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Updated: Jul 23, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Atherosclerosis and Epigenetic Modifications in Chronic Kidney Disease
Nejc Piko1, Sebastjan Bevc2,3, Radovan Hojs2,3
1Department of Dialysis, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia.
Insights
MicroRNAs (miRNAs) play a crucial role in chronic kidney disease (CKD) and its link to cardiovascular disease. Understanding miRNA dysregulation is key to managing CKD patients.
Area of Science:
- Nephrology
- Cardiology
- Molecular Biology
Background:
- Chronic kidney disease (CKD) affects 10% of the global population, with cardiovascular disease (CVD) being the primary cause of death.
- CKD patients face a disproportionately high burden of CVD, linked to atherosclerosis and vascular stiffness.
- Standard markers like estimated glomerular filtration rate and proteinuria indicate kidney function and cardiovascular risk.
Purpose of the Study:
- To summarize the current understanding of microRNA (miRNA) involvement in the pathophysiology of CKD.
- To highlight the role of miRNA dysregulation in CKD-associated cardiovascular complications.
Main Methods:
- Review of existing scientific literature on miRNAs in CKD and cardiovascular disease.
- Analysis of studies investigating the regulatory functions of miRNAs in disease pathways.
Main Results:
- MicroRNAs are small non-coding RNAs that regulate gene expression by impacting mRNA translation and degradation.
- Dysregulation of miRNAs is implicated in the development and progression of both CKD and atherosclerosis.
- miRNAs are integral to the complex interplay between kidney disease and cardiovascular risk.
Conclusions:
- MicroRNA dysregulation is a significant factor in the pathophysiology of CKD.
- Further research into miRNAs may offer novel therapeutic targets for reducing cardiovascular risk in CKD patients.
Abstract:
Chronic kidney disease (CKD) is one of the most common chronic diseases worldwide, with prevalence currently projected at 10% and rising. Cardiovascular disease is the leading cause of morbidity and mortality in CKD patients and is integrally linked with atherogenesis and vascular stiffness. Estimated glomerular filtration rate and the level of proteinuria are not only markers of kidney function but of cardiovascular risk, as well. Despite the efforts, CKD patients still experience excessive cardiovascular burden. MicroRNAs (miRNAs) are small (18-24 nucleotides), single-stranded non-coding RNAs that regulate gene expression by blocking messenger RNA (mRNA) translation and initiating degradation of mRNA. Studies have confirmed the imperative role of miRNA dysregulation in the pathophysiology of several diseases, including atherosclerosis and CKD. This article summarizes what is currently known about the role of miRNAs in CKD patients.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease III: Interprofessional Care
Atherosclerosis I: Introduction
Epigenetic Regulation
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