Effect of fluvastatin on renal end points in the Assessment of Lescol in Renal Transplant (ALERT) trial.

Abstract:

BACKGROUND:Hyperlipidemia is a risk factor for long-term renal transplant dysfunction, but no prospective clinical trials have investigated the effects of statin treatment on graft function in renal transplant recipients. The aim of the present study was to evaluate the effect of fluvastatin on long-term renal transplant function and development of chronic allograft nephropathy in the ALERT (Assessment of Lescol in Renal Transplantation) study. METHODS:ALERT was a randomized, double-blind, placebo-controlled study of the effect of fluvastatin, 40 mg and 80 mg daily, in renal transplant recipients. Patients were randomized to receive either fluvastatin (N= 1050) or placebo (N= 1052) and followed for five to six years. Renal end points included graft loss or doubling of serum creatinine or death; glomerular filtration rate (GFR) was also measured during follow-up in a subset of patients (N= 439). RESULTS:There were 283 patients (13.5%) with graft loss, mainly due to chronic rejection (82%), yielding an annual rate of 2.4%. Fluvastatin treatment significantly lowered mean low-density lipoprotein (LDL)-cholesterol levels by 32% (95% CI -33 to -30) compared with placebo, but had no significant effect on the incidence of renal graft loss or doubling of serum creatinine, or decline in GFR throughout follow-up in the whole study population. Neither was any treatment effect by fluvastatin found in any of the subgroups analyzed. CONCLUSION:Fluvastatin treatment significantly improves lipid values in renal transplant recipients but has no effect on graft loss or doubling of serum creatinine.

journal_name

Kidney Int

journal_title

Kidney international

authors

Fellström B,Holdaas H,Jardine AG,Holme I,Nyberg G,Fauchald P,Grönhagen-Riska C,Madsen S,Neumayer HH,Cole E,Maes B,Ambühl P,Olsson AG,Hartmann A,Logan JO,Pedersen TR,Assessment of Lescol in Renal Transplantation Study Inve

doi

10.1111/j.1523-1755.2004.00919.x

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1549-55

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)50224-X

journal_volume

66

pub_type

临床试验,杂志文章,随机对照试验
  • Von Willebrand factor regulates complement on endothelial cells.

    abstract::Atypical hemolytic uremic syndrome and thrombotic thrombocytopenic purpura have traditionally been considered separate entities. Defects in the regulation of the complement alternative pathway occur in atypical hemolytic uremic syndrome, and defects in the cleavage of von Willebrand factor (VWF)-multimers arise in thr...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1016/j.kint.2016.03.023

    authors: Noone DG,Riedl M,Pluthero FG,Bowman ML,Liszewski MK,Lu L,Quan Y,Balgobin S,Schneppenheim R,Schneppenheim S,Budde U,James P,Atkinson JP,Palaniyar N,Kahr WH,Licht C

    更新日期:2016-07-01 00:00:00

  • Calcitonin, an important factor in the calcemic response to parathyroid hormone in the rat.

    abstract::The role of calcitonin on the calcemic response to parathyroid hormone (PTH) in renal failure has not been evaluated previously. Often animal studies evaluating the calcemic response to PTH in renal failure are performed in thyroparathyroidectomized (TPTX) animals, and thus eliminate any potential physiologic effect o...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1991.203

    authors: Rodriguez M,Felsenfeld AJ,Torres A,Pederson L,Llach F

    更新日期:1991-08-01 00:00:00

  • Tubular NF-kappaB and AP-1 activation in human proteinuric renal disease.

    abstract:BACKGROUND:Nuclear factor-kappaB (NF-kappaB) and activated protein-1 (AP-1) are transcription factors that regulate many genes involved in the progression of renal disease. Recent data have shown that NF-kappaB is activated in tubules and glomeruli in various experimental models of renal injury. In vitro studies also s...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2001.00941.x

    authors: Mezzano SA,Barría M,Droguett MA,Burgos ME,Ardiles LG,Flores C,Egido J

    更新日期:2001-10-01 00:00:00

  • Mineralocorticoid effect on K+ permeability of the rabbit cortical collecting tubule.

    abstract::Mineralocorticoid hormones stimulate Na+ absorption and K+ secretion by the cortical collecting tubule. There is good evidence that this stimulation involves increasing luminal membrane Na+ permeability and the turnover rate (or number) of the Na+-K+ pumps. These experiments were designed to examine whether mineraloco...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1985.177

    authors: Stokes JB

    更新日期:1985-10-01 00:00:00

  • Clinicopathological characteristics of patients with IgG4-related tubulointerstitial nephritis.

    abstract::IgG4-related disease is a recently recognized multi-organ disorder characterized by high levels of serum IgG4 and dense infiltration of IgG4-positive cells into several organs. Although the pancreas was the first organ recognized to be affected by IgG4-related disorder in the syndrome of autoimmune pancreatitis, we pr...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2010.271

    authors: Saeki T,Nishi S,Imai N,Ito T,Yamazaki H,Kawano M,Yamamoto M,Takahashi H,Matsui S,Nakada S,Origuchi T,Hirabayashi A,Homma N,Tsubata Y,Takata T,Wada Y,Saito A,Fukase S,Ishioka K,Miyazaki K,Masaki Y,Umehara H,Sug

    更新日期:2010-11-01 00:00:00

  • Will introduction of tolvaptan change clinical practice in autosomal dominant polycystic kidney disease?

    abstract::The vasopressin inhibitor tolvaptan is clinically effective in slowing growth of renal cysts and reduction in estimated glomerular filtration rate (eGFR) in autosomal dominant polycystic kidney disease (ADPKD), but these effects are mitigated by the associated polyuria. Changes of total kidney volume, eGFR, and sympto...

    journal_title:Kidney international

    pub_type: 评论,杂志文章

    doi:10.1038/ki.2015.143

    authors: Horie S

    更新日期:2015-07-01 00:00:00

  • TNF-alpha and IL-1beta-mediated regulation of MMP-9 and TIMP-1 in renal proximal tubular cells.

    abstract:BACKGROUND:Tubulointerstitial fibrosis is a morphologic hallmark of chronic kidney disease and is a key factor in the prediction of progression to end-stage renal failure. Disruption of tubular basement membrane and interstitial extracellular matrix (ECM) via cytokine-induced alterations in matrix metalloproteinases (M...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2004.00900.x

    authors: Nee LE,McMorrow T,Campbell E,Slattery C,Ryan MP

    更新日期:2004-10-01 00:00:00

  • Predictors of antihypertensive response to a standard dose of hydrochlorothiazide for essential hypertension.

    abstract:BACKGROUND:Determinants of inter-individual variation in blood pressure (BP) response to antihypertensive therapy remain largely unknown. Although differences in race, age and measures of the renin-angiotensin-aldosterone system (RAAS) have been associated with variation in blood pressure response to hydrochlorothiazid...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2002.00200.x

    authors: Chapman AB,Schwartz GL,Boerwinkle E,Turner ST

    更新日期:2002-03-01 00:00:00

  • Visualization of renal autoregulation in the split hydronephrotic kidney of rats.

    abstract::The autoregulatory ability of the renal vascular system in the split hydronephrotic kidney was quantitated with intravital microscopy. The luminal diameters of the arcuate and interlobular arteries as well as the afferent and efferent arterioles were measured. Glomerular blood flow was determined by the dual slit tech...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1989.104

    authors: Steinhausen M,Blum M,Fleming JT,Holz FG,Parekh N,Wiegman DL

    更新日期:1989-05-01 00:00:00

  • Aldosterone enhances renal calcium reabsorption by two types of channels.

    abstract:BACKGROUND:Aldosterone has been known for many years to increase sodium (Na(+)) reabsorption by the distal nephron. The present in vitro experiments investigated the effect of the hormone on calcium (Ca(2+)) transport by the luminal membrane of the rabbit nephron, independent of any systemic influence. METHODS:Proxima...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2004.00725.x

    authors: Leclerc M,Brunette MG,Couchourel D

    更新日期:2004-07-01 00:00:00

  • Graft surveillance: venous pressure, access flow, or the combination?

    abstract:BACKGROUND:Increased venous pressure (VP) and decreased access flow (Qa) are predictors of dialysis access graft thrombosis. VP is easily obtainable. Qa assessment requires a special device and takes more time. The aims of our randomized multicenter studies were to compare outcome in patients with grafts monitored by V...

    journal_title:Kidney international

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1523-1755.2001.0590041551.x

    authors: Smits JH,van der Linden J,Hagen EC,Modderkolk-Cammeraat EC,Feith GW,Koomans HA,van den Dorpel MA,Blankestijn PJ

    更新日期:2001-04-01 00:00:00

  • Changes in plasma 1,25 and 24,25-dihydroxyvitamin D after renal transplantation in children.

    abstract::The purpose of this investigation is to analyze changes in plasma 1,25-(OH)2D and 24,25-(OH)2D after successful renal transplantation in 20 children and young adults. Studies were performed on 8 subjects between the 1st and 10th month and on 12 others between the 20th and 30th to 36th month. Samples were assayed for p...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1981.153

    authors: Garabedian M,Silve C,Levy-Bentolila D,Bourdeau A,Ulmann A,Nguyen TM,Lieberherr M,Broyer M,Balsan S

    更新日期:1981-09-01 00:00:00

  • FK506 inhibits renal glomerular thrombosis induced in rats by nephrotoxic serum and lipopolysaccharide.

    abstract::We investigated the effect of the potent immunosuppressive agent, FK506, on experimental glomerular thrombosis in rats by combined injections of nephrotoxic serum (NTS) and lipopolysaccharide (LPS). Either FK506 or placebo was administered intramuscularly three hours prior to injection of NTS that was followed one hou...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1994.207

    authors: Hiromura K,Hayashi J,Tsukada Y,Ono K,Tsuchida A,Yano S,Naruse T

    更新日期:1994-06-01 00:00:00

  • Nonsteroidal anti-inflammatory drug use is associated with cancer risk reduction in chronic dialysis patients.

    abstract::Previous studies have shown that nonsteroidal anti-inflammatory drug (NSAID) use might be associated with a lower risk of developing cancer in the general population. Patients on dialysis have increased risk for cancer, but there are no studies to determine the relationship between NSAID use and cancer risk in these p...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2013.79

    authors: Ou SM,Chen YT,Chao PW,Lee YJ,Liu CJ,Yeh CM,Chen TJ,Chen TW,Yang WC,Li SY

    更新日期:2013-07-01 00:00:00

  • Renal iron handling in the nephrotic syndrome.

    abstract::Renal iron handling was characterized in three experimental models of the nephrotic syndrome: puromycin aminonucleoside, adriamycin and nephrotoxic serum. In adriamycin-induced nephrotic syndrome, which has previously been shown to result from alterations in pore size of the filtration barrier, the transferrin leak wa...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1990.130

    authors: Alfrey AC,Hammond WS

    更新日期:1990-06-01 00:00:00

  • Modulation of Ca2+-activated K+ channel in renal artery endothelium in situ by nitric oxide and reactive oxygen species.

    abstract:BACKGROUND:Endothelium-derived nitric oxide and reactive oxygen species (ROS) have been proposed to regulate vascular tone by complex mechanisms, including the modulation of ion channel function. In endothelial function itself, activation of Ca2+-activated K+ channels (KCa) plays a crucial role by inducing hyperpolariz...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2003.00051.x

    authors: Brakemeier S,Eichler I,Knorr A,Fassheber T,Köhler R,Hoyer J

    更新日期:2003-07-01 00:00:00

  • Role of the 11beta-hydroxysteroid dehydrogenase type 2 in blood pressure regulation.

    abstract::The renal 11beta-hydroxysteroid dehydrogenase type 2 (11betaHSD2) enzyme inactivates 11-hydroxy steroids in the kidney, thus protecting the nonselective mineralocorticoid receptor (MR) from occupation by glucocorticoids. The gene is highly expressed in all sodium-transporting epithelia, but also in human placenta, pan...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1046/j.1523-1755.2000.00978.x

    authors: Ferrari P,Krozowski Z

    更新日期:2000-04-01 00:00:00

  • Low hematocrit predicts contrast-induced nephropathy after percutaneous coronary interventions.

    abstract:BACKGROUND:The relationship between low hematocrit and contrast-induced nephropathy has not been investigated. METHODS:Of 6,773 consecutive patients treated with percutaneous coronary intervention, contrast-induced nephropathy (an increase of >/=25% or >/=0.5 mg/dL in preprocedure serum creatinine, at 48 hours postpro...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2005.67131.x

    authors: Nikolsky E,Mehran R,Lasic Z,Mintz GS,Lansky AJ,Na Y,Pocock S,Negoita M,Moussa I,Stone GW,Moses JW,Leon MB,Dangas G

    更新日期:2005-02-01 00:00:00

  • Endothelial nitric oxide synthase gene polymorphisms and the renal hemodynamic response to L-arginine.

    abstract::Nitric oxide is generated from L-arginine by nitric oxide synthase (NOS), an enzyme that exists in several isoforms. Some studies found that a polymorphism (G894T) in the endothelial NOS gene was associated with decreased nitric oxide bioactivity and vascular complications. However, it is not known whether the enzyme ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2008.574

    authors: Cherney DZ,Scholey JW,Zhou J,Zimpelmann J,Kennedy C,Burns KD,Lai V,Miller JA

    更新日期:2009-02-01 00:00:00

  • Progressive renal disease: role of race and antihypertensive medications.

    abstract::Hypertension is associated with an accelerated rate of decline in renal function in patients with chronic renal disease. To identify factors that might alter the rate of decline in renal function, we reviewed records of 200 patients from the Nephrology Clinic of the Durham VA Medical Center who had chronic progressive...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1990.93

    authors: Brazy PC,Fitzwilliam JF

    更新日期:1990-04-01 00:00:00

  • Direct effects of endotoxin on the function of the isolated perfused rat kidney.

    abstract::When the endotoxin-lipopolysaccharide (LPS) derived from the cell wall of gram-negative bacteria is given to the rat in vivo, there are prompt, marked decreases in glomerular filtration rate (GFR), renal blood flow (RBF) and % Na+ reabsorption (%T-Na+). However, it has not been determined whether the endotoxin itself ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1990.105

    authors: Cohen JJ,Black AJ,Wertheim SJ

    更新日期:1990-05-01 00:00:00

  • Renal pathology and retinol status in multiple myeloma patients.

    abstract::Renal dysfunction is a common and serious complication in multiple myeloma (MM) patients. Renal proximal tubule injury is characteristic in MM, and may result in disturbed renal handling of various vitamins. The abnormal excretion of vitamins in urine may result in their low serum levels. The goal of this study was to...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/sj.ki.5000024

    authors: Gavrilov V,Yermiahu T,Gorodischer R

    更新日期:2006-01-01 00:00:00

  • Transforming growth factor-beta 1 increases glucocorticoid binding and signaling in macrophages through a Smad- and activated protein-1-mediated process.

    abstract:BACKGROUND:Renal inflammation is regulated by a network of local and systemic mediators. Of them, transforming growth factor-beta1 (TGF-beta 1) and glucocorticoids play an important role in deactivating monocytes/macrophages. We examined the hypothesis that TGF-beta 1 effects may be partially achieved through modulatio...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.63.6s.3.x

    authors: Peltier J,Perez J,Bellocq A,Escoubet B,Fouqueray B,Baud L

    更新日期:2003-06-01 00:00:00

  • β2-adrenergic receptors in inflammation and vascular complications of diabetes.

    abstract::The cross talk between the immune and nervous systems is critical not only for maintaining normal homeostasis but also for the progression of a variety of inflammatory diseases. Macrophage activation and β2-adrenergic receptors are known to play important roles in facilitating this communication between these 2 system...

    journal_title:Kidney international

    pub_type: 评论,杂志文章

    doi:10.1016/j.kint.2017.03.024

    authors: Galvan DL,Danesh FR

    更新日期:2017-07-01 00:00:00

  • Leukocyte migration in immune complex glomerulonephritis: role of adhesion receptors.

    abstract::The application of our evolving knowledge of adhesion receptors to experimental models of immune complex glomerulonephritis has led to substantial advances in our understanding of how leukocytes emigrate from the vasculature into glomeruli and produce glomerular dysfunction. With respect to neutrophil (PMN) migration ...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1038/ki.1997.201

    authors: Lefkowith JB

    更新日期:1997-05-01 00:00:00

  • Early post-transplant urinary IP-10 expression after kidney transplantation is predictive of short- and long-term graft function.

    abstract::The early identification of renal transplant recipients at enhanced risk of developing acute and subclinical rejection would allow individualized adjustment of immunosuppression before functional graft injury occurs and would exclude these patients from drug-weaning studies. Protein and reverse transcriptase-polymeras...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/sj.ki.5000343

    authors: Matz M,Beyer J,Wunsch D,Mashreghi MF,Seiler M,Pratschke J,Babel N,Volk HD,Reinke P,Kotsch K

    更新日期:2006-05-01 00:00:00

  • Costs and effectiveness of cardiac rehabilitation for dialysis patients following coronary bypass.

    abstract::Dialysis patients have a high risk of cardiovascular disease. Cardiac rehabilitation is recommended in the general population as a standard component of care and covered by Medicare for those who have undergone coronary artery bypass grafting (CABG). Here we determined the impact of cardiac rehabilitation on Medicare ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2008.381

    authors: Huang Y,Zhang R,Culler SD,Kutner NG

    更新日期:2008-10-01 00:00:00

  • Longitudinal evaluation of peritoneal macrophage function and activation during CAPD: maturity, cytokine synthesis and arachidonic acid metabolism.

    abstract::The release of cytokines and prostaglandins (PG) by peritoneal macrophages (PM luminal diameter of) may influence the cytokine network controlling peritoneal inflammation and in the long-term the function of the peritoneum as a dialysis membrane. In the present study, an evaluation of the long-term effects of peritone...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1996.75

    authors: McGregor SJ,Topley N,Jörres A,Speekenbrink AB,Gordon A,Gahl GM,Junor BJ,Briggs JD,Brock JH

    更新日期:1996-02-01 00:00:00

  • Assessing dialysis adequacy and dietary intake in the individual hemodialysis patient.

    abstract:BACKGROUND:Urea kinetic modeling (UKM) and food records are widely used to assess the dialysis adequacy. Clinicians use these methods in individual patients to decide whether the dialysis prescription should be adjusted. We determined the variation in UKM parameters and dietary intake within individual patients in orde...

    journal_title:Kidney international

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1046/j.1523-1755.1999.00412.x

    authors: Kloppenburg WD,Stegeman CA,Hooyschuur M,van der Ven J,de Jong PE,Huisman RM

    更新日期:1999-05-01 00:00:00

  • Hypertension and impaired renal function accompany juvenile obesity: the effect of prenatal diet.

    abstract::Obesity has been suggested to have a detrimental impact on kidney structure and function, leading to focal glomerulosclerosis and hypertension. It is also associated with hyperleptinemia and elevated renal sympathetic nerve activity. Prenatal undernutrition promotes postnatal obesity, hypertension, and an altered rena...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/sj.ki.5002276

    authors: Williams PJ,Kurlak LO,Perkins AC,Budge H,Stephenson T,Keisler D,Symonds ME,Gardner DS

    更新日期:2007-08-01 00:00:00