Thinking Outside the Box: Novel Kidney Protective Strategies in Kidney Transplantation
| Autor: | Dina N. Murad, Hassan N. Ibrahim, Greg Knoll |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Transplantation
Kidney Epidemiology business.industry medicine.medical_treatment Immunosuppression Metabolic acidosis Disease Critical Care and Intensive Care Medicine medicine.disease Bioinformatics Atrophy medicine.anatomical_structure Nephrology Fibrosis medicine Risk factor business Kidney transplantation |
| Zdroj: | Clinical Journal of the American Society of Nephrology. 16:1890-1897 |
| ISSN: | 1555-905X 1555-9041 |
| DOI: | 10.2215/cjn.15070920 |
| Popis: | Despite the reduction in the incidence of acute rejection, a major risk factor for graft loss, there has been only modest improvement in long-term graft survival. Most cases of kidney graft loss have an identifiable cause that is not idiopathic fibrosis/atrophy or calcineurin inhibitor nephrotoxicity. Distinct immunologic and nonimmunologic factors conspire to lead to a common pathway of allograft fibrosis. It remains plausible that mitigating nonimmunologic damage using strategies proven effective in native kidney disease may yield benefit in kidney transplantation. In this review, we will focus on nonimmunologic aspects of kidney transplant care that may prove to be valuable adjuncts to a well-managed immunosuppression regimen. Topics to be addressed include the roles of hypertension and agents used to treat it, lipid lowering, sodium and water intake, elevated uric acid, metabolic acidosis, and the use of sodium-glucose cotransporter 2 inhibitors on long-term kidney transplant health. |
| Databáze: | OpenAIRE |
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