Strategies for preventing peritoneal fibrosis in peritoneal dialysis patients: new insights based on peritoneal inflammation and angiogenesis

Peritoneal dialysis (PD) is an established form of renal replacement therapy. Long-term PD leads to morphologic and functional changes to the peritoneal membrane (PM), which is defined as peritoneal fibrosis, a known cause of loss of peritoneal ultrafiltration capacity. Inflammation and angiogenesis...

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Veröffentlicht in:Frontiers of medicine 2017-09, Vol.11 (3), p.349-358
Hauptverfasser: Zhang, Zhen, Jiang, Na, Ni, Zhaohui
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Ni, Zhaohui
description Peritoneal dialysis (PD) is an established form of renal replacement therapy. Long-term PD leads to morphologic and functional changes to the peritoneal membrane (PM), which is defined as peritoneal fibrosis, a known cause of loss of peritoneal ultrafiltration capacity. Inflammation and angiogenesis are key events during the pathogenesis of peritoneal fibrosis. This review discusses the pathophysiology of peritoneal fibrosis and recent research progress on key fibrogenic molecular mechanisms in peritoneal inflammation and angiogenesis, including Toll-like receptor ligand-mediated, NOD-like receptor protein 3/interleukin-1β, vascular endothelial growth factor, and angiopoietin-2/Tie2 signaling pathways. Furthermore, novel strategies targeting peritoneal inflammation and angiogenesis to preserve the PM are discussed in depth.
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subjects Angiogenesis
Humans
Inflammation
Medicine
Medicine & Public Health
Neovascularization, Pathologic - physiopathology
Peritoneal dialysis
Peritoneal Dialysis - adverse effects
peritoneal fibrosis
Peritoneal Fibrosis - etiology
Peritoneal Fibrosis - physiopathology
Peritoneal Fibrosis - prevention & control
Peritonitis - etiology
Peritonitis - metabolism
Review
Signal Transduction
患者
炎症
白细胞介素
纤维化
腹膜
膜透析
血管生成素
预防策略
title Strategies for preventing peritoneal fibrosis in peritoneal dialysis patients: new insights based on peritoneal inflammation and angiogenesis
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