatul Rahmat Azhari Kemal Rita Endriani Rizqina Putri Simatupang, Elvando Tunggul Mauliate Tamaulina Br Sembiring Wijaya, Dewi