Effects of spironolactone in combination with angiotensin-converting enzyme inhibitors or Angiotensin receptor blockers in patients with proteinuria.

Abstract:

BACKGROUND/AIMS:This study aimed to investigate the potential beneficial anti-proteinuric effect of an add-on aldosterone blockade and the impact of the aldosterone escape phenomenon. METHODS:We retrospectively analyzed data of 304 patients with persistent proteinuria, who were administered spironolactone (25 mg/day) after treatment with angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) for >3 months. Patients were divided according to their aldosterone levels during ACEI/ARB treatment into an escape group (plasma aldosterone >80 pg/mL, N=95, 31.5%) and a non-escape group (plasma aldosterone ≤80 pg/mL, N=209, 68.5%) and according to their urine albumin-to-creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR). RESULTS:After 12 months, the UACR decreased significantly in patients with 1≤UACR<3.5 g/g Cr, UACR ≥3.5 g/g Cr, and eGFR ≥60 mL/min/1.73 m2, and in the non-escape group. Severe hyperkalemia (K≥7.0 mEq/L) developed in 9 of 137 patients with eGFR<60 mL/min/1.73 m2 (6.5%) and in none of the 167 patients with eGFR ≥60 mL/min/1.73 m2. CONCLUSIONS:Proteinuria decreased significantly after add-on spironolactone treatment in patients with 1≤UACR<3.5 g/g Cr, UACR ≥3.5 g/g Cr, and eGFR ≥60 mL/min/1.73 m2, and in the non-escape group. The anti-proteinuric effect of spironolactone may vary according to the degree of albuminuria, impaired eGFR, and aldosterone escape.

journal_name

Kidney Blood Press Res

authors

Kim HY,Bae EH,Ma SK,Kim SW

doi

10.1159/000368470

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

573-80

issue

6

eissn

1420-4096

issn

1423-0143

pii

000368470

journal_volume

39

pub_type

杂志文章
  • The ovaries attenuate the aggravating effect of testosterone on glomerular injury in Adriamycin-induced nephropathy of female rats.

    abstract::To clarify whether the ovaries have a potential to attenuate the aggravating effect of testosterone (T) on glomerular injury, we investigated the effect of T in female rats with or without ovaries, using Adriamycin (ADR)-induced nephropathy in female Sprague-Dawley rats. Group 1 consisted of female control rats, group...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000174110

    authors: Sakemi T,Ohtsuka N,Tomiyoshi Y,Morito F

    更新日期:1997-01-01 00:00:00

  • Uremic toxins adsorbed by AST-120 promote tubular hypertrophy and interstitial fibrosis in nephrectomized rats.

    abstract:BACKGROUND:Uremic toxins have been shown to promote glomerular hypertrophy. The present study was performed to elucidate the relation between uremic toxins and tubulointerstitial changes. METHODS:Sixty male Sprague-Dawley rats underwent 2/3 nephrectomy (Nx; n = 30) and 4/5 Nx (n = 30). Experiments were initiated 2 wee...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000080935

    authors: Okada K,Matsumoto K,Takahashi S

    更新日期:2005-01-01 00:00:00

  • Cytokines and glomerular injury.

    abstract::Since reports of the first data on cytokines in renal diseases about 10 years ago, the field has seen an explosive growth over the last decade. It is now realized that cytokines can be synthesized by many different types of cells, including glomerular cells, upon adequate stimulation and exert a wide range of actions ...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章,评审

    doi:10.1159/000174088

    authors: Ostendorf T,Burg M,Floege J

    更新日期:1996-01-01 00:00:00

  • Renal protective effects of the renin-angiotensin-aldosterone system blockade: from evidence-based approach to perspectives.

    abstract::The renin-angiotensin-aldosterone system (RAAS) blockade is currently the best-documented treatment strategy to delay the progression of chronic nephropathies. Angiotensin-converting enzyme inhibitors (CEIs) or angiotensin II type 1 receptor antagonists (ARBs) should be used in every normotensive and hypertensive pati...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章,评审

    doi:10.1159/000087842

    authors: Tylicki L,Larczynski W,Rutkowski B

    更新日期:2005-01-01 00:00:00

  • Association between the ACYP2 Polymorphisms and IgAN Risk in the Chinese Han Population.

    abstract:BACKGROUND/AIMS:The association between ACYP2(Acylphosphatase 2) polymorphisms and immunoglobulin A nephropathy (IgAN) risk in the Chinese Han population remains unclear. We aimed to evaluate the association between ACYP2 polymorphisms and IgAN risk by performing a case-control study. METHODS:Eleven ACYP2 single nucle...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000501703

    authors: Jin G,Liang Y,Yan X,Zhang L,Li Z,Yin A,Wang X,Tian P

    更新日期:2019-01-01 00:00:00

  • Lung Dysfunction and Mortality in Patients with Chronic Kidney Disease.

    abstract:BACKGROUND/AIMS:Lung dysfunction associates with increased mortality but the impact of chronic kidney disease (CKD) is less clear. We evaluated lung function and its association with mortality among individuals with normal to severely reduced glomerular filtration rate (GFR). METHODS:404 individuals representing GFR c...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000488699

    authors: Mukai H,Ming P,Lindholm B,Heimbürger O,Barany P,Stenvinkel P,Qureshi AR

    更新日期:2018-01-01 00:00:00

  • Effect of dialysate temperature and diabetes on autonomic cardiovascular regulation during hemodialysis.

    abstract:BACKGROUND/AIMS:Lowering dialysate temperature to increase intradialytic hemodynamic stability may interfere with the ultrafiltration-dependent intradialytic autonomic cardiovascular regulation. The present study aimed to investigate hemodynamic and autonomic responses depending on dialysate temperature and the presenc...

    journal_title:Kidney & blood pressure research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000141926

    authors: Zitt E,Neyer U,Meusburger E,Tiefenthaler M,Kotanko P,Mayer G,Rosenkranz AR

    更新日期:2008-01-01 00:00:00

  • Microarray profiling of human renal cell carcinoma: identification for potential biomarkers and critical pathways.

    abstract:AIMS:The aim of this study was to screen several novel genes associated with renal cell carcinoma (RCC), and analyze the gene functions and signal pathways which were critical to RCCs with DNA microarray. METHODS:The gene expression profile of GSE781 was downloaded from Gene Expression Omnibus database, including 9 RC...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000355726

    authors: Li W,Zhu W,Che J,Sun W,Liu M,Peng B,Zheng J

    更新日期:2013-01-01 00:00:00

  • OSR1-sensitive renal tubular phosphate reabsorption.

    abstract:BACKGROUND:The oxidative stress-responsive kinase 1 (OSR1) participates in the WNK-(with no K) kinase dependent regulation of renal salt excretion and blood pressure. Little is known, however, about the role of OSR1 in the regulation of further renal transport systems. The present study analyzed the effect of OSR1 on N...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000343405

    authors: Pathare G,Föller M,Daryadel A,Mutig K,Bogatikov E,Fajol A,Almilaji A,Michael D,Stange G,Voelkl J,Wagner CA,Bachmann S,Lang F

    更新日期:2012-01-01 00:00:00

  • Visit-to-Visit Variability in Total Cholesterol Correlates with the Progression of Renal Function Decline in a Chinese Community-Based Hypertensive Population.

    abstract:BACKGROUND:Studies have demonstrated that cholesterol variability is an independent predictor of cerebrovascular and cardiovascular events. OBJECTIVE:This study aimed to investigate the association of visit-to-visit variability in total cholesterol (TC) with kidney decline in a Chinese community-based population. MET...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000501367

    authors: Yan Y,Huang Y,Zhou D,Tang S,Feng YQ

    更新日期:2019-01-01 00:00:00

  • Interaction of endothelin with renal nerves modulates kidney function in spontaneously hypertensive rats.

    abstract:BACKGROUND AND METHODS:We investigated kidney function, renal endothelin-1 concentration, prepro-endothelin-1 mRNA as well as endothelin receptor A and B mRNA expression and receptor properties in normotensive Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) with intact renal nerves and 7 days after re...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000094571

    authors: Girchev RA,Bäcker A,Markova PP,Kramer HJ

    更新日期:2006-01-01 00:00:00

  • Relationship of fibroblast growth factor 23 with left ventricle mass index and coronary calcificaton in chronic renal disease.

    abstract:BACKGROUND:To evaluate the relationship between FGF23 and changes in biochemical parameters, left ventricle mass index, coronary, aortic and, valve calcifications. METHODS:Totally 185 patients with chronic renal disease were included in this prospective, cross-sectional study. The patients were stratified according to...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000339026

    authors: Unsal A,Kose Budak S,Koc Y,Basturk T,Sakaci T,Ahbap E,Sinangil A

    更新日期:2012-01-01 00:00:00

  • Interleukin-18 in urine and serum of children with idiopathic nephrotic syndrome.

    abstract:BACKGROUND/AIMS:Interleukin (IL)-18, a member of the IL-1 cytokine superfamily, is recognized as an important regulator of immune responses. The aim of our study was to investigate the IL-18 levels in serum and urine from children with idiopathic nephrotic syndrome (INS) during relapse and remission, and to evaluate th...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000124284

    authors: Kiliś-Pstrusińska K,Medyńska A,Zwolińska D,Wawro A

    更新日期:2008-01-01 00:00:00

  • Effect of Glomerular Mannose-Binding Lectin Deposition on the Prognosis of Idiopathic Membranous Nephropathy.

    abstract:OBJECTIVE:Co-deposition of mannose-binding lectin (MBL) and IgG4 anti-phospholipase A2 receptor (anti-PLA2R) autoantibodies under subepithelial cells has been observed in patients with idiopathic membranous nephropathy (iMN), but the relationships of MBL deposition to iMN severity and progression remain unclear. METHO...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000508665

    authors: Zhang Y,Liu Y,Liang L,Liu L,Tang X,Tang L,Chen P,Chen J,Wang Z,Cao W,Chen Q,Zhao N,Xu D

    更新日期:2020-01-01 00:00:00

  • Genetic variants in renalase and blood pressure responses to dietary salt and potassium interventions: a family-based association study.

    abstract:BACKGROUND/AIMS:Renalase (gene name RNLS), a recently discovered enzyme with monoamine oxidase activity, is implicated in the degradation of catecholamines. Recent studies indicate that common variations in the gene with RNLS are associated with hypertension. The aim of this study was to examine the association between...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000368460

    authors: Wang Y,Chu C,Ren J,Mu JJ,Wang D,Liu FQ,Ren KY,Guo TS,Yuan ZY

    更新日期:2014-01-01 00:00:00

  • To treat or not to treat? Cost-effectiveness of ace inhibitors in non-diabetic advanced renal disease - a Dutch perspective.

    abstract:BACKGROUND:Treating non-diabetic proteinuric patients with advanced renal disease with an angiotensin-converting enzyme (ACE) inhibitor is still subject to discussion. This study aims to determine the cost-effectiveness of ACE inhibitor therapy in this patient population in the Netherlands. METHODS:We compared two str...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000350142

    authors: Adarkwah CC,Gandjour A,Akkerman M,Evers S

    更新日期:2013-01-01 00:00:00

  • Protective effect of dexpanthenol on ischemia-reperfusion-induced renal injury in rats.

    abstract:BACKGROUND/AIMS:This experimental study was designed to investigate protective and therapeutic effects of Dexpanthenol (Dxp), an alcoholic analogue of pantothenic acid, on kidney damage induced by ischemia-reperfusion (I/R) in rats. METHODS:Forty rats were randomly divided into a control group and 4 I/R groups (1 h is...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000343411

    authors: Altintas R,Parlakpinar H,Beytur A,Vardi N,Polat A,Sagir M,Odabas GP

    更新日期:2012-01-01 00:00:00

  • Clinical Significance of Crescent Formation in IgA Nephropathy - a Multicenter Validation Study.

    abstract:BACKGROUND/AIMS:Additional validation study was warranted to confirm the clinical significance of C score, which was recently added to the Oxford classification for immunoglobulin A nephropathy (IgAN). METHODS:We performed a multicenter retrospective cohort study in four hospitals in Korea. Patients who had biopsied g...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000497808

    authors: Park S,Baek CH,Park SK,Kang HG,Hyun HS,Park E,Han SH,Ryu DR,Kim DK,Oh KH,Joo KW,Kim YS,Moon KC,Chin HJ,Lee H

    更新日期:2019-01-01 00:00:00

  • Association Between GLCCI1 Promoter Polymorphism (Rs37972) and Post-Transplant Hypertension in Renal Transplant Recipients.

    abstract:BACKGROUND/AIMS:Post-transplant hypertension is highly prevalent in renal transplant recipients and is a risk factor for graft loss, cardiovascular disease and death. Glucocorticoid is used to prevent rejection, but simultaneously increases the risk of post-transplant hypertension. The glucocorticoid-induced transcript...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000485862

    authors: Hamada AM,Yamamoto I,Nakada Y,Kobayashi A,Koike Y,Miki J,Yamada H,Tanno Y,Ohkido I,Tsuboi N,Yamamoto H,Urashima M,Yokoo T

    更新日期:2017-01-01 00:00:00

  • Different Relevance of Peripheral, Central or Nighttime Blood Pressure Measurements in the Prediction of Chronic Kidney Disease Progression in Patients with Mild or No-Proteinuria.

    abstract:BACKGROUND/AIMS:Arterial hypertension is one of the leading factors aggravating the course of chronic kidney disease (CKD). It seems that the novel parameters used in the assessment of the blood pressure (BP) load (i.e. central blood pressure, nighttime blood pressure) may be more precise in predicting the cardiovascul...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000489749

    authors: Kuczera P,Kwiecień K,Adamczak M,Bączkowska T,Gozdowska J,Madziarska K,Augustyniak-Bartosik H,Klinger M,Durlik M,Ritz E,Wiecek A

    更新日期:2018-01-01 00:00:00

  • Impact of Abdominal Aortic Calcification on Central Haemodynamics and Decline of Glomerular Filtration Rate in Patients with Chronic Kidney Disease Stages 3 and 4.

    abstract:BACKGROUND/AIM:Calcifications of large arteries are frequent in chronic kidney disease (CKD) and may contribute to the high cardiovascular risk in this population. The aim of this study was to examine whether abdominal aortic calcification volume (AACV) was a predictor of the rate of decline in glomerular filtration ra...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000501687

    authors: Jansson H,Saeed A,Svensson MK,Finnved K,Hellström M,Guron G

    更新日期:2019-01-01 00:00:00

  • Association between serum gamma-glutamyltransferase and chronic kidney disease among US adults.

    abstract:BACKGROUND/AIM:Serum gamma-glutamyltransferase (GGT), a biomarker of oxidative stress, is associated with an increased risk of diabetes and hypertension. However, it is not known whether higher serum GGT is independently associated with chronic kidney disease (CKD). Therefore, we examined the association between serum ...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000274463

    authors: Teppala S,Shankar A,Li J,Wong TY,Ducatman A

    更新日期:2010-01-01 00:00:00

  • The Nrf2/HO-1 Pathway Mediates the Antagonist Effect of L-Arginine On Renal Ischemia/Reperfusion Injury in Rats.

    abstract:BACKGROUND/AIMS:Ischemia/reperfusion (I/R) is the most common cause of acute renal injury. I/R-induced oxidative stress is involved in the development of acute renal injury, which can be reversed by supplementation with L-arginine, a precursor of nitric oxide (NO). This study was conducted to evaluate alterations in th...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000480362

    authors: Tong F,Zhou X

    更新日期:2017-01-01 00:00:00

  • Metabolic Syndrome Severity and Risk of CKD and Worsened GFR: The Jackson Heart Study.

    abstract:BACKGROUND/AIMS:The metabolic syndrome (MetS), as assessed using dichotomous criteria, is associated with increased risk of future chronic kidney disease (CKD), though this relationship is unclear among African Americans, who have lower risk for MetS but higher risk for CKD. METHODS:We performed logistic regression us...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000488829

    authors: DeBoer MD,Filipp SL,Musani SK,Sims M,Okusa MD,Gurka M

    更新日期:2018-01-01 00:00:00

  • Neutrophil gelatinase-associated lipocalin as an early biomarker of nephropathy in diabetic patients.

    abstract:BACKGROUND/AIMS:Renal tubulointerstitium plays an important role in the development and progression of diabetic nephropathy. METHODS:With the present study, we aimed at evaluating the levels of neutrophil gelatinase-associated lipocalin (NGAL), a tubular stress protein, in serum (sNGAL) and urine (uNGAL) from a cohort...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000209379

    authors: Bolignano D,Lacquaniti A,Coppolino G,Donato V,Fazio MR,Nicocia G,Buemi M

    更新日期:2009-01-01 00:00:00

  • A program of physical rehabilitation during hemodialysis sessions improves the fitness of dialysis patients.

    abstract:AIM:The aim of the present study was to evaluate the influence of cycle exercise during hemodialysis (HD) on patients' physical proficiency, muscle strength, quality of life and selected laboratory parameters. PATIENTS AND METHODS:In a group of 29 (15 female, 14 male) HD patients (age 64.2 ± 13.1 years), 3 months of c...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000335411

    authors: Gołębiowski T,Kusztal M,Weyde W,Dziubek W,Woźniewski M,Madziarska K,Krajewska M,Letachowicz K,Strempska B,Klinger M

    更新日期:2012-01-01 00:00:00

  • Involvement of renal nerves and endothelins in the regulation of renal water excretion in diabetes insipidus rats.

    abstract::The interaction between renal nerves, endothelins acting via endothelin-A receptors and vasopressin in the regulation of renal excretory function was investigated. In conscious intact and renal denervated diabetes insipidus (DI) Brattleboro rats, as well as their controls, Long-Evans (LE) rats, an infusion of 16.4 nmo...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000054199

    authors: Girchev R,Markova P,Mikhov D,Avramova T,Nattcheff N

    更新日期:2001-01-01 00:00:00

  • Association Between Risk Factors Including Bone-Derived Biomarkers and Aortic Arch Calcification in Maintenance Hemodialysis Patients.

    abstract:BACKGROUND/AIMS:Aortic arch calcification (AoAC) is frequently detected in maintenance hemodialysis (MHD) patients and is associated with cardiovascular and all-cause mortality. We investigated the factors associated with AoAC and analyzed the relationship between the factors including bone-derived biomarkers and AoAC....

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章

    doi:10.1159/000494441

    authors: Nitta K,Hanafusa N,Okazaki M,Komatsu M,Kawaguchi H,Tsuchiya K

    更新日期:2018-01-01 00:00:00

  • MicroRNA-26a: An Emerging Regulator of Renal Biology and Disease.

    abstract::MicroRNAs (miRNAs) are short, single-stranded, noncoding RNAs that modulate many key biological processes by simultaneously suppressing multiple target genes. Among them, miR-26a, a conserved miRNA among vertebrates, is highly expressed in various tissues. Accumulating evidence demonstrates that miR-26a plays pivotal ...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章,评审

    doi:10.1159/000499646

    authors: Li X,Pan X,Fu X,Yang Y,Chen J,Lin W

    更新日期:2019-01-01 00:00:00

  • Chronic Metabolic Acidosis in Chronic Kidney Disease.

    abstract:BACKGROUND:Metabolic acidosis may be diagnosed as chronic (cMA) if it persists for at least 5 days, although an exact definition has not been provided by any guidelines yet. The most common cause is CKD; numerous less-known diseases can also account for cMA. SUMMARY:In recent years, CKD-associated cMA has been propose...

    journal_title:Kidney & blood pressure research

    pub_type: 杂志文章,评审

    doi:10.1159/000510829

    authors: Patschan D,Patschan S,Ritter O

    更新日期:2020-01-01 00:00:00