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Neoangiogenesis in the peritoneal membrane Krediet RT; Zweers MM; van der Wal AC; Struijk DGPerit Dial Int 2000[]; 20 Suppl 2 (ä): S19-25OBJECTIVE: This study reviews relevant publications on the peritoneal vasculature and tries to establish morphological-functional relationships. DESIGN: The design is a review article. RESULTS: Recent morphological studies in peritoneal dialysis (PD) patients have shown the presence of diabetiform neoangiogenesis in long-term peritoneal dialysis. The same abnormalities could be induced in rats administered a high glucose dialysis solution daily for 20 weeks. The animals showed functional abnormalities in peritoneal transport similar to those found in long-term PD patients. Evidence was obtained in patients that vascular endothelial growth factor could be involved in glucose-induced peritoneal neoangiogenesis. CONCLUSIONS: Diabetiform peritoneal neoangiogenesis is an important pathogenetic factor in ultrafiltration failure in long-term peritoneal dialysis patients.|Animals[MESH]|Dialysis Solutions/toxicity[MESH]|Endothelial Growth Factors/metabolism[MESH]|Epithelium/metabolism[MESH]|Glucose/*pharmacology[MESH]|Humans[MESH]|Neovascularization, Pathologic/*etiology/prevention & control[MESH]|Peritoneal Dialysis/adverse effects[MESH]|Peritoneum/*blood supply/metabolism[MESH]|Permeability[MESH]|Rats[MESH] |
