Clinical relevance of proteinuria and microalbuminuria.

Abstract:

:Proteinuria (protein excretion > 300 mg/d) is an independent risk factor for the development of cardiovascular disease and renal failure. The finding of persistent proteinuria in otherwise asymptomatic patients often precedes the development of arterial hypertension and renal failure. When proteinuria is accompanied by arterial hypertension, blood pressure control can decrease the quantity of protein excretion but not the incidence of proteinuria. In this sense, converting enzyme inhibitors seem to possess a higher capacity to reduce proteinuria. Nevertheless, the effects of reducing proteinuria on renal function and cardiovascular risk remain to be elucidated. Microalbuminuria (urine albumin excretion oscillating between 30 and 300 mg/d) seems to be a predictor of cardiovascular disease in diabetic and nondiabetic subjects and has been established as a predictor for the development of diabetic nephropathy. Blood pressure levels and urinary albumin excretion correlate positively, and antihypertensive therapy of any kind decreases the quantity of albumin present in the urine. The role of increased albumin excretion in essential hypertension and in renal failure remains to be elucidated.

authors

Ruilope LM,Rodicio JL

doi

10.1097/00041552-199311000-00017

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

962-7

issue

6

eissn

1062-4821

issn

1473-6543

journal_volume

2

pub_type

杂志文章,评审
  • Erythropoietin therapy in chronic uremia: the impact of normalization of hematocrit.

    abstract::The target hematocrit to be achieved when treating anemia in hemodialysis patients with erythropoietin is controversial. Current evidence-based recommendations suggest a target hematocrit range of 33% to 36%. Small studies suggest that normalization of hematocrit with erythropoietin may benefit hemodialysis patients i...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199909000-00007

    authors: Murphy ST,Parfrey PS

    更新日期:1999-09-01 00:00:00

  • Therapeutic angiogenesis by vascular endothelial growth factor supplementation for treatment of renal disease.

    abstract:PURPOSE OF REVIEW:Vascular endothelial growth factors (VEGFs) influence renal function through angiogenesis, with VEGF-A being the most potent inducer of vascular formation. In the normal glomerulus, tight homeostatic balance is maintained between the levels of VEGF-A isoforms produced by podocyte cells, and the VEGF r...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000256

    authors: Logue OC,McGowan JW,George EM,Bidwell GL 3rd

    更新日期:2016-09-01 00:00:00

  • Phosphorylation events and the modulation of aquaporin 2 cell surface expression.

    abstract:PURPOSE OF REVIEW:This review highlights the role of phosphorylation in the trafficking and targeting of aquaporin 2. Current knowledge will be put into the context of modulating the cell surface expression of aquaporin 2 by vasopressin in renal epithelial cells, which is critical for regulation of urinary concentratio...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e3283094eb1

    authors: Brown D,Hasler U,Nunes P,Bouley R,Lu HA

    更新日期:2008-09-01 00:00:00

  • New diagnostic techniques for imaging the renal arteries.

    abstract::There has been an increasing focus on renovascular disease, particularly in renal failure, and on the role of renal angioplasty and stenting. Significant improvements have occurred in non-invasive imaging techniques. This review concentrates on the recent developments in imaging that specifically targets the renal art...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200211000-00011

    authors: Reidy JF

    更新日期:2002-11-01 00:00:00

  • Estrogens and bone disease in chronic kidney disease: role of FGF23.

    abstract:PURPOSE OF REVIEW:To describe the direct and indirect effects of estrogen on bone with special emphasis on the analysis of the recent findings related to the putative role of FGF23 in the estrogen-dependent parathyroid hormone (PTH) suppression. RECENT FINDINGS:Estrogens act directly on bone cells, downregulating oste...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328338f508

    authors: Cannata-Andía JB,Carrillo-López N,Naves-Díaz M

    更新日期:2010-07-01 00:00:00

  • Insight into renal Mg2+ transporters.

    abstract:PURPOSE OF REVIEW:This review aims to describe the recent findings concerning novel Mg transporters as putative interesting players in renal transepithelial Mg transport. RECENT FINDINGS:So far, the best characterized Mg transport proteins are found in prokaryotes and yeast cells. In recent years, phylogenetic analysi...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e3283435ee4

    authors: Ferrè S,Hoenderop JG,Bindels RJ

    更新日期:2011-03-01 00:00:00

  • Recent advances of biosensors for hypertension and nephrology.

    abstract:PURPOSE OF REVIEW:Hypertension (HTN) and chronic kidney disease (CKD) are significant problems. With recent advances in technologies, biosensors have shown a great potential to provide better home monitoring in hypertension (HTN), medication compliance, diagnostic device for kidney disease, CKD/end-stage renal disease ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000517

    authors: Park SH,Zhang Y,Rogers JA,Gallon L

    更新日期:2019-07-01 00:00:00

  • PPARs: the vasculature, inflammation and hypertension.

    abstract:PURPOSE OF REVIEW:Peroxisome proliferator-activated receptors (PPARs) are a family of nuclear receptors activated by nutrient molecules and their derivatives. Their role has been increasingly recognized to be important in hypertension, metabolic disorders and cardiovascular disease, including atherosclerosis. Control o...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328325803b

    authors: Duan SZ,Usher MG,Mortensen RM

    更新日期:2009-03-01 00:00:00

  • Improving outcomes by changing hemodialysis practice patterns.

    abstract:PURPOSE OF REVIEW:This review examines recent advances in understanding of how clinical outcomes for hemodialysis patients may be improved by achieving longer or more frequent treatment times, lower ultrafiltration rates (UFRs), improving nutritional status, and individualizing dialysate composition. This review also d...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328365b34c

    authors: Fissell R,Hakim RM

    更新日期:2013-11-01 00:00:00

  • Beyond ion translocation: structural functions of the sodium-hydrogen exchanger isoform-1.

    abstract:PURPOSE OF REVIEW:The sodium-hydrogen exchanger isoform-1 (NHE1) functions in intracellular pH and cell volume homeostasis by catalyzing an electroneutral exchange of extracellular sodium and intracellular hydrogen. Recent studies have revealed the structural functions of NHE1 as an anchor for actin filaments and a sca...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e3281bd888d

    authors: Meima ME,Mackley JR,Barber DL

    更新日期:2007-07-01 00:00:00

  • Genetic variants of mineral metabolism in health and disease.

    abstract:PURPOSE OF REVIEW:Disturbances in mineral metabolism are common among individuals with chronic kidney disease and have consistently been associated with cardiovascular and bone disease. The current review aims to describe the current knowledge of the genetic aspects of mineral metabolism disturbances and to suggest dir...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章

    doi:10.1097/MNH.0000000000000612

    authors: Robinson-Cohen C

    更新日期:2020-07-01 00:00:00

  • Nitric oxide in the pathogenesis of hypertension.

    abstract::It has been suspected that abnormalities of the L-arginine-nitric oxide pathway could underlie certain forms of hypertension. In this review, we will consider the role of nitric oxide in primary and secondary models of experimental hypertension and discuss potential abnormalities of the L-arginine-nitric oxide pathway...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199503000-00012

    authors: Arnal JF,Michel JB,Harrison DG

    更新日期:1995-03-01 00:00:00

  • Volume regulation and ion transport in renal cells.

    abstract::Volume regulatory mechanisms are reviewed for both short- and long-term adaptation of renal cells to anisotonic media. Within minutes after exposure to hypotonic solutions a common feature of many renal cells is the increase in plasma membrane potassium and chloride conductances. Although extrusion of intracellular po...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章

    doi:10.1097/00041552-199609000-00007

    authors: Laprade R,Noulin JF,Lapointe JY

    更新日期:1996-09-01 00:00:00

  • Mammalian target of rapamycin signaling in the podocyte.

    abstract:PURPOSE OF REVIEW:Mammalian target of rapamycin (mTOR) is an evolutionarily conserved protein kinase. mTOR forms two distinct functional multiprotein kinase complexes that mutually phosphorylate different substrates and regulate a wide array of essential cellular processes including translation, transcription and autop...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e3283520f38

    authors: Inoki K,Huber TB

    更新日期:2012-05-01 00:00:00

  • Mechanisms of transcriptional repression by 1,25(OH)2 vitamin D.

    abstract:PURPOSE OF REVIEW:Vitamin D has diverse biological actions, and consequently the mechanisms behind how it regulates gene transcription are diverse. Unlike its well described positive effects on gene transcription, little is known about how vitamin D induces transcriptional repression. RECENT FINDINGS:Vitamin D-induced...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e3281c55f16

    authors: Kato S,Kim MS,Yamaoka K,Fujiki R

    更新日期:2007-07-01 00:00:00

  • The L-arginine: nitric oxide pathway.

    abstract::The L-arginine: nitric oxide pathway is widely recognized as an important regulator of cell function and communication in a variety of physiological and pathophysiological situations. Recent advances in the biochemistry and molecular biology of nitric oxide synthases have contributed significantly to our understanding...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199301000-00018

    authors: Palmer RM

    更新日期:1993-01-01 00:00:00

  • Control of serum phosphorus: implications for coronary artery calcification and calcific uremic arteriolopathy (calciphylaxis).

    abstract::There is mounting evidence that elevated serum phosphorus is an important cardiovascular risk factor in patients with end stage renal disease. Recent work has shown that vascular smooth muscle cells have the ability to undergo osteoblastic differentiation and produce an environment conducive to mineralization. Serum p...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200111000-00003

    authors: Block GA

    更新日期:2001-11-01 00:00:00

  • Angiotensin II type 2 receptors: signalling and pathophysiological role.

    abstract::The signalling mechanisms and biological significance of the angiotensin II type 2 receptor have long been unknown. In recent years, studies, first in cell culture models but now increasingly also in vivo, have shed some light on the molecular events occurring after a stimulation of the receptor with its ligand as wel...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200103000-00013

    authors: Blume A,Kaschina E,Unger T

    更新日期:2001-03-01 00:00:00

  • Renal osmoregulatory transport of compatible organic osmolytes.

    abstract::Cells in renal medullas are exposed to a high concentration of salt during antidiuresis. They adapt in part by accumulating myo-inositol, glycine betaine, taurine, and other amino acids by transporting them from the interstitial fluid. This transport is osmotically regulated by changes in transcription of the transpor...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199709000-00004

    authors: Burg MB

    更新日期:1997-09-01 00:00:00

  • The Rh gene family and renal ammonium transport.

    abstract:PURPOSE OF REVIEW:Renal acid-base homeostasis, to a very large extent, depends on renal ammonia production and transport. A putative ammonia transporter family of proteins has recently been identified, and at least two members of this family are expressed in the renal connecting segment and collecting duct. The purpose...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200409000-00009

    authors: Weiner ID

    更新日期:2004-09-01 00:00:00

  • Role of Klotho in bone and implication for CKD.

    abstract:PURPOSE OF REVIEW:Klotho is a transmembrane protein that acts as a co-receptor for fibroblast growth factor 23 (FGF23). Recent investigations have discovered the presence of Klotho in bone-forming osteoblasts and osteocytes. This review summarizes emerging literature on the roles of bone Klotho in mineral and bone meta...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000423

    authors: Komaba H,Lanske B

    更新日期:2018-07-01 00:00:00

  • Diagnostic techniques in the work-up of renal allograft dysfunction--an update.

    abstract::After renal transplantation, acute allograft dysfunction secondary to acute rejection occurs in around 30-40% of patients. Although in the majority of patients these episodes are reversible, acute rejection remains a major risk factor for the development of chronic rejection. Remarkably, prior episodes of acute allogr...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199911000-00013

    authors: Chandraker A

    更新日期:1999-11-01 00:00:00

  • Determinants of vitamin D status: focus on genetic variations.

    abstract:PURPOSE OF REVIEW:The role of vitamin D beyond its importance for bone health is under much debate. In this article, we review recent evidence for genetic influences on 25-hydroxyvitamin D [25(OH)D] and discuss the uses of this information and its importance for public health. RECENT FINDINGS:Findings from large-scale...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e328346d6ba

    authors: Berry D,Hyppönen E

    更新日期:2011-07-01 00:00:00

  • Expanding deceased donor kidney transplantation: medical risk, infectious risk, hepatitis C virus, and HIV.

    abstract:PURPOSE OF REVIEW:Due to the organ shortage, which prevents over 90 000 individuals in the United States from receiving life-saving transplants, the transplant community has begun to critically reevaluate whether organ sources that were previously considered too risky provide a survival benefit to waitlist candidates. ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0000000000000456

    authors: Ruck JM,Segev DL

    更新日期:2018-11-01 00:00:00

  • Microbiome modulation to correct uremic toxins and to preserve kidney functions.

    abstract:PURPOSE OF REVIEW:The association between dysbiosis and CKD is well established. This review focuses on the current understanding of microbiome, in normal individuals and CKD patients, in order to hypothesize how to correct uremic toxins levels and preserve the renal function and reduce associated comorbidities. Here w...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章

    doi:10.1097/MNH.0000000000000565

    authors: Caggiano G,Cosola C,Di Leo V,Gesualdo M,Gesualdo L

    更新日期:2020-01-01 00:00:00

  • Nitric oxide and superoxide in the renal medulla: a delicate balancing act.

    abstract:PURPOSE OF REVIEW:Endothelial nitric oxide synthase (eNOS) and nicotinamide adenine dinucleotide (phosphate) oxidase [NAD(P)H oxidase] are both expressed in tubular epithelial cells within the renal medulla, particularly the thick ascending limb of the loop of Henle (mTALH). Thick ascending limbs contribute to long-ter...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-200501000-00003

    authors: Evans RG,Fitzgerald SM

    更新日期:2005-01-01 00:00:00

  • Cardiovascular aspects in renal disease.

    abstract::The majority of hemodialysis patients die from cardiovascular disease. However, the contribution of myocardial infarction to mortality is relatively minor, despite the fact that coronary artery disease is common in uremic patients. Hypertension seems to be the major risk factor for the development of atherosclerosis i...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199309000-00013

    authors: Kooman JP,Leunissen KM

    更新日期:1993-09-01 00:00:00

  • Fluid management in chronic kidney disease: what is too much, what is the distribution, and how to manage fluid overload in patients with chronic kidney disease?

    abstract:PURPOSE OF REVIEW:Assessment of fluid status to reach normovolemia in patients with chronic kidney disease (CKD) continues to be a tough task. Besides clinical observation, technological methods have been introduced, yet, the best approach is still uncertain. The present review looks at fluid overload in CKD from three...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章

    doi:10.1097/MNH.0000000000000640

    authors: de Ruiter A,Bello A,Braam B

    更新日期:2020-11-01 00:00:00

  • Iothalamate clearance and its use in large-scale clinical trials.

    abstract::Several recently completed or ongoing large-scale clinical trials, including the Modification of Diet in Renal Disease Study, the Diabetes Control and Complications Trial, and the African-American Study of Kidney Disease and Hypertension, have all chosen the renal clearance of sodium 125I-iothalmate to monitor renal d...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/00041552-199511000-00010

    authors: Hall PM,Rolin H

    更新日期:1995-11-01 00:00:00

  • PPARγ as a therapeutic target in diabetic nephropathy and other renal diseases.

    abstract:PURPOSE OF REVIEW:Peroxisome proliferator-activated receptor gamma (PPARγ) is a ligand-activated nuclear transcription factor that regulates many important physiological processes including glucose and lipid metabolism, energy homeostasis, cell proliferation, inflammation, immunity and reproduction. The current review ...

    journal_title:Current opinion in nephrology and hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/MNH.0b013e32834de526

    authors: Yang J,Zhou Y,Guan Y

    更新日期:2012-01-01 00:00:00