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Published on: November 10, 2021
[Inflammation in chronic kidney disease: the role of cytokines]
Heloisa R Vianna1, Cristina Maria Bouissou Morais Soares, Marcelo S Tavares
1Universidade Federal de Minas Gerais.
Insights
Inflammation plays a key role in chronic kidney disease (CKD) progression. Cytokines and chemokines are implicated, and targeting the immune-inflammatory response may offer new therapeutic strategies for CKD.
Area of Science:
- Nephrology
- Immunology
- Pathophysiology
Context:
- Chronic kidney disease (CKD) is a growing global health concern with significant morbidity and mortality.
- Obesity, hypertension, and diabetes mellitus are established CKD risk factors.
- Emerging evidence highlights the critical role of inflammation in CKD pathogenesis.
Purpose:
- To review the scientific literature on the involvement of inflammation in CKD.
- To specifically examine the effects of cytokines and chemokines in CKD.
- To explore the potential of modulating immune-inflammatory responses for CKD treatment.
Summary:
- Inflammation is a significant pathophysiological factor in CKD.
- Various cytokines and chemokines are detected in early CKD stages and linked to complications.
- Drug classes like ACE inhibitors, statins, and cytokine receptor antagonists may influence inflammatory mediators and renal injury.
Impact:
- Understanding the inflammatory basis of CKD can lead to novel therapeutic targets.
- Modulating the immune-inflammatory response presents a promising avenue for CKD management.
- This review consolidates evidence on inflammation's role, guiding future research and clinical practice.
Abstract:
Chronic kidney disease (CKD) is a serious public health problem whose prevalence has increased in the last few years. Its progression is associated with high morbidity and mortality. Several factors are associated with the onset and progression of CKD, such as obesity, hypertension and diabetes mellitus. Beyond these factors, there is evidence of a pathophysiological role for inflammation in CKD. Several cytokines and chemokines have been detected in the plasma and urine of patients at early stages of CKD, and have also been related to CKD complications. The expression of these mediators and renal injury may be influenced by drugs such as angiotensin-converting enzyme inhibitors, statins and antagonists of cytokine receptors. Modulation of the immune-inflammatory response can become a target for CKD treatment. The aim of this study was to review the scientific evidence on the role of inflammation in CKD, especially the effects of cytokines and chemokines.
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