Reversal of Arterial Stiffness and Maladaptative Arterial Remodeling After Kidney Transplantation.
Identifieur interne : 000605 ( PubMed/Curation ); précédent : 000604; suivant : 000606Reversal of Arterial Stiffness and Maladaptative Arterial Remodeling After Kidney Transplantation.
Auteurs : Alexandre Karras [France] ; Pierre Boutouyrie [France] ; Marie Briet [France] ; Erwan Bozec [France] ; Jean-Philippe Haymann [France] ; Christophe Legendre [France] ; Lawrence P. Mcmahon [Australie] ; Michel Delahousse [France]Source :
- Journal of the American Heart Association [ 2047-9980 ] ; 2017.
Abstract
Chronic kidney disease is characterized by stiffening, thinning, dilatation, and increased circumferential wall stress of large arteries, associated with increased cardiovascular risk. Kidney transplantation (KT) reverses many pathological features of chronic kidney disease and improves life expectancy; however, longitudinal studies exploring the impact of KT on recipient large arteries are scarce.
DOI: 10.1161/JAHA.117.006078
PubMed: 28889098
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Mcmahon</name><affiliation wicri:level="1"><nlm:affiliation>Eastern Health Clinical School, Monash University, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Eastern Health Clinical School, Monash University, Melbourne</wicri:regionArea></affiliation></author><author><name sortKey="Delahousse, Michel" sort="Delahousse, Michel" uniqKey="Delahousse M" first="Michel" last="Delahousse">Michel Delahousse</name><affiliation wicri:level="1"><nlm:affiliation>Nephrology and Renal Transplantation Department, Hôpital Foch, Suresnes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Nephrology and Renal Transplantation Department, Hôpital Foch, Suresnes</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of the American Heart Association</title><idno type="eISSN">2047-9980</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Chronic kidney disease is characterized by stiffening, thinning, dilatation, and increased circumferential wall stress of large arteries, associated with increased cardiovascular risk. Kidney transplantation (KT) reverses many pathological features of chronic kidney disease and improves life expectancy; however, longitudinal studies exploring the impact of KT on recipient large arteries are scarce.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28889098</PMID><DateCreated><Year>2017</Year><Month>09</Month><Day>10</Day></DateCreated><DateRevised><Year>2017</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2047-9980</ISSN><JournalIssue CitedMedium="Internet"><Volume>6</Volume><Issue>9</Issue><PubDate><Year>2017</Year><Month>Sep</Month><Day>09</Day></PubDate></JournalIssue><Title>Journal of the American Heart Association</Title><ISOAbbreviation>J Am Heart Assoc</ISOAbbreviation></Journal><ArticleTitle>Reversal of Arterial Stiffness and Maladaptative Arterial Remodeling After Kidney Transplantation.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">e006078</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1161/JAHA.117.006078</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Chronic kidney disease is characterized by stiffening, thinning, dilatation, and increased circumferential wall stress of large arteries, associated with increased cardiovascular risk. Kidney transplantation (KT) reverses many pathological features of chronic kidney disease and improves life expectancy; however, longitudinal studies exploring the impact of KT on recipient large arteries are scarce.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">This study was designed to appraise arterial changes following KT. Carotid-femoral pulse wave velocity, carotid remodeling (circumferential wall stress and carotid internal diameter), and stiffness were measured in 161 consecutive recipients receiving either a living (n=49) or a deceased (n=112) donor allograft, at 3 and 12 months after transplantation. Mean pulse wave velocity decreased from 10.8 m/s (95% confidence interval, 10.5-11.2 m/s) (at month 3) to 10.1 m/s (95% confidence interval, 9.8-10.5 m/s) (at month 12) (P<0.001). After multivariate adjustment, pulse wave velocity reduction from month 3 to month 12 was significantly larger in the living donor allograft KT (P<0.001). Circumferential wall stress decreased, 70 kPa (95% confidence interval, 68-72 kPa) to 64 kPa (95% confidence interval, 62-67 kPa), as well as carotid internal diameter and carotid stiffness (P<0.001 for all). Reductions in circumferential wall stress, diameter, and stiffness were significantly larger in the living donor allograft KT (P<0.001). When deceased donor allograft patients were classified into standard and expanded criteria donors, changes in both pulse wave velocity and circumferential wall stress were blunted in expanded criteria donors. Changes were independent of graft function and blood pressure changes.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Large-artery stiffness and maladaptive carotid artery remodeling of chronic kidney disease is partially reversed within 12 months of KT and appears unrelated to renal function. Improvements were independently associated with live organ donation. Our data suggest that expanded criteria donors may hamper vascular recovery.</AbstractText><CopyrightInformation>© 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Karras</LastName><ForeName>Alexandre</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Nephrology Department, Hôpital Européen Georges Pompidou, Assistance Publique Hôpitaux de Paris, Paris, France alexandre.karras@aphp.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut National de la Santé et de la Recherche Médicale U970-PARCC, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Université Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boutouyrie</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Pharmacology Department, Hôpital Européen Georges Pompidou, Assistance Publique Hôpitaux de Paris, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut National de la Santé et de la Recherche Médicale U970-PARCC, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Université Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Briet</LastName><ForeName>Marie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Pharmacology Department, Hôpital Européen Georges Pompidou, Assistance Publique Hôpitaux de Paris, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut National de la Santé et de la Recherche Médicale U970-PARCC, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Université Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bozec</LastName><ForeName>Erwan</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Pharmacology Department, Hôpital Européen Georges Pompidou, Assistance Publique Hôpitaux de Paris, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut National de la Santé et de la Recherche Médicale U970-PARCC, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haymann</LastName><ForeName>Jean-Philippe</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Physiology Department, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Université Pierre et Marie Curie, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Legendre</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Renal Transplantation Department, Hôpital Necker, Assistance Publique Hôpitaux de Paris, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McMahon</LastName><ForeName>Lawrence P</ForeName><Initials>LP</Initials><AffiliationInfo><Affiliation>Eastern Health Clinical School, Monash University, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delahousse</LastName><ForeName>Michel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Nephrology and Renal Transplantation Department, Hôpital Foch, Suresnes, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INSERM U 1018 CESP Team 5, UVSQ, Villejuif, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>09</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Am Heart Assoc</MedlineTA><NlmUniqueID>101580524</NlmUniqueID><ISSNLinking>2047-9980</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Am Soc Nephrol. 2001 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RefType="Cites"><RefSource>Kidney Int. 2004 May;65(5):1882-9</RefSource><PMID Version="1">15086931</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>JAMA. 2005 Dec 7;294(21):2726-33</RefSource><PMID Version="1">16333008</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2012;7(8):e44201</RefSource><PMID Version="1">22952928</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Hypertens. 2015 Oct;33(10):1981-96</RefSource><PMID Version="1">26431185</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Hypertension. 2012 Dec;60(6):1451-7</RefSource><PMID Version="1">23090769</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">renal disease</Keyword><Keyword MajorTopicYN="N">stiffness</Keyword><Keyword MajorTopicYN="N">transplantation</Keyword><Keyword MajorTopicYN="N">vascular function</Keyword><Keyword 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