Systemic inflammation, metabolic syndrome and progressive renal disease (original) (raw)

Journal Article

Pietro Cirillo ,

Correspondence and offprint requests to : Pietro Cirillo, Division of Nephrology, Dialysis and Transplantation, Department of Biomedical Sciences, University of Foggia, College of Medicine, Viale L. Pinto 1, 71100, Foggia, Italy. Tel: +39-0881-732054 ; Fax:

+39-0881-736001

; E-mail: [email protected]

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Yuri Y. Sautin ,

1

Division of Nephrology, Hypertension and Transplantation, Department of Medicine

,

University of Florida

,

Gainesville, FL 32610

,

USA

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John Kanellis ,

3

Department of Nephrology, Monash Medical Centre, Clayton, VIC 3168

,

Australia

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Duk-Hee Kang ,

4

Department of Nephrology

,

Ewha Womans University School of Medicine

,

Seoul

,

Korea

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Loreto Gesualdo ,

2

Division of Nephrology, Dialysis and Transplantation, Department of Biomedical Sciences

,

University of Foggia

,

Foggia

,

Italy

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Takahiko Nakagawa ,

5

Division of Renal Diseases and Hypertension

,

University of Colorado

,

Aurora, CO 80045

,

USA

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Richard J. Johnson

5

Division of Renal Diseases and Hypertension

,

University of Colorado

,

Aurora, CO 80045

,

USA

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Received:

29 December 2008

Accepted:

19 January 2009

Published:

10 February 2009

Cite

Pietro Cirillo, Yuri Y. Sautin, John Kanellis, Duk-Hee Kang, Loreto Gesualdo, Takahiko Nakagawa, Richard J. Johnson, Systemic inflammation, metabolic syndrome and progressive renal disease, Nephrology Dialysis Transplantation, Volume 24, Issue 5, May 2009, Pages 1384–1387, https://doi.org/10.1093/ndt/gfp038
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Introduction

Systemic inflammation is a characteristic feature of metabolic syndrome and cardiovascular (CV) disease. One common marker used to define systemic inflammation is the plasma level of C-reactive protein (CRP) [ 1 ]. Studies by Ridker et al. have shown that subjects with elevated plasma CRP levels have an increased risk for CV death [ 2,3 ]. More recent studies have shown that an elevated CRP level may also increase the risk for CV events in patients with chronic kidney disease (CKD) [ 4 ]. Furthermore, an elevation in CRP also increases the risk for progression of kidney disease in subjects with CKD [ 5 ]. In addition, a number of therapeutic agents such as aspirin [ 6 ], statins [ 7,8 ], angiotensin converting enzyme (ACE) inhibitors [ 9 ] and antioxidants [ 10 ] have been reported to both reduce CRP levels and improve CV outcomes, thereby suggesting that reducing inflammation may provide a novel means for treating kidney disease. Therefore, understanding the mechanisms driving the inflammatory response, how it may mediate renal disease progression and how to prevent or treat this response is of great interest.

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