1. Endothelial factors in the pathogenesis and treatment of chronic kidney disease Part I: General mechanisms: a joint consensus statement from the European Society of Hypertension Working Group on Endothelin and Endothelial Factors and The Japanese Society of Hypertension
- Author
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Peter W. de Leeuw, Patrick Rossignol, Naoyuki Hasebe, A.H. Jan Danser, Damiano Rizzoni, Neeraj Dhaun, Luis M. Ruilope, Gian Paolo Rossi, Matthias Barton, Sadayoshi Ito, Anton H. van den Meiracker, Teresa Maria Seccia, David J. Webb, Internal Medicine, Interne Geneeskunde, RS: CARIM - R3.02 - Hypertension and target organ damage, and MUMC+: MA Alg Interne Geneeskunde (9)
- Subjects
0301 basic medicine ,renal failure ,Physiology ,SMOOTH-MUSCLE-CELLS ,BLOOD-PRESSURE ,030204 cardiovascular system & hematology ,Bioinformatics ,Endothelins ,Renin-Angiotensin System ,0302 clinical medicine ,Medicine ,Endothelial dysfunction ,Aldosterone ,Kidney transplantation ,Endothelin-1 ,artery ,blood pressure ,PRIMARY ALDOSTERONISM ,SALT-SENSITIVE HYPERTENSION ,Vasodilation ,ANGIOTENSIN-II ,medicine.anatomical_structure ,diabetes mellitus ,CONVERTING ENZYME-ACTIVITY ,Cardiology and Cardiovascular Medicine ,endothelin ,Glomerular Filtration Rate ,medicine.hormone ,kidney ,Consensus ,hypertension ,Endothelium ,endothelium ,VASCULAR ENDOTHELIUM ,Vascular Remodeling ,Glycocalyx ,Preeclampsia ,A RECEPTOR ANTAGONISM ,03 medical and health sciences ,nitric oxide ,Internal Medicine ,Animals ,Humans ,Arterial Pressure ,Renal Insufficiency, Chronic ,NITRIC-OXIDE SYNTHASE ,atherosclerosis ,business.industry ,medicine.disease ,PROTEINURIC RENAL-DISEASE ,Angiotensin II ,Fibrosis ,Oxidative Stress ,030104 developmental biology ,Blood pressure ,Vasoconstriction ,Endothelium, Vascular ,business ,Kidney disease - Abstract
Kidney damage is a common consequence of arterial hypertension, but is also a cause of atherogenesis. Dysfunction and/or harm of the endothelium in glomeruli and tubular interstitium damage the function of these structures and translates into dynamic changes of filtration fraction, with progressive reduction in glomerular filtration rate, expansion of extracellular fluid volume, abnormal ion balance, and hypoxia, ultimately leading to chronic kidney disease. Considering the key role played by endothelial dysfunction in chronic kidney disease, the Working Group on Endothelin and Endothelial Factors of the European Society of Hypertension and the Japanese Society of Hypertension have critically reviewed available knowledge on the mechanisms underlying endothelial cell injury. This resulted into two articles: in the first, we herein examine the mechanisms by which endothelial factors induce vascular remodeling and the role of different players, including endothelin-1, the renin-angiotensin-aldosterone system and their interactions, and of oxidative stress; in the second, we discuss the role of endothelial dysfunction in the major disease conditions that affect the kidney.
- Published
- 2018