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Updated: Jul 20, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Vascular Dysfunction in Polycystic Kidney Disease: A Mini-Review
Melissa R Dennis1, Paulo W Pires1, Christopher T Banek1
1Department of Physiology, University of Arizona Health Sciences Center, Tucson, Arizona, USA.
Insights
Polycystic kidney disease (PKD) causes kidney cysts and hypertension. This review examines vascular dysfunction in PKD, highlighting its links to cardiovascular issues and future research directions.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Genetics
Background:
- Polycystic kidney disease (PKD) is a common hereditary kidney disease.
- It is characterized by progressive cyst growth, renal abnormalities, and secondary hypertension.
- PKD patients often develop vascular and cardiovascular complications, leading to end-stage renal disease.
Purpose of the Study:
- To review vascular dysfunction in clinical and preclinical models of PKD.
- To explore the relationship between PKD progression, hypertension, and cardiovascular diseases.
- To identify critical questions and emerging areas in PKD vascular research.
Main Methods:
- Literature review of clinical studies and preclinical models of PKD.
- Analysis of vascular abnormalities, hypertension, and cardiovascular complications in PKD patients.
- Synthesis of current understanding and identification of research gaps.
Main Results:
- PKD is associated with significant vascular dysfunction.
- This dysfunction contributes to hypertension, stroke, and other cardiovascular diseases.
- The interplay between renal and cardiovascular effects in PKD progression is understudied.
Conclusions:
- Vascular dysfunction is a critical component of PKD.
- Further research is needed to understand the timing and interactions of renal and cardiovascular effects in PKD.
- Addressing these gaps may lead to improved treatments for PKD patients.
Abstract:
Polycystic kidney disease (PKD) is one of the most common hereditary kidney diseases, which is characterized by progressive cyst growth and secondary hypertension. In addition to cystogenesis and renal abnormalities, patients with PKD can develop vascular abnormalities and cardiovascular complications. Progressive cyst growth substantially alters renal structure and culminates into end-stage renal disease. There remains no cure beyond renal transplantation, and treatment options remain largely limited to chronic renal replacement therapy. In addition to end-stage renal disease, patients with PKD also present with hypertension and cardiovascular disease, yet the timing and interactions between the cardiovascular and renal effects of PKD progression are understudied. Here, we review the vascular dysfunction found in clinical and preclinical models of PKD, including the clinical manifestations and relationship to hypertension, stroke, and related cardiovascular diseases. Finally, our discussion also highlights the critical questions and emerging areas in vascular research in PKD.
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