Article ; Online: IgA Nephropathy with Macroproteinuria and a GFR of 20-30 ml/min/1.73 m
Journal of the renin-angiotensin-aldosterone system : JRAAS
2022 Volume 2022, Page(s) 9162427
Abstract: ... a baseline eGFR of 15-20 ml/min/1.73m: Conclusion: Contingent on monitoring serum creatinine and potassium ... levels, IgAN with macroproteinuria and a GFR of 20-30 ml/min/1.73m ...
Abstract | Introduction: There has been controversy about renin-angiotensin system (RAS) inhibition in IgAN patients with advanced (stage 4) chronic kidney disease (CKD). Therefore, we investigated the effect of RAS blockade in these patients. Methods: Renal specimens of 50 IgAN patients who underwent renal biopsy during stage 4 CKD between 2010 and 2020, were stained using immunohistochemistry to detect the expression of RAS receptors (AT1R, AT2R, MasR, and MrgD). The primary endpoint was a composite of end-stage renal disease (ESRD) and death. Main baseline information and the administration of angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) were collected. Results: During a median follow-up time of 25.5 months, 21 (42.0%) patients reached ESRD and none died. Six patients had a baseline eGFR of 15-20 ml/min/1.73m Conclusion: Contingent on monitoring serum creatinine and potassium levels, IgAN with macroproteinuria and a GFR of 20-30 ml/min/1.73m |
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MeSH term(s) | Humans ; Renin-Angiotensin System ; Glomerulonephritis, IGA/complications ; Glomerulonephritis, IGA/drug therapy ; Glomerulonephritis, IGA/pathology ; Angiotensin-Converting Enzyme Inhibitors/pharmacology ; Angiotensin-Converting Enzyme Inhibitors/therapeutic use ; Angiotensin Receptor Antagonists/pharmacology ; Angiotensin Receptor Antagonists/therapeutic use ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/drug therapy ; Renal Insufficiency, Chronic |
Chemical Substances | Angiotensin-Converting Enzyme Inhibitors ; Angiotensin Receptor Antagonists |
Language | English |
Publishing date | 2022-12-30 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2086948-4 |
ISSN | 1752-8976 ; 1470-3203 |
ISSN (online) | 1752-8976 |
ISSN | 1470-3203 |
DOI | 10.1155/2022/9162427 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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