Protective Effects of Paricalcitol on Peritoneal Remodeling during Peritoneal Dialysis.

Peritoneal dialysis (PD) is associated with structural and functional alterations of the peritoneal membrane, consisting of fibrosis, angiogenesis, and loss of ultrafiltration capacity. Vitamin D receptor activation (VDRA) plays an important role in mineral metabolism and inflammation, but also anti...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 13
Autores principales: Stavenuiter, Andrea W. D., Farhat, Karima, Vila Cuenca, Marc, Schilte, Margot N., Keuning, Eelco D., Paauw, Nanne J., ter Wee, Pieter M., Beelen, Robert H. J., Vervloet, Marc G.
Formato: research Journal Article
Publicado: Wiley-Blackwell 10/29/2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1155/2015/468574
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        atl: Protective Effects of Paricalcitol on Peritoneal Remodeling during Peritoneal Dialysis.
      aug:
        au:
          Stavenuiter, Andrea W. D.
          Farhat, Karima
          Vila Cuenca, Marc
          Schilte, Margot N.
          Keuning, Eelco D.
          Paauw, Nanne J.
          ter Wee, Pieter M.
          Beelen, Robert H. J.
          Vervloet, Marc G.
        affil: Department of Molecular Cell Biology & Immunology, VU University Medical Center, 1081 BT Amsterdam, Netherlands
      sug:
        subj:
          Vitamin D Therapeutic Use
          Peritoneal Dialysis
          Antiinflammatory Agents
          Human
          Rats
      ab: Peritoneal dialysis (PD) is associated with structural and functional alterations of the peritoneal membrane, consisting of fibrosis, angiogenesis, and loss of ultrafiltration capacity. Vitamin D receptor activation (VDRA) plays an important role in mineral metabolism and inflammation, but also antiangiogenic and antifibrotic properties have been reported. Therefore, the effects of active vitamin D treatment on peritoneal function and remodeling were investigated. Rats were either kept naïve to PDF exposure or daily exposed to 10 mL PDF and were treated for five or seven weeks with oral paricalcitol or vehicle control. Non-PDF-exposed rats showed no peritoneal changes upon paricalcitol treatment. Paricalcitol reduced endogenous calcitriol but did not affect mineral homeostasis. However, upon PDF exposure, loss of ultrafiltration capacity ensued which was fully rescued by paricalcitol treatment. Furthermore, PD-induced ECM thickening was significantly reduced and omental PD-induced angiogenesis was less pronounced upon paricalcitol treatment. No effect of paricalcitol treatment on total amount of peritoneal cells, peritoneal leukocyte composition, and epithelial to mesenchymal transition (EMT) was observed. Our data indicates that oral VDRA reduces tissue remodeling during chronic experimental PD and prevents loss of ultrafiltration capacity. Therefore, VDRA is potentially relevant in the prevention of treatment technique failure in PD patients.
      pubtype: Academic Journal
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    language: English
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