2018
DOI: 10.1007/s00467-018-4004-5
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Oxidative stress in autosomal dominant polycystic kidney disease: player and/or early predictor for disease progression?

Abstract: Autosomal dominant polycystic kidney disease (ADPKD), caused by mutations in PKD1 or PKD2 genes, is the most common hereditary renal disease. Renal manifestations of ADPKD are gradual cyst development and kidney enlargement ultimately leading to end-stage renal disease. ADPKD also causes extrarenal manifestations, including endothelial dysfunction and hypertension. Both of these complications are linked with reduced nitric oxide levels related to excessive oxidative stress (OS). OS, defined as disturbances in … Show more

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Cited by 30 publications
(24 citation statements)
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“…But also in nondiabetic CKD patients, disturbed regulatory MiRNAs such as MiR21 have been reported in CKD patients and an impaired complex IVactivity has been reported [57,59]. Recent evidence also found a role for mitochondrial dysfunction in nondiabetic CKD, more specifically, autosomal dominant polycystic kidney disease, which is further discussed in the accompanying review by Andries et al in this issue [58,100].…”
Section: Mitochondrial Dysfunctionmentioning
confidence: 99%
“…But also in nondiabetic CKD patients, disturbed regulatory MiRNAs such as MiR21 have been reported in CKD patients and an impaired complex IVactivity has been reported [57,59]. Recent evidence also found a role for mitochondrial dysfunction in nondiabetic CKD, more specifically, autosomal dominant polycystic kidney disease, which is further discussed in the accompanying review by Andries et al in this issue [58,100].…”
Section: Mitochondrial Dysfunctionmentioning
confidence: 99%
“…ADPKD diagnosis is based on family history and imaging-based criteria through renal ultrasonography. When there is no family history linkage and mutation analyses, 95 both vascular endothelial dysfunction and increased arterial stiffness are important contributors to arterial dysfunction and disorders 96 OS and inflammation seem to be involved in the development of vascular dysfunction in ADPKD patients. 97 In order to study, the important role of inflammation in ADPKD, pro-inflammatory cytokines have been measured such as chemo-attractant protein-1 and osteopontin mRNA whose levels have resulted to be elevated in the cystic epithelium and IL-6 and IL-8.…”
Section: Role Of Oxidative Stress In Autosomal Dominant Polycystic Kimentioning
confidence: 99%
“…In addition, the presence of oxidative stress in early ADPKD, with reduced nitric oxide levels, may per se aggravate endothelial dysfunction, which leads to cardiovascular events, including hypertension. Both nitric oxide reduction and the cardiovascular events may contribute to ADPKD progression . Hypertension occurs in 75% of adults with ADPKD before any loss of kidney function, with a mean age of diagnosis of 32 years in men and 34 years in women.…”
Section: Discussionmentioning
confidence: 99%
“…The beneficial effects of tolvaptan are primarily caused by the inhibition of cAMP productions. Moreover, independently of cAMP signaling, other beneficial effect may be based on its antioxidant activity . Thus, tolvaptan may activate the Nrf2/HO‐1 antioxidant pathway through phosphorylation of protein kinase RNA‐like endoplasmic reticulum kinase (PERK) .…”
Section: Discussionmentioning
confidence: 99%