How peritoneal dialysis transforms the peritoneum and vasculature in children with chronic kidney disease—what can we learn for future treatment?

Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and vascular aging. Peritoneal dialysis (PD) is the preferred dialysis mode in children, but currently used PD fluids contain far supraphysiological glucose...

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Published inMolecular and cellular pediatrics Vol. 9; no. 1; p. 9
Main Authors Bartosova, Maria, Zarogiannis, Sotirios G., Schmitt, Claus Peter
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 05.05.2022
Springer Nature B.V
SpringerOpen
Subjects
Aging
Apoptosis
Children
Chronic kidney disease
Degradation products
Diabetes
Endocrinology
Endothelial
Fibrosis
Glucose degradation products
Inflammation
Kidney diseases
Mechanism of kidney disease development and CKD associated morbidities
Medicine
Medicine & Public Health
Molecular modelling
Oncology
Pediatrics
Peritoneal dialysis
Peritoneal membrane
Peritoneum
Review
Vascular disease
Vascular diseases
Vascular disease
Mesothelial
Endothelial
Chronic kidney disease
Peritoneal membrane
Glucose degradation products
Peritoneal dialysis
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Abstract Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and vascular aging. Peritoneal dialysis (PD) is the preferred dialysis mode in children, but currently used PD fluids contain far supraphysiological glucose concentrations for fluid and toxin removal and glucose degradation products (GDP). While the peritoneal membrane of children with CKD G5 exhibits only minor alterations, PD fluids trigger numerous molecular cascades resulting in major peritoneal membrane inflammation, hypervascularization, and fibrosis, with distinct molecular and morphological patterns depending on the GDP content of the PD fluid used. PD further aggravates systemic vascular disease. The systemic vascular aging process is particularly pronounced when PD fluids with high GDP concentrations are used. GDP induce endothelial junction disintegration, apoptosis, fibrosis, and intima thickening. This review gives an overview on the molecular mechanisms of peritoneal and vascular transformation and strategies to improve peritoneal and vascular health in patients on PD.
AbstractList Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and vascular aging. Peritoneal dialysis (PD) is the preferred dialysis mode in children, but currently used PD fluids contain far supraphysiological glucose concentrations for fluid and toxin removal and glucose degradation products (GDP). While the peritoneal membrane of children with CKD G5 exhibits only minor alterations, PD fluids trigger numerous molecular cascades resulting in major peritoneal membrane inflammation, hypervascularization, and fibrosis, with distinct molecular and morphological patterns depending on the GDP content of the PD fluid used. PD further aggravates systemic vascular disease. The systemic vascular aging process is particularly pronounced when PD fluids with high GDP concentrations are used. GDP induce endothelial junction disintegration, apoptosis, fibrosis, and intima thickening. This review gives an overview on the molecular mechanisms of peritoneal and vascular transformation and strategies to improve peritoneal and vascular health in patients on PD.
Abstract Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and vascular aging. Peritoneal dialysis (PD) is the preferred dialysis mode in children, but currently used PD fluids contain far supraphysiological glucose concentrations for fluid and toxin removal and glucose degradation products (GDP). While the peritoneal membrane of children with CKD G5 exhibits only minor alterations, PD fluids trigger numerous molecular cascades resulting in major peritoneal membrane inflammation, hypervascularization, and fibrosis, with distinct molecular and morphological patterns depending on the GDP content of the PD fluid used. PD further aggravates systemic vascular disease. The systemic vascular aging process is particularly pronounced when PD fluids with high GDP concentrations are used. GDP induce endothelial junction disintegration, apoptosis, fibrosis, and intima thickening. This review gives an overview on the molecular mechanisms of peritoneal and vascular transformation and strategies to improve peritoneal and vascular health in patients on PD.
Abstract Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and vascular aging. Peritoneal dialysis (PD) is the preferred dialysis mode in children, but currently used PD fluids contain far supraphysiological glucose concentrations for fluid and toxin removal and glucose degradation products (GDP). While the peritoneal membrane of children with CKD G5 exhibits only minor alterations, PD fluids trigger numerous molecular cascades resulting in major peritoneal membrane inflammation, hypervascularization, and fibrosis, with distinct molecular and morphological patterns depending on the GDP content of the PD fluid used. PD further aggravates systemic vascular disease. The systemic vascular aging process is particularly pronounced when PD fluids with high GDP concentrations are used. GDP induce endothelial junction disintegration, apoptosis, fibrosis, and intima thickening. This review gives an overview on the molecular mechanisms of peritoneal and vascular transformation and strategies to improve peritoneal and vascular health in patients on PD.
ArticleNumber 9
Author Bartosova, Maria
Zarogiannis, Sotirios G.
Schmitt, Claus Peter
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CitedBy_id crossref_primary_10_1016_j_bbrc_2023_149376
crossref_primary_10_3390_ijms23148010
crossref_primary_10_1007_s00467_023_05999_7
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Issue 1
Keywords Vascular disease
Mesothelial
Endothelial
Chronic kidney disease
Peritoneal membrane
Glucose degradation products
Peritoneal dialysis
Language English
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SecondaryResourceType review_article
Snippet Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and vascular...
Abstract Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and...
Abstract Children with chronic kidney disease (CKD) suffer from inflammation and reactive metabolite-induced stress, which massively accelerates tissue and...
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StartPage 9
SubjectTerms Aging
Apoptosis
Children
Chronic kidney disease
Degradation products
Diabetes
Endocrinology
Endothelial
Fibrosis
Glucose degradation products
Inflammation
Kidney diseases
Mechanism of kidney disease development and CKD associated morbidities
Medicine
Medicine & Public Health
Molecular modelling
Oncology
Pediatrics
Peritoneal dialysis
Peritoneal membrane
Peritoneum
Review
Vascular disease
Vascular diseases
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Title How peritoneal dialysis transforms the peritoneum and vasculature in children with chronic kidney disease—what can we learn for future treatment?
URI https://link.springer.com/article/10.1186/s40348-022-00141-3
https://www.ncbi.nlm.nih.gov/pubmed/35513740
https://www.proquest.com/docview/2659825516
https://search.proquest.com/docview/2661088940
https://pubmed.ncbi.nlm.nih.gov/PMC9072612
https://doaj.org/article/52d16b14d3d946d3ae6dc73343972451
Volume 9
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