Abstract：
:Endothelial dysfunction is common in patients with chronic kidney disease (CKD) and contributes significantly to the high long-term cardiovascular morbidity and mortality. The short-term cardiovascular effects of recombinant human growth hormone (rhGH) in CKD patients (stages III-V) and healthy controls (n=15 each) were explored in a single-center, non-randomized pilot study. Subjects were investigated before, after a 7 day treatment with rhGH, and after a 7 day wash-out period. Microcirculation was assessed by nailfold capillaroscopy and leg strain gauge plethysmography. Echocardiography was performed and serum concentrations of IGF-I and IGF-binding protein-3 (IGFBP-3) were determined. Before the start of rhGH therapy, mean post-ischemic maximum flow velocity of erythrocytes (V(RBC)) and leg blood flow (LBF) in CKD patients were significantly reduced to 68% and 75% of that seen in controls, whereas V(RBC) and LBF under resting conditions were comparable. Treatment with rhGH significantly increased V(RBC) and LBF under resting conditions. Whereas maximum post-ischemic V(RBC) was improved by rhGH in patients and controls, maximum post-ischemic LBF increased in controls only. This was paralleled by a non-significant reduction of total vascular resistance, and increased heart rate and cardiac index. In conclusion, CKD patients respond to short-term rhGH treatment with significantly improved capillary blood flow, whereas only minor effects on total peripheral resistance and cardiac output were noted.
journal_name
Microvasc Resjournal_title
Microvascular researchauthors
Nissel R,Fischer DC,Puhlmann A,Holdt-Lehmann B,Mitzner A,Petzsch M,Körber T,Tiess M,Schmidt R,Haffner Ddoi
10.1016/j.mvr.2009.05.006subject
Has Abstractpub_date
2009-09-01 00:00:00pages
246-52issue
2eissn
0026-2862issn
1095-9319pii
S0026-2862(09)00169-1journal_volume
78pub_type
杂志文章abstract：:Although microvascular dysfunction (MVD) has been well characterized in individual organs as different disease entities, clinical evidence is mounting in support of an underlying systemic process. To address this hypothesis, we systematically searched PubMed and Medline for studies in adults published between 2014 and...
journal_title：Microvascular research
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更新日期：2008-03-01 00:00:00
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doi：10.1016/j.mvr.2010.05.004
更新日期：2010-12-01 00:00:00
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journal_title：Microvascular research
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.1999.2224
更新日期：2000-03-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1016/j.mvr.2006.04.005
更新日期：2006-07-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1016/0026-2862(88)90058-1
更新日期：1988-03-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.1994.1029
更新日期：1994-05-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1016/0026-2862(89)90034-4
更新日期：1989-03-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.1998.2101
更新日期：1999-01-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.2002.2397
更新日期：2002-07-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.1994.1063
更新日期：1994-11-01 00:00:00
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pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1016/0026-2862(87)90009-4
更新日期：1987-01-01 00:00:00
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doi：10.1016/j.mvr.2016.04.001
更新日期：2016-07-01 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1016/j.mvr.2010.10.001
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pub_type： 杂志文章
doi：10.1016/0026-2862(86)90036-1
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更新日期：2019-07-01 00:00:00
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journal_title：Microvascular research
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1016/0026-2862(83)90058-4
更新日期：1983-07-01 00:00:00
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更新日期：2010-09-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章,评审
doi：10.1016/j.mvr.2007.05.005
更新日期：2007-09-01 00:00:00
abstract：:Mesangium enlargement is a central feature of diabetic nephropathy and almost certainly plays a pathogenic role in this condition. Previous studies have shown that mesangium degradation is reduced in a high glucose mileau. Plasmin has been shown to play an important role in extracellular matrix degradation, both direc...
journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.1996.2006
更新日期：1997-03-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1006/mvre.1999.2193
更新日期：2000-01-01 00:00:00
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journal_title：Microvascular research
pub_type： 杂志文章
doi：10.1016/0026-2862(87)90054-9
更新日期：1987-09-01 00:00:00
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doi：10.1016/j.mvr.2015.08.007
更新日期：2015-11-01 00:00:00
