Review
Pediatrics
Andrea Grund, Manish D. Sinha, Dieter Haffner, Maren Leifheit-Nestler
Summary: FGF23 is a key factor in the development of cardiovascular risk factors in pediatric CKD patients, with limited data on its prevalence and determinants in this population. Current research mainly focuses on the impact of FGF23 in adult CKD, and further investigation is needed for pediatric CKD patients.
FRONTIERS IN PEDIATRICS
(2021)
Review
Biochemistry & Molecular Biology
Alex Cleber Improta-Caria, Marcela Gordilho Aras, Luca Nascimento, Ricardo Augusto Leoni De Sousa, Roque Aras-Junior, Bruno Solano de Freitas Souza
Summary: MicroRNAs are small non-coding RNAs that regulate gene and protein expression, playing important roles in various cellular processes. In diseases such as hypertension, microRNAs are involved in regulating physiological processes, but the specific mechanisms need further study.
Article
Pharmacology & Pharmacy
Quenia Janaina Tomaz de Castro, Carolina Morais Araujo, Patricia Yoshie Watai, Samara Stefani de Castro e Silva, Wanderson Geraldo de Lima, Lenice Kappes Becker, Jamille Locatelli, Homero Nogueira Guimaraes, Andrea Grabe-Guimaraes
Summary: The study showed that the combination of physical exercise with RAAS blockers could effectively lower blood pressure, improve cardiac parameters, and potentially benefit hypertensive LVH treatment.
CLINICAL AND EXPERIMENTAL HYPERTENSION
(2021)
Article
Multidisciplinary Sciences
Metee Iampanichakul, Anuson Poasakate, Prapassorn Potue, Siwayu Rattanakanokchai, Putcharawipa Maneesai, Parichat Prachaney, Wannapa Settheetham-Ishida, Poungrat Pakdeechote
Summary: Nobiletin exerts inhibitory effects on the renin-angiotensin system and reduces oxidative stress, which improves kidney function and cardiac remodeling, alleviating cardiorenal damage caused by 2K-1C hypertension.
SCIENTIFIC REPORTS
(2022)
Article
Cardiac & Cardiovascular Systems
Kieran F. Docherty, Ross T. Campbell, Katriona J. M. Brooksbank, John G. Dreisbach, Paul Forsyth, Rosemary L. Godeseth, Tracey Hopkins, Alice M. Jackson, Matthew M. Y. Lee, Alex McConnachie, Giles Roditi, Iain B. Squire, Bethany Stanley, Paul Welsh, Pardeep S. Jhund, Mark C. Petrie, John J. V. McMurray
Summary: In patients with asymptomatic LV systolic dysfunction late after myocardial infarction, treatment with sacubitril/valsartan did not have a significant reverse remodeling effect compared with valsartan.
Article
Biochemistry & Molecular Biology
Sukka Santosh Reddy, Heena Agarwal, Anant Jaiswal, Kumaravelu Jagavelu, Madhu Dikshit, Manoj Kumar Barthwal
Summary: The study found that macrophage p47phox plays a role in hypertensive cardiac remodeling, with its deficiency potentially leading to worsened cardiac dysfunction, hypertrophy, and increased interstitial fibrosis. Further experiments revealed elevated expression of M2 macrophage markers in KO mice, suggesting a restrictive role of p47phox in anti-inflammatory signaling during cardiac remodeling.
FREE RADICAL BIOLOGY AND MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Kazunori Inoue, Isao Matsui, Takayuki Hamano, Keiji Okuda, Yasumasa Tsukamoto, Ayumi Matsumoto, Karin Shimada, Seiichi Yasuda, Yusuke Katsuma, Yoshitsugu Takabatake, Masaru Tanaka, Noriko Tanaka, Toshiaki Mano, Tetsuo Minamino, Yasushi Sakata, Yoshitaka Isaka
Summary: The research found that 22-oxacalcitriol, an active vitamin D analog, can inhibit the progression of LVMI in hemodialysis patients and reduce the development of LVH by suppressing the activity of calcineurin in the left ventricle of model rats.
CARDIOVASCULAR DRUGS AND THERAPY
(2021)
Review
Chemistry, Medicinal
Elmira Karimi, Sama Bitarafan, Seyed Mohammad Mousavi, Nikan Zargarzadeh, Pari Mokhtari, Jessie Hawkins, Alipasha Meysamie, Fariba Koohdani
Summary: Oral vitamin D supplementation does not significantly affect serum FGF23 concentrations in patients with chronic kidney disease, and further high-quality trials are needed to confirm the findings.
PHYTOTHERAPY RESEARCH
(2021)
Article
Multidisciplinary Sciences
Eungu Kang, Hyung Eun Yim, Yoon Jeong Nam, Sang Hoon Jeong, Joo-Ae Kim, Ju-Han Lee, Min Hwa Son, Kee Hwan Yoo
Summary: This study found that exposure to airborne particulate matter can cause renal tubular cell injury and alter the vitamin D endocrine system and renin-angiotensin system. Vitamin D can attenuate renal tubular cell damage following exposure to particulate matter by suppressing the renin-angiotensin system and partially inhibiting the inflammatory response.
Article
Cardiac & Cardiovascular Systems
Luigi Gnudi, Nikolaos Fountoulakis, Angeliki Panagiotou, Antonella Corcillo, Giuseppe Maltese, Maria Flaquer Rife, Ioannis Ntalas, Russell Franks, Amedeo Chiribiri, Salma Ayis, Janaka Karalliedde
Summary: This study explored the effects of active vitamin-D (calcitriol) treatment on left ventricular mass in patients with type-2 diabetes and chronic kidney disease. The results showed that calcitriol treatment did not improve left ventricular mass index. Therefore, the routine use of active vitamin-D does not provide LVMI regression or cardiovascular protection in patients with type-2 diabetes and chronic kidney disease.
AMERICAN HEART JOURNAL
(2023)
Article
Urology & Nephrology
Bingman Liu, Qingqing Yang, Liangyu Zhao, Hua Shui, Xiaoyun Si
Summary: This study investigated the association between single nucleotide polymorphisms (SNPs) of vitamin D receptor (VDR) and left ventricular hypertrophy (LVH) in maintenance hemodialysis (MHD) patients. The results showed that the Bsm I gene polymorphism of VDR was associated with LVH and may predict cardiovascular disease risk in MHD patients.
Article
Cell Biology
Maren Leifheit-Nestler, Miriam A. Wagner, Beatrice Richter, Corinna Piepert, Fiona Eitner, Ineke Boeckmann, Isabel Vogt, Andrea Grund, Susanne S. Hille, Ariana Foinquinos, Karina Zimmer, Thomas Thum, Oliver J. Mueller, Dieter Haffner
Summary: Through experiments using a mouse model with high intra-cardiac Fgf23 synthesis, it was found that chronic exposure to elevated cardiac iFgf23 does not induce LVH in healthy mice, suggesting that Fgf23 excess per se does not affect the heart.
FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY
(2021)
Article
Infectious Diseases
Andrea Zovi, Francesco Ferrara, Roberta Pasquinucci, Livia Nava, Antonio Vitiello, Roberto Arrigoni, Andrea Ballini, Stefania Cantore, Raffele Palmirotta, Marina Di Domenico, Luigi Santacroce, Mariarosaria Boccellino
Summary: Vitamin D plays a crucial role in promoting calcium reabsorption, regulating calcium and phosphate metabolism, and has immunomodulatory properties. Recent evidence also shows its potential protective effects against lung damage caused by various pathogens.
Article
Nutrition & Dietetics
Asad Ali, Suzanne Alexander, Pauline Ko, James S. M. Cuffe, Andrew J. O. Whitehouse, John J. McGrath, Darryl Eyles
Summary: Research in a rat model shows that gestational vitamin D deficiency does not lead to preeclampsia, suggesting that the behavioral phenotypes in offspring born to vitamin-D-deficient dams are unlikely to be mediated via a preeclampsia-related mechanism.
Review
Urology & Nephrology
Katharina Doerr, Alexander Kainz, Rainer Oberbauer
Summary: This review focuses on interventional studies that modify levels of fibroblast growth factor 23 (FGF23) and examine effects on myocardial hypertrophy, cardiovascular events, and mortality in patients with end-stage kidney disease (ESKD). Recent findings suggest that etelcalcetide effectively inhibits the progression of left ventricular hypertrophy (LVH) in patients on haemodialysis. Prior studies have shown that oral calcimimetic treatment reduces left ventricular mass in patients on haemodialysis, while treatment with active vitamin D or mineralocorticoids is ineffective in patients with ESKD. These findings suggest that FGF23 may be a potential therapeutic target for reducing cardiac risk in haemodialysis patients.
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION
(2022)
Review
Pediatrics
Vanessa Shaw, Caroline Anderson, An Desloovere, Larry A. Greenbaum, Dieter Haffner, Christina L. Nelms, Fabio Paglialonga, Nonnie Polderman, Leila Qizalbash, Jose Renken-Terhaerdt, Stella Stabouli, Jetta Tuokkola, Johan Vande Walle, Bradley A. Warady, Rukshana Shroff
Summary: Proper nutritional management is crucial for children with chronic kidney disease (CKD) to maintain normal growth and development. Infants with CKD have specific nutritional needs, and inadequate nutrition can lead to growth impairment and abnormal neurodevelopment.
PEDIATRIC NEPHROLOGY
(2023)
Review
Pediatrics
Tugba Tastemel Ozturk, Nur Canpolat, Seha Saygili, Umut Selda Bayrakci, Oguz Soylemezoglu, Fatih Ozaltin, Rezan Topaloglu
Summary: Patients with SGPL1 mutations have a poor prognosis, and may exhibit involvement of various organs/systems beyond adrenal insufficiency.
PEDIATRIC NEPHROLOGY
(2023)
Article
Pediatrics
Seha Saygili, Nur Canpolat, Rumeysa Yasemin Cicek, Ayse Agbas, Esra Karabag Yilmaz, Ayse Ayzit Kilinc Sakalli, Deniz Aygun, Gulsen Akkoc, Kaan Can Demirbas, Dildar Konukoglu, Haluk Cokugras, Salim Caliskan, Lale Sever
Summary: The study reveals that even children with mild or moderate COVID-19 disease course have an increased risk of developing AKI. The association between neutrophil count and AKI suggests the role of inflammation in the development of AKI.
PEDIATRIC RESEARCH
(2023)
Article
Transplantation
Mehmet S. Sever, Raymond Vanholder, Valerie Luyckx, Kai-Uwe Eckardt, Mykola Kolesnyk, Andrzej Wiecek, Ewa Pawlowicz-Szlarska, Daniel Gallego, Rukshana Shroff, Andrej Skoberne, Ionut Nistor, Mohamed Sekkarie, Dmytro Ivanov, Edita Noruisiene, Serhan Tuglular
Summary: During conflicts, people with kidney disease may face additional threats due to medical and logistical challenges. Acute kidney injury and treatment interruptions can worsen kidney function, and limitations in dialysis and availability of immunosuppressive medications increase the risk of complications. Local preparedness, adjustments in treatment, telemedicine support, and referrals to higher-level hospitals are important measures to address these challenges.
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2023)
Article
Pediatrics
Nivedita Kamath, Arpana Iyengar, Hamsa Reddy, Jyoti Sharma, Jyoti Singhal, Sudha Ekambaram, Susan Uthup, Sumithra Selvam, Mandy Wan, Anja Rahn, Dagmar Christiane-Fischer, Rukshana Shroff
Summary: This study analyzed the effects of different dosing regimens of cholecalciferol supplementation on bone biomarkers. The results showed that cholecalciferol supplementation significantly increased bone formation, and the three dosing regimens had similar effects on bone biomarkers.
PEDIATRIC NEPHROLOGY
(2023)
Review
Pediatrics
Lale Sever, Gulseren Pehlivan, Nur Canpolat, Seha Saygili, Ayse Agbas, Ebru Demirgan, Jun Oh, Elena Levtchenko, Dymtro D. Ivanov, Rukshana Shroff
Summary: Pediatric patients on kidney replacement therapy are highly vulnerable during disasters due to limitations in dialysis treatments and shortage of medical resources. Proper measures and support are crucial to mitigate risks and provide necessary care.
PEDIATRIC NEPHROLOGY
(2023)
Article
Pediatrics
Yesim Ozdemir Atikel, Claus Peter Schmitt, Eszter Levai, Shazia Adalat, Rukshana Shroff, Nadine Goodman, Ismail Dursun, Ayse Seda Pinarbasi, Burcu Yazicioglu, Fabio Paglialonga, Karel Vondrak, Isabella Guzzo, Nikoleta Printza, Aleksandra Zurowska, Ilona Zagozdzon, Aysun Karabay Bayazit, Bahriye Atmis, Marcin Tkaczyk, Maria do Sameiro Faria, Ariane Zaloszyc, Augustina Jankauskiene, Mesiha Ekim, Alberto Edefonti, Sevcan A. Bakkaloglu
Summary: This study analyzed the impact of hospital and dialysis unit characteristics on hospitalizations for access-related complications in pediatric dialysis patients. The results showed that children's hospitals and pediatric-specific dialysis units were associated with a higher prevalence of automated peritoneal dialysis and hemodiafiltration use, and lower hospitalization rates.
PEDIATRIC NEPHROLOGY
(2023)
Review
Pediatrics
Mandy Wan, Lillian King, Natasha Baugh, Zainab Arslan, Evelien Snauwaert, Fabio Paglialonga, Rukshana Shroff
Summary: Functional constipation is a common problem in healthy children, and it poses even more risks for children with chronic kidney disease (CKD) and on dialysis. Constipation can have negative effects on catheter function and ultrafiltration in children on peritoneal dialysis. There may be a bidirectional relationship between constipation and CKD, with gut dysbiosis potentially playing a role. However, there is limited data on the safety and effectiveness of constipation treatments in patients with CKD.
PEDIATRIC NEPHROLOGY
(2023)
Review
Pediatrics
Evelien Snauwaert, Fabio Paglialonga, Johan Vande Walle, Mandy Wan, An Desloovere, Nonnie Polderman, Jose Renken-Terhaerdt, Vanessa Shaw, Rukshana Shroff
Summary: Dietary fiber is an essential part of a healthy child's diet, and children with adequate fiber intake have higher diet quality and nutrient density. However, many children, especially those with kidney diseases, do not meet the recommended fiber intake. Recent studies suggest that dietary fiber is important for children with kidney diseases, as it provides various health benefits and does not increase the risk of hyperkalemia or nutritional deficits. New studies and guidelines are needed to address dietary fiber intake in these children.
PEDIATRIC NEPHROLOGY
(2023)
Article
Pediatrics
Justine Bacchetta, Claus Peter Schmitt, Sevcan A. Bakkaloglu, Shelley Cleghorn, Maren Leifheit-Nestler, Agnieszka Prytula, Bruno Ranchin, Anne Schoen, Stella Stabouli, Johan van de Walle, Enrico Vidal, Dieter Haffner, Rukshana Shroff
Summary: Infants with CKD are highly susceptible to mineral and bone disorders, and this position paper provides guidelines for diagnosing and managing CKD-MBD in infants. The paper includes 34 clinical practice points, such as dietary control of calcium and phosphate, and medication recommendations. The strength of the statements in the paper may vary and should be tailored to individual patient needs by the treating physician.
PEDIATRIC NEPHROLOGY
(2023)
Article
Pediatrics
Molly R. Wong Vega, Dana Cerminara, An Desloovere, Fabio Paglialonga, Jose Renken-Terhaerdt, Johan Vande Walle, Vanessa Shaw, Stella Stabouli, Caroline Elizabeth Anderson, Dieter Haffner, Christina L. Nelms, Nonnie Polderman, Leila Qizalbash, Jetta Tuokkola, Bradley A. Warady, Rukshana Shroff, Larry A. Greenbaum
Summary: The nutritional management of children with AKI is complex due to the dynamic nature of the condition. The PRNT has developed CPRs to guide dietitians in providing optimal nutrition support in line with AKI medical treatments. Collaboration between dietitians and physicians is crucial in addressing challenges in nutrition assessment and adapting recommendations to individual patient needs.
PEDIATRIC NEPHROLOGY
(2023)
Article
Pediatrics
Thimoteus Speer, Stefan J. Schunk, Tamim Sarakpi, David Schmit, Martina Wagner, Ludger Arnold, Stephen Zewinger, Karolis Azukaitis, Aysun Bayazit, Lukasz Obrycki, Ipek Kaplan Bulut, Ali Duzova, Anke Doyon, Bruno Ranchin, Salim Caliskan, Jerome Harambat, Alev Yilmaz, Harika Alpay, Francesca Lugani, Ayse Balat, Klaus Arbeiter, Germana Longo, Anette Melk, Uwe Querfeld, Elke Wuehl, Otto Mehls, Danilo Fliser, Franz Schaefer
Summary: This study evaluated the usefulness of the urinary biomarker DKK3 in determining the short-term risk of chronic kidney disease progression in children. The results showed that high levels of urinary DKK3 were associated with greater decline in kidney function and indicated potential benefit from intensified blood pressure control.
LANCET CHILD & ADOLESCENT HEALTH
(2023)
Article
Transplantation
Pieter Evenepoel, Hanne Skou Jorgensen, Jordi Bover, Andrew Davenport, Justine Bacchetta, Mathias Haarhaus, Ditte Hansen, Carolina Gracia-Iguacel, Markus Ketteler, Louise McAlister, Emily White, Sandro Mazzaferro, Marc Vervloet, Rukshana Shroff, European Renal Osteodystrophy EUROD, European Renal Assoc ERA, European Soc Pediat Nephrology ESPN
Summary: Mineral and bone disorders are commonly seen in patients with chronic kidney disease, which can lead to adverse health outcomes. The management of calcium intake is crucial for maintaining a neutral calcium balance and preventing bone diseases and fractures. However, current clinical practice guidelines lack specific recommendations on calcium intake. Therefore, experts in the field have provided key practice points to assist healthcare professionals, but these recommendations should be individualized based on patient needs.
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2023)
Editorial Material
Transplantation
Rukshana Shroff, Carlo Basile, Frank van der Sande, Sandip Mitra
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2023)
Article
Pediatrics
Priyanka Khandelwal, Sarit Shah, Louise Mcalister, Shelley Cleghorn, Lillian King, Rukshana Shroff
Summary: This study retrospectively analyzed the medical records of pediatric patients with CKD4-5/5D who received SZC treatment. The study found that both short-term and long-term use of SZC can safely and effectively control hyperkalemia and help relax dietary restrictions. This study is important for understanding the application of SZC in pediatric patients with CKD.
PEDIATRIC NEPHROLOGY
(2023)