The potential mechanisms of cardiovascular calcification in patients with chronic kidney disease
Abstract
Based on current literature data, the important potential role of calciprotein particles, matrix vesicles, and extracellular matrix degradation in cardiovascular calcification mechanisms in chronic kidney disease (CKD) can be confirmed. The involvement of advanced glycation end products, insulin resistance, microRNAs, iron metabolism disorders, fluid overload, and hemodialysis treatment in these processes is discussed. It was concluded that the above potential mechanisms of ectopic calcification, which are being actively explored, are directly or indirectly related to endothelial damage/dysfunction and metabolic disturbances in the nitric oxide system. It was concluded that further thorough scientific investigations and close collaboration between clinical and experimental nephrologists are useful to optimize programs for the early detection of cardiovascular calcification, develop new effective therapeutic strategies, and improve the prognosis of CKD patients.
Downloads
References
Disthabanchong S, Srisuwarn P.Mechanisms of Vascular Calcification in Kidney Disease. Adv Chronic Kidney Dis. 2019;26(6):417-26. doi:10.1053/j.ackd.2019.08.014.
LitovkinaZI.Kliniko-patohenetychni osoblyvosti remodelyuvannya sertsya ta yoho korektsiya u khvorykh na diabetychnu nefropatiyu, yaki likuyut’sya hemodializom [dysertatsiia]. Ternopil: Ministerstvo okhorony zdorov’ya Ukrayiny, Ternopil’s’kyy natsional’nyy medychnyy universytet imeni I. Ya. Horbachevs’koho MOZ Ukrayiny; 2021. 270 s. [In Ukrainian].
Dedov II, Shestakova MV.Sakharnyy diabet: ostryye i khronicheskiye oslozhneniya. M.: OOO “Izdatel’stvo “MIA”;2012.480 s. [In Russian].
Gozhenko AI, Kuznetsova HS, Kuznetsova KS, Byts TN, Susla AB.Endothelial dysfunction in the pathogenesis of diabetes complications The message I. Endothelial dysfunction: etiology, pathogenesis and diagnostic methods. Endokrynologia. 2017;22(2):171-81.
Kikhtiak O.Insulinochutlyvi tkanyny ta markery insulinorezystentnosti za tsukrovoho diabetu 2-ho typu. Klinichna endokrynolohiia ta endokrynna khirurhiia. 2010;2:58-3. [In Ukrainian].
Katerenchuk I, Zhdan V.Optymizatsiia korektsii endotelialnoi dysfunktsii u patsiientiv z metabolichnym syndromom u praktytsi simeinoho likaria. Zdobutky klinichnoi ta eksperymentalnoi medytsyny. 2014;1:39-43. [In Ukrainian].

This work is licensed under a Creative Commons Attribution 4.0 International License.















