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Published on: June 23, 2015
Effect of Statins on Renal Function and Total Kidney Volume in Autosomal Dominant Polycystic Kidney Disease
Cheng Xue1, Li-Ming Zhang2, Chenchen Zhou3
1Department of Nephrology, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Insights
Statins did not slow the progression of autosomal dominant polycystic kidney disease (ADPKD). However, statins did reduce urinary protein and lower low-density lipoprotein levels in ADPKD patients.
Area of Science:
- Nephrology
- Pharmacology
- Genetics
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is a common genetic kidney disorder.
- Current treatments for ADPKD are limited in slowing disease progression.
- The efficacy of statins in managing ADPKD progression is not well-established.
Conclusions:
- Statins demonstrated benefits in reducing proteinuria and lowering LDL cholesterol in ADPKD patients.
- The overall effect of statins on the progression of ADPKD remains uncertain.
- Further research is needed to clarify the role of statins in ADPKD management.
Background:
Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary nephropathy with few treatments to slow renal progression. The evidence on the effect of lipid-lowering agents (statins) on ADPKD progression remains inconclusive.
Methods:
We performed a systematic review and meta-analysis by searching the PubMed, Embase, Web of Science, and Cochrane databases (up to November 2019). Changes in estimated glomerular filtration rate (eGFR) and total kidney volume (TKV) were the primary outcomes. Mean differences (MDs) for continuous outcomes and 95% confidence intervals (CIs) were calculated by a random-effects model.
Results:
Five clinical studies with 648 participants were included. Statins did not show significant benefits in the yearly change in eGFR (4 studies, MD = -0.13 mL/min/m2, 95% CI: -0.78 to 0.52, p = 0.70) and the yearly change in TKV (3 studies, MD = -1.17%, 95% CI: -3.40 to 1.05, p = 0.30) compared with the control group. However, statins significantly decreased urinary protein excretion (-0.10 g/day, 95% CI: -0.16 to -0.03, p = 0.004) and serum low-density lipoprotein level (-0.34 mmol/L, 95% CI: -0.58 to -0.10, p = 0.006).
Conclusion:
Despite these proteinuria and lipid-lowering benefits, the effect of statins on ADPKD progression was uncertain.
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