Pathophysiology and therapeutics of premature ageing in chronic kidney disease, with a focus on glycative stress

Summary Chronic kidney disease (CKD) is a major concern in public health. The pathology of CKD includes premature ageing in the kidney and vessels, which results in a high risk of cardiovascular events and end‐stage renal disease. Many factors are involved in premature ageing in CKD, including hormo...

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Veröffentlicht in:Clinical and experimental pharmacology & physiology 2017-12, Vol.44 (S1), p.70-77
Hauptverfasser: Hirakawa, Yosuke, Jao, Tzu‐Ming, Inagi, Reiko
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creator Hirakawa, Yosuke
Jao, Tzu‐Ming
Inagi, Reiko
description Summary Chronic kidney disease (CKD) is a major concern in public health. The pathology of CKD includes premature ageing in the kidney and vessels, which results in a high risk of cardiovascular events and end‐stage renal disease. Many factors are involved in premature ageing in CKD, including hormonal imbalance, glycative stress, nitrogenous metabolites, and oxidative stress. Of these, the most important role in premature ageing in CKD is played by glycative stress, namely a massive and unfavourable glycation state, since the kidney is responsible for the clearance of advanced glycation endproducts (AGEs). In an animal model, overexpression of glyoxalase I (GLO‐1), a detoxifier of AGEs, has been found to alleviate premature ageing in the kidney and vessels. Both lifestyle changes and drug therapy have shown promise in overcoming premature ageing. Promising drug therapies include a GLO‐1 activator and an absorbent against glycotoxin and nitrogenous metabolites.
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The pathology of CKD includes premature ageing in the kidney and vessels, which results in a high risk of cardiovascular events and end‐stage renal disease. Many factors are involved in premature ageing in CKD, including hormonal imbalance, glycative stress, nitrogenous metabolites, and oxidative stress. Of these, the most important role in premature ageing in CKD is played by glycative stress, namely a massive and unfavourable glycation state, since the kidney is responsible for the clearance of advanced glycation endproducts (AGEs). In an animal model, overexpression of glyoxalase I (GLO‐1), a detoxifier of AGEs, has been found to alleviate premature ageing in the kidney and vessels. Both lifestyle changes and drug therapy have shown promise in overcoming premature ageing. 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The pathology of CKD includes premature ageing in the kidney and vessels, which results in a high risk of cardiovascular events and end‐stage renal disease. Many factors are involved in premature ageing in CKD, including hormonal imbalance, glycative stress, nitrogenous metabolites, and oxidative stress. Of these, the most important role in premature ageing in CKD is played by glycative stress, namely a massive and unfavourable glycation state, since the kidney is responsible for the clearance of advanced glycation endproducts (AGEs). In an animal model, overexpression of glyoxalase I (GLO‐1), a detoxifier of AGEs, has been found to alleviate premature ageing in the kidney and vessels. Both lifestyle changes and drug therapy have shown promise in overcoming premature ageing. 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The pathology of CKD includes premature ageing in the kidney and vessels, which results in a high risk of cardiovascular events and end‐stage renal disease. Many factors are involved in premature ageing in CKD, including hormonal imbalance, glycative stress, nitrogenous metabolites, and oxidative stress. Of these, the most important role in premature ageing in CKD is played by glycative stress, namely a massive and unfavourable glycation state, since the kidney is responsible for the clearance of advanced glycation endproducts (AGEs). In an animal model, overexpression of glyoxalase I (GLO‐1), a detoxifier of AGEs, has been found to alleviate premature ageing in the kidney and vessels. Both lifestyle changes and drug therapy have shown promise in overcoming premature ageing. 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subjects Advanced glycosylation end products
Aging
Blood vessels
Cardiovascular diseases
chronic kidney disease
Drug therapy
End-stage renal disease
GLO‐1
glycative stress
Glycosylation
Health risks
indoxyl sulphate
Kidney diseases
Lactoylglutathione lyase
Metabolites
Oxidative stress
Pathophysiology
phosphorus
premature ageing
Public health
title Pathophysiology and therapeutics of premature ageing in chronic kidney disease, with a focus on glycative stress
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