Renal pathophysiology and pharmacological mechanisms of nephroprotection

Copyright © 2023. Publicado por Elsevier España, S.L.U..

Several risk factors may affect the progression of chronic kidney disease (CKD). Arterial hypertension, proteinuria, obesity, intraglomerular hypertension, smoking and metabolic control in diabetes mellitus are the main modifiable risk factors for progression. The progression of CKD involves many cellular processes that originate in specific compartments of the kidney, the vascular compartment with nephroangiosclerosis and the tubulointerstitial compartment with fibrosis and tubulointerstitial atrophy, and there may be overlap between both mechanisms. Given the involvement of so many risk factors and so many pathogenic pathways in the progression of CKD, the best hope for delaying or preventing the progression of CKD lies in a combined and multidisciplinary therapeutic approach, based on the existing evidence and acting on all these processes and pathways from the mechanistic point of view, and on a global process that is cardiovascular and renal risk to improve the prognosis of patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:49 Suppl 1

Enthalten in:

Semergen - 49 Suppl 1(2023) vom: 24. Juni, Seite 102021

Sprache:

Spanisch

Weiterer Titel:

Fisiopatología renal y mecanismos farmacológicos de nefroprotección

Beteiligte Personen:

Górriz, J L [VerfasserIn]
Górriz-Zambrano, C [VerfasserIn]
Pallarés-Carratalá, V [VerfasserIn]

Links:

Volltext

Themen:

Bloqueo del sistema renina angiotensina
Chronic kidney disease
Enfermedad renal crónica
English Abstract
Fibrosis intersticial
Interstitial fibrosis
Journal Article
Nefroangioesclerosis
Nephroangiosclerosis
Progresión renal
Proteinuria
Renal progression
Renin angiotensin system blockade
Review

Anmerkungen:

Date Completed 26.06.2023

Date Revised 26.06.2023

published: Print

Citation Status MEDLINE

doi:

10.1016/j.semerg.2023.102021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358566665