Renin-angiotensin system inhibitors in kidney transplantation: a benefit-risk assessment

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Renin-angiotensin system inhibitors in kidney transplantation: a benefit-risk assessment.

thiazide-sensitive Na-Cl cotransporters that is enhanced by the WNK and SPAK kinases. In normal subjects, calcineurin can inhibit the activity of WNK and SPAK through its phosphatase activity, but the regulatory activity of calcineurin can be inhibited both by tacrolimus and cyclosporine [2, 3], so explaining the volume expansion in CNI-treated transplant recipients. Therefore, post-transplant ...

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Molecular remodeling of the renin-angiotensin system after kidney transplantation

OBJECTIVE We aimed at assessing the molecular adaptation of the renin-angiotensin system (RAS) after successful kidney transplantation (KTX). MATERIALS AND METHODS In this prospective, exploratory study we analyzed 12 hemodialysis (HD) patients, who received a KTX and had excellent graft function six to 12 months thereafter. The concentrations of plasma Angiotensin (Ang) peptides (Ang I, Ang ...

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Hyperkalemia associated with inhibitors of the renin-angiotensin-aldosterone system: balancing risk and benefit.

Maintenance of normal potassium homeostasis is increasingly an important limiting factor in the therapy of cardiovascular disease. Many pharmacological agents that reduce morbidity and mortality in patients with complicated myocardial infarction and chronic heart failure, including -blockers, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers (ARBs), and aldosterone recepto...

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Renin-angiotensin system and unilateral ureteral obstruction

Unilateral ureteral obstruction (UUO) is a clinical scenario that leads to obstructive nephropathy. UUO alters the expression of many mediators in the ipsilateral kidney. Renin-angiotensin system (RAS) is involved in UUO. Angiotensin II (Ang II) and angiotensin 1-7 (Ang 1-7) as the main arms of RAS influence kidney function which may alter by UUO. Ang II via Ang II receptor subtypes I (AT1R) ...

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Renin angiotensin system blockade in kidney transplantation: a systematic review of the evidence.

ACE-inhibitors and angiotensin receptor blockers (ARB) slow the progression of renal disease in non-transplant patients. A systematic review of randomized trials (n = 21 trials with 1549 patients) was conducted to determine the effect of ACE-inhibitor or ARB use following kidney transplantation. With a median follow-up of 27 months, ACE-inhibitor or ARB use was associated with a significant dec...

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ژورنال

عنوان ژورنال: Journal of Nephrology

سال: 2017

ISSN: 1121-8428,1724-6059

DOI: 10.1007/s40620-017-0378-x