Recent Advances in the Pathogenesis and Treatment of Kidney Diseases

Recent Advances in the Pathogenesis and Treatment of Kidney Diseases
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Описание книги

Chronic kidney disease (CKD) is a global health burden with associated high economic costs to the health system. Main factors are the increasing number of patients with diabetes and hypertension and the aging of the population. CKD has been associated with increased risks of cardiovascular morbidity, premature mortality, and/or decreased quality of life. In this new volume, renowned Japanese scientists present their recent research results. Papers cover various aspects of kidney diseases such as cystic kidney diseases, treatment of lupus nephritis, renal anemia and iron metabolism, cell sheet engineering, frailty and outcomes of dialysis patients, and the socioeconomics of rituximab in nephrotic syndrome. Due to the wide range of topics presented, this book will be of interest to readers from various clinical and research settings connected with the care of CKD patients.

Оглавление

Группа авторов. Recent Advances in the Pathogenesis and Treatment of Kidney Diseases

Contributions to Nephrology

Recent Advances in the Pathogenesis and Treatment of Kidney Diseases

Contents

Preface

The Role of Caveolae on Albumin Passage through Glomerular Endothelial and Epithelial Cells: The New Etiology of Urinary Albumin Excretion

Abstract

The Roles of Caveolae

The Roles of Caveolae in the Kidney

Albumin Transportation through Caveolae. Glomerular Endothelial Cells

Glomerular Epithelial Cells

New Intracellular Trafficking Pathway of Albumin through Glomerular Endothelial and Epithelial Cells

Conclusions

Acknowledgements

References

Rituximab as a Therapeutic Option for Steroid-Sensitive Minimal Change Nephrotic Syndrome in Adults

Abstract

Mechanism of Rituximab Action

Pharmacokinetics of Rituximab Infusion

Single-Dose Rituximab Therapy for Steroid-Dependent MCNS

Side Effects of Rituximab Treatment

Perspectives

Conclusion

References

Large Renal Corpuscle: Clinical Significance of Evaluation of the Largest Renal Corpuscle in Kidney Biopsy Specimens

Abstract

Significance of Large Renal Corpuscles

Experimental Models. Remnant Kidney Model

Type II Diabetic Rats

Humans

Renal Allografts

Obesity-Related Glomerulopathy

Physiological or Morbid Enlargement?

Problems in the Measurement of Renal Corpuscle Size (Glomerular Size)

Morphometric Methods

Mean Value or Maximum Value?

Acknowledgments

Key Messages

References

New Insights into Cystic Kidney Diseases

Abstract

Cilia

Ciliopathy

Classification of Hereditary Cystic Kidney Diseases (Fig. 1, 2)

Autosomal Recessive Polycystic Kidney Disease

Nephronophthisis

Infantile NPHP

Juvenile NPHP

Adolescent NPHP

NPHP-Related Disorders

Senior-Loken Syndrome

Joubert Syndrome (JBTS; Cerebro-Oculo-Renal Syndrome)

Meckel-Gruber Syndrome

Bardet-Biedl Syndrome

Oral-Facial-Digital Syndrome

Autosomal Dominant Tubulointerstitial Kidney Disease

Autosomal Dominant Tubulointerstitial Kidney Disease-MUC1: Medullary Cystic Kidney Disease Type 1

ADTKD-UMOD: MCKD2

ADTKD-REN: Familial Juvenile Hyperurecemic Nephropathy Type 2

ADTKD-HNFIB: HNF1β-Related Disease

Autosomal Dominant Polycystic Kidney Disease

Conclusion

References

Recent Advances in Treatment Strategies for Lupus Nephritis

Abstract

Immunological Therapy

Induction Therapy

Maintenance Therapy

Newer Biological Agents

Non-Immunological Therapy. Hydroxychloroquine

Anti-Hypertensive Agents

Hyperlipidemia Treatment Strategies

Conclusion

References

Association between Increases in Normalized Protein Catabolic Rate and Increases in Creatinine Generation Rate in Dialysis Patients

Abstract

Methods. Study Design

Statistical Analysis

Ethical Issues

Results. Patient Background and Treatment Characteristics

Laboratory Findings

nPCR Changes and %CGR Changes

Multivariate Analyses

Sensitivity Analyses

Discussion

References

Renal Anemia and Iron Metabolism

Abstract

Iron Management Standards and Guidelines

Hematopoiesis and Iron Metabolism

Iron Absorption and Mucosal Block

Iron Metabolism and Patients on Hemodialysis

ESA and Iron Metabolism

Studies Regarding Optimal Levels of Iron and Hb Levels

Conclusion

Acknowledgement

References

Cell Sheet Engineering and Kidney Diseases

Abstract

Application of Cell Sheet Therapy

Renal Impairment and Cell Therapy

Application of Cell Sheet Technology to the Kidney

Conclusion

References

Clinical Impact of Left Ventricular Diastolic Dysfunction in Chronic Kidney Disease

Abstract

Pathogenesis

LVH with Myocardial Fibrosis in CKD

Clinical Measurement of DD

Treatment

Conclusion

References

Treatment of Posttransplantation Anemia

Abstract

Renal Anemia

Epidemiology of Posttransplantation Anemia

Causes of PTA

Early PTA and Maintenance-Phase PTA

Early PTA

Maintenance-Phase PTA

Treatment of PTA. Erythropoiesis-Stimulating Agent

Iron Preparations

Blood Transfusion

Conclusion

References

Role of Frailty on Outcomes of Dialysis Patients

Abstract

Definition of Frailty

Prevalence of Frailty in the Dialysis Population

Screening and Management of Frailty

Interventions for Frail Older Adults

Perspectives

Conclusion

References

Socioeconomics of Administering Rituximab for Nephrotic Syndrome

Abstract

Concept of Cost-Effectiveness and Objectives of the Study

Methods. Study Population

Outcomes: Clinical and Economic Indicators

Trial Protocol

Results. Characteristics of the Study Population

Changes in the Effectiveness Parameters

Change of the Cost Parameter

Result of the CEA

Discussion

Conclusion

References

Use of Beta-Blockers on Maintenance Dialysis Patients and Ischemic Cerebral and Cardiovascular Deaths: An Examination Using Propensity Score

Abstract

Subjects/Methods

Results. Patient Backgrounds and Prognoses

Survival Analyses and Prognostic Factors

Discussion

Limitations

Conclusion

References

Direct Effects of Immunomodulatory Agents on Podocytes in Immune-Mediated Glomerular Diseases

Abstract

Consequence of Podocyte Injury

Direct Effects of Immunomodulatory Agents on Podocytes GCs (Fig. 2a)

Calcineurin Inhibitors (Fig. 2b)

Purine Synthesis Inhibitors (Fig. 2c)

Levamisole (Fig. 2a)

Mammalian Target of Rapamycin Inhibitors (Fig. 2d)

Anti-CD20 Antibodies (Fig. 2e)

Cytotoxic T Lymphocyte Associated Antigen-4/Immunoglobulin Fusion Proteins (Fig. 2f)

Conclusion

References

Author Index

Subject Index

Отрывок из книги

Vol. 195

Series Editor

.....

Clinical Impact of Left Ventricular Diastolic Dysfunction in Chronic Kidney Disease

Ogawa, T.; Nitta, K. (Tokyo)

.....

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