2021
DOI: 10.1172/jci135821
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Pro-cachectic factors link experimental and human chronic kidney disease to skeletal muscle wasting programs

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Cited by 41 publications
(48 citation statements)
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“…The selective packing of miRNAs into exosomes may be a novel pharmaceutical exercise mimetic for overcoming CKD-related muscle wasting or cachexia. Solagna et al reported that an increase in activin A, a member of the TGF-β protein family, in experimental CKD mice led to muscle wasting [ 98 ], while pharmaceutical blockade of activin A reduced muscle wasting. Activin A, excreted from specific kidney fibroblasts and juxtaglomerular apparatus cells, can act as a pro-cachectic factor and accumulate in the plasma, owing to reduced kidney clearance and a vicious renal/muscle signaling cycle, thereby resulting in muscle wasting.…”
Section: Therapeutic Strategies For Muscle Wastingmentioning
confidence: 99%
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“…The selective packing of miRNAs into exosomes may be a novel pharmaceutical exercise mimetic for overcoming CKD-related muscle wasting or cachexia. Solagna et al reported that an increase in activin A, a member of the TGF-β protein family, in experimental CKD mice led to muscle wasting [ 98 ], while pharmaceutical blockade of activin A reduced muscle wasting. Activin A, excreted from specific kidney fibroblasts and juxtaglomerular apparatus cells, can act as a pro-cachectic factor and accumulate in the plasma, owing to reduced kidney clearance and a vicious renal/muscle signaling cycle, thereby resulting in muscle wasting.…”
Section: Therapeutic Strategies For Muscle Wastingmentioning
confidence: 99%
“…Activin A, excreted from specific kidney fibroblasts and juxtaglomerular apparatus cells, can act as a pro-cachectic factor and accumulate in the plasma, owing to reduced kidney clearance and a vicious renal/muscle signaling cycle, thereby resulting in muscle wasting. This study provided an important model of kidney-muscle crosstalk [ 98 ].…”
Section: Therapeutic Strategies For Muscle Wastingmentioning
confidence: 99%
“…The interaction of vascular, renal and heart diseases as is currently understood for chronic disease therefore also apply in the setting of acute illness and its repair phase, though the specifics of the interaction after critical illnesses are unique to acute injury and repair programs, probably occur at a more rapid pace than occur naturally in aging, but clearly only become a concern for patients that can survive the resuscitative phases of illness (150,151). Furthermore, the persistence of CKD progression may contribute, alongside inflammatory programs, to sarcopenia and frailty in convalescence (152).…”
Section: Cardiorenal Synergy In Chronic Cardiovascular Pathogenesismentioning
confidence: 99%
“…Sequestering activin A in the serum of CKD mice or the downregulation of its receptor prevented muscle loss, which raises the question of whether this pathway could be exploited to prevent muscle wasting in patients with advanced CKD. 78 , 79 CKD can develop secondary to systemic disease. One example is DKD, where sustained high blood glucose levels damage the kidney.…”
Section: Cell-cell and Cell-matrix Signalingmentioning
confidence: 99%