Role of anemia in progression of chronic kidney disease

Details

Serval ID
serval:BIB_0D2C801AEE31
Type
Article: article from journal or magazin.
Collection
Publications
Title
Role of anemia in progression of chronic kidney disease
Journal
Semin Nephrol
Author(s)
Rossert J., Froissart M.
ISSN-L
0270-9295 (Print) 0270-9295 (Linking)
Publication state
Published
Issued date
2006
Volume
26
Number
4
Pages
283-9
Notes
Rossert, Jerome
Froissart, Marc
eng
Review
2006/09/05 09:00
Semin Nephrol. 2006 Jul;26(4):283-9.
Abstract
Anemia is a well-known consequence of chronic kidney disease (CKD), and its prevalence progressively increases when the estimated glomerular filtration rate decreases to less than 60 mL/min/1.73 m2. However, analyses of the consequences of anemia and of the mechanisms of progression of CKD suggest that anemia also could contribute to the deterioration of kidney function. This hypothesis is based mostly on experimental data that imply that hypoxia of tubular cells plays an important role in tubulointerstitial damage associated with CKD and, thus, in the progression of renal failure. It also is supported by the fact that red blood cells represent a major antioxidant component of blood and that oxidative stress appears to contribute to glomerulosclerosis and tubulointerstitial damage. In humans, post hoc analysis of the Reduction of End points in non insulin-dependent diabetes mellitus (NIDDM) with the Angiotensin II Antagonist Losartan study and analyses of smaller prospective cohorts of CKD patients have shown that anemia is an independent risk factor for progression of CKD. In addition, 3 small randomized studies have suggested that anemia correction could slow the progression of CKD. Thus, the existence of a relationship between anemia and progression of CKD is not only plausible biologically, but also is supported by observational studies and by small intervention studies. However, only a large, randomized, prospective trial will be able to establish if anemia correction can slow the progression of CKD effectively.
Keywords
Anemia/*complications/etiology, Animals, Anoxia/complications, Humans, Kidney Failure, Chronic/*complications/etiology, Oxidative Stress
Create date
03/03/2016 17:49
Last modification date
21/08/2019 6:35
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