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2008 ; 17
(4
): 451-67
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Novel targets and new potential: developments in the treatment of inflammation in
chronic kidney disease
#MMPMID18363512
Kovesdy CP
; Kalantar-Zadeh K
Expert Opin Investig Drugs
2008[Apr]; 17
(4
): 451-67
PMID18363512
show ga
BACKGROUND: Patients with chronic kidney disease (CKD) of all stages experience
extremely high mortality, with cardiovascular causes accounting for about half of
all their deaths. Traditional risk factors such as hypertension,
hypercholesterolemia and diabetes mellitus cannot explain the excessively high
cardiovascular mortality in CKD. Chronic inflammation is one of the novel risk
factors that appear to contribute to the increased mortality seen in patients
with CKD. Therapeutic interventions targeting chronic inflammation in CKD may
lead to improved outcomes. OBJECTIVES: To describe the role of inflammation in
CKD and to review anti-inflammatory pharmacologic therapies that could have a
role in its therapy. METHODS: A review of the literature was carried out and
expert opinion expressed. RESULTS/CONCLUSION: Inflammation is a common and
significant problem in CKD. There are currently no approved pharmacologic
anti-inflammatory therapies in CKD but several agents are being studied in early
clinical trials, while others could become viable alternatives in the future.
|*Drug Design
[MESH]
|Anti-Inflammatory Agents/pharmacology/*therapeutic use
[MESH]
|B-Lymphocytes/drug effects
[MESH]
|Cardiovascular Diseases/*etiology/immunology/mortality/prevention & control
[MESH]
|Drugs, Investigational/pharmacology/*therapeutic use
[MESH]