Vascular Calcification in Chronic Kidney Disease: Diversity in the Vessel Wall.

Vascular Calcification in Chronic Kidney Disease: Diversity in the Vessel Wall.
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DOI:
10.3390/biomedicines9040404
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发表时间:
2021-04-08
期刊:
影响因子:
4.7
通讯作者:
Kennedy D
Kennedy D
中科院分区:
工程技术3区
文献类型:
--
作者:
Dube P;DeRiso A;Patel M;Battepati D;Khatib-Shahidi B;Sharma H;Gupta R;Malhotra D;Dworkin L;Haller S;Kennedy D

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血管钙化(VC)是慢性肾脏病(CKD)患者心血管疾病发病率和死亡率的主要原因之一。VC是一个复杂的过程,在发病和进展方面与骨代谢相似。CKD中的VC受到多种因素的促进,这些因素不限于高磷酸盐血症、Ca/Pi失衡、尿毒症毒素、慢性炎症、氧化应激和不同细胞类型(包括血管平滑肌细胞(VSMC)、巨噬细胞和内皮细胞)中多种信号传导途径的激活。在目前的审查中,我们提供了各种VC的深入分析,临床意义和可用的治疗方法,多种细胞类型的显着贡献,以及相关的细胞和分子机制的VC过程中设置的CKD。因此,我们试图强调驱动CKD中VC病理的关键因素和细胞类型,以帮助确定患有这种疾病的患者的预防,诊断和治疗策略。
Vascular calcification (VC) is one of the major causes of cardiovascular morbidity and mortality in patients with chronic kidney disease (CKD). VC is a complex process expressing similarity to bone metabolism in onset and progression. VC in CKD is promoted by various factors not limited to hyperphosphatemia, Ca/Pi imbalance, uremic toxins, chronic inflammation, oxidative stress, and activation of multiple signaling pathways in different cell types, including vascular smooth muscle cells (VSMCs), macrophages, and endothelial cells. In the current review, we provide an in-depth analysis of the various kinds of VC, the clinical significance and available therapies, significant contributions from multiple cell types, and the associated cellular and molecular mechanisms for the VC process in the setting of CKD. Thus, we seek to highlight the key factors and cell types driving the pathology of VC in CKD in order to assist in the identification of preventative, diagnostic, and therapeutic strategies for patients burdened with this disease.
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