The Influence of Inflammation on Anemia in CKD Patients
Identifieur interne : 000110 ( 2020/Analysis ); précédent : 000109; suivant : 000111The Influence of Inflammation on Anemia in CKD Patients
Auteurs : Anna Gluba-Brz Zka ; Beata Franczyk ; Robert Olszewski ; Jacek RyszSource :
- International Journal of Molecular Sciences [ 1422-0067 ] ; 2020.
Abstract
Anemia is frequently observed in the course of chronic kidney disease (CKD) and it is associated with diminishing the quality of a patient’s life. It also enhances morbidity and mortality and hastens the CKD progression rate. Patients with CKD frequently suffer from a chronic inflammatory state which is related to a vast range of underlying factors. The results of studies have demonstrated that persistent inflammation may contribute to the variability in Hb levels and hyporesponsiveness to erythropoietin stimulating agents (ESA), which are frequently observed in CKD patients. The understanding of the impact of inflammatory cytokines on erythropoietin production and hepcidin synthesis will enable one to unravel the net of interactions of multiple factors involved in the pathogenesis of the anemia of chronic disease. It seems that anti-cytokine and anti-oxidative treatment strategies may be the future of pharmacological interventions aiming at the treatment of inflammation-associated hyporesponsiveness to ESA. The discovery of new therapeutic approaches towards the treatment of anemia in CKD patients has become highly awaited. The treatment of anemia with erythropoietin (EPO) was associated with great benefits for some patients but not all.
Url:
DOI: 10.3390/ijms21030725
PubMed: 31979104
PubMed Central: 7036805
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Influence of Inflammation on Anemia in CKD Patients</title><author><name sortKey="Gluba Brz Zka, Anna" sort="Gluba Brz Zka, Anna" uniqKey="Gluba Brz Zka A" first="Anna" last="Gluba-Brz Zka">Anna Gluba-Brz Zka</name><affiliation><nlm:aff id="af1-ijms-21-00725">Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland;<email>bfranczyk-skora@wp.pl</email> (B.F.);</nlm:aff></affiliation></author><author><name sortKey="Franczyk, Beata" sort="Franczyk, Beata" uniqKey="Franczyk B" first="Beata" last="Franczyk">Beata Franczyk</name><affiliation><nlm:aff id="af1-ijms-21-00725">Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland;<email>bfranczyk-skora@wp.pl</email> (B.F.);</nlm:aff></affiliation></author><author><name sortKey="Olszewski, Robert" sort="Olszewski, Robert" uniqKey="Olszewski R" first="Robert" last="Olszewski">Robert Olszewski</name><affiliation><nlm:aff id="af2-ijms-21-00725">Department of Geriatrics, National Institute of Geriatrics Rheumatology and Rehabilitation and Department of Ultrasound, Institute of Fundamental Technological Research, Polish Academy of Sciences, Warsaw, Poland (IPPT PAN), 02-106 Warsaw, Poland;<email>robert.olszewski@me.com</email></nlm:aff></affiliation></author><author><name sortKey="Rysz, Jacek" sort="Rysz, Jacek" uniqKey="Rysz J" first="Jacek" last="Rysz">Jacek Rysz</name><affiliation><nlm:aff id="af1-ijms-21-00725">Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland;<email>bfranczyk-skora@wp.pl</email> (B.F.);</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">31979104</idno><idno type="pmc">7036805</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036805</idno><idno type="RBID">PMC:7036805</idno><idno 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Patients</title><author><name sortKey="Gluba Brz Zka, Anna" sort="Gluba Brz Zka, Anna" uniqKey="Gluba Brz Zka A" first="Anna" last="Gluba-Brz Zka">Anna Gluba-Brz Zka</name><affiliation><nlm:aff id="af1-ijms-21-00725">Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland;<email>bfranczyk-skora@wp.pl</email> (B.F.);</nlm:aff></affiliation></author><author><name sortKey="Franczyk, Beata" sort="Franczyk, Beata" uniqKey="Franczyk B" first="Beata" last="Franczyk">Beata Franczyk</name><affiliation><nlm:aff id="af1-ijms-21-00725">Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland;<email>bfranczyk-skora@wp.pl</email> (B.F.);</nlm:aff></affiliation></author><author><name sortKey="Olszewski, Robert" sort="Olszewski, Robert" uniqKey="Olszewski R" first="Robert" last="Olszewski">Robert Olszewski</name><affiliation><nlm:aff id="af2-ijms-21-00725">Department of Geriatrics, National Institute of Geriatrics Rheumatology and Rehabilitation and Department of Ultrasound, Institute of Fundamental Technological Research, Polish Academy of Sciences, Warsaw, Poland (IPPT PAN), 02-106 Warsaw, Poland;<email>robert.olszewski@me.com</email></nlm:aff></affiliation></author><author><name sortKey="Rysz, Jacek" sort="Rysz, Jacek" uniqKey="Rysz J" first="Jacek" last="Rysz">Jacek Rysz</name><affiliation><nlm:aff id="af1-ijms-21-00725">Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland;<email>bfranczyk-skora@wp.pl</email> (B.F.);</nlm:aff></affiliation></author></analytic><series><title level="j">International Journal of Molecular Sciences</title><idno type="eISSN">1422-0067</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Anemia is frequently observed in the course of chronic kidney disease (CKD) and it is associated with diminishing the quality of a patient’s life. It also enhances morbidity and mortality and hastens the CKD progression rate. Patients with CKD frequently suffer from a chronic inflammatory state which is related to a vast range of underlying factors. The results of studies have demonstrated that persistent inflammation may contribute to the variability in Hb levels and hyporesponsiveness to erythropoietin stimulating agents (ESA), which are frequently observed in CKD patients. The understanding of the impact of inflammatory cytokines on erythropoietin production and hepcidin synthesis will enable one to unravel the net of interactions of multiple factors involved in the pathogenesis of the anemia of chronic disease. It seems that anti-cytokine and anti-oxidative treatment strategies may be the future of pharmacological interventions aiming at the treatment of inflammation-associated hyporesponsiveness to ESA. The discovery of new therapeutic approaches towards the treatment of anemia in CKD patients has become highly awaited. The treatment of anemia with erythropoietin (EPO) was associated with great benefits for some patients but not all.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cases, A" uniqKey="Cases A">A. Cases</name></author><author><name sortKey="Egocheaga, M I" uniqKey="Egocheaga M">M.I. Egocheaga</name></author><author><name sortKey="Tranche, S" uniqKey="Tranche S">S. Tranche</name></author><author><name sortKey="Pallares, V" uniqKey="Pallares V">V. Pallarés</name></author><author><name sortKey="Ojeda, R" uniqKey="Ojeda R">R. Ojeda</name></author><author><name sortKey="G Rriz, J L" uniqKey="G Rriz J">J.L. Górriz</name></author><author><name sortKey="Portoles, J M" uniqKey="Portoles J">J.M. Portolés</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malyszko, J" uniqKey="Malyszko J">J. Malyszko</name></author><author><name sortKey="Mysliwiec, M" uniqKey="Mysliwiec M">M. 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Hörl</name></author><author><name sortKey="Macdougal, I C" uniqKey="Macdougal I">I.C. Macdougal</name></author><author><name sortKey="Macleod, A" uniqKey="Macleod A">A. Macleod</name></author><author><name sortKey="Wiecek, A" uniqKey="Wiecek A">A. Wiecek</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Franczyk, Beata" sort="Franczyk, Beata" uniqKey="Franczyk B" first="Beata" last="Franczyk">Beata Franczyk</name><name sortKey="Gluba Brz Zka, Anna" sort="Gluba Brz Zka, Anna" uniqKey="Gluba Brz Zka A" first="Anna" last="Gluba-Brz Zka">Anna Gluba-Brz Zka</name><name sortKey="Olszewski, Robert" sort="Olszewski, Robert" uniqKey="Olszewski R" first="Robert" last="Olszewski">Robert Olszewski</name><name sortKey="Rysz, Jacek" sort="Rysz, Jacek" uniqKey="Rysz J" first="Jacek" last="Rysz">Jacek Rysz</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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