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[Oxidative stress in patients after kidney transplantation]
J Vostálová1, A Galandáková, P Strebl
1Ustav Lekarske chemie a biochemie Lekarske Fakulty UP Olomouc.
Abstract:
Successful kidney transplantation (KT) leads not only to normalization of renal excretory function, but also to modification of the metabolic and endocrine kidney function. The most common cause of morbidity and mortality in patients after KT are cardiovascular diseases which development is also associated with oxidative stress (OS). KT and the posttransplantation period are associated with increased OS that could gradually decrease. Some immunosuppressive drugs also contribute to increase of OS, especially compounds from a group of calcineurin inhibitors and thus indirectly contribute to increased risk of cardiovascular complications.
Insights
Kidney transplantation improves kidney function but increases oxidative stress (OS), a risk factor for cardiovascular disease. Immunosuppressants like calcineurin inhibitors can worsen OS and cardiovascular risk post-transplant.
Area of Science:
- Nephrology
- Cardiology
- Endocrinology
Context:
- Kidney transplantation (KT) restores renal excretory function.
- Post-KT patients experience metabolic and endocrine function changes.
- Cardiovascular diseases (CVD) are primary causes of morbidity and mortality in KT recipients.
Purpose:
- To investigate the role of oxidative stress (OS) in post-KT patients.
- To understand the impact of immunosuppressive drugs on OS and CVD risk.
Summary:
- Successful KT normalizes kidney function but is linked to increased oxidative stress (OS).
- OS levels may decrease over time post-transplantation.
- Certain immunosuppressants, particularly calcineurin inhibitors, exacerbate OS and elevate CVD risk.
Impact:
- Highlights the critical link between OS, immunosuppression, and CVD in KT patients.
- Suggests potential targets for mitigating CVD risk in this population.
- Informs clinical management strategies to improve long-term outcomes after kidney transplantation.
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Kidney Transplant III: Nursing Management
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Acute Kidney Injury II: Pathophysiology
Acute Kidney Injury I: Introduction
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