Kidney and Metabolic Bone Diseases Vol.26 No.4(8)

Theme Parathyroid diseases and their pathogenesis
Title Role of oxidative stress in CKD-MBD
Publish Date 2013/11
Author Motoko Tanaka Department of Nephrology, Akebono Clinic
Author Hiroshi Watanabe Department of Biopharmaceutics, School of Pharmacy, Kumamoto University
Author Toru Maruyama Department of Biopharmaceutics, School of Pharmacy, Kumamoto University
Author Masafumi Fukagawa Department of Nephrology, Endocrinology and Metabolism, Tokai University School of Medicine
[ Summary ] Recent studies have shown that higher levels of protein-bounding uremic toxins such as IS are involved, not only with the progression of CKD but also with the development of CKD-MBD. Uremic toxins enter into cells through OATs in the kidneys, arteries, and bones. They induce various abnormalities through intracellular ROS production. Moreover, high levels of phosphorus and PTH also induce oxidative stress and promote vascular calcification related to CKD-MBD.
New strategies to reduce uremic toxins and oxidative stress will be expected for patients with CKD.
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