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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Low nephron number--a new cardiovascular risk factor in children?
Kerstin Amann1, Christian Plank, Jörg Dötsch
1Department of Pathology, University of Erlangen-Nürnberg, Krankenhausstrasse 8-10, 91054 Erlangen, Germany. kerstin.amann@patho.imed.uni-erlangen.de
Insights
Prenatal or fetal programming suggests adult diseases like hypertension and heart disease originate in early life. Low nephron number in infancy is a key risk factor for later cardiovascular disease.
Area of Science:
- Developmental biology
- Cardiovascular medicine
- Nephrology
Background:
- Adult diseases like hypertension and metabolic syndrome may originate from fetal development.
- Prenatal or fetal programming links early-life conditions to later health outcomes.
- Low nephron number is a potential risk factor for adult cardiovascular disease.
Purpose of the Study:
- Review experimental and clinical evidence linking low nephron number to cardiovascular disease.
- Highlight the importance of identifying at-risk children early.
- Emphasize the role of pediatrics in preventing end-organ damage.
Main Methods:
- Review of experimental and clinical studies.
- Analysis of evidence linking low nephron number to cardiovascular disease risk.
- Focus on renal dysplasia and low birth weight as indicators.
Main Results:
- Low nephron number is identified as a risk factor for cardiovascular disease.
- Evidence supports the concept of prenatal programming of adult diseases.
- Early identification of at-risk children is crucial.
Conclusions:
- Prenatal or fetal programming influences adult cardiovascular health.
- Low nephron count is a significant risk factor for later cardiovascular disease.
- Pediatric early detection and intervention are vital for preventing long-term damage.
Abstract:
There is increasing evidence that primary hypertension, coronary heart disease, and other aspects of the so-called metabolic syndrome that develop in adulthood are primed in fetal life or early postnatally. The identification of this phenomenon, also known as prenatal or fetal programming, and the detailed characterization of the underlying pathomechanisms will greatly influence the understanding of these diseases. The present paper reviews recent experimental and clinical evidence that low nephron number, found in patients with renal dysplasia and low birth weight, is a risk factor for cardiovascular disease in later life. Therefore, it is important to identify children at risk as early as possible in order to treat them early and to prevent the development of end-organ damage. This could be an important goal for pediatrics in the near future.
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