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  1. Article ; Online: Non-Haemodynamic Mechanisms Underlying Hypertension-Associated Damage in Target Kidney Components.

    Russo, Elisa / Bussalino, Elisabetta / Macciò, Lucia / Verzola, Daniela / Saio, Michela / Esposito, Pasquale / Leoncini, Giovanna / Pontremoli, Roberto / Viazzi, Francesca

    International journal of molecular sciences

    2023  Volume 24, Issue 11

    Abstract: Arterial hypertension (AH) is a global challenge that greatly impacts cardiovascular morbidity and mortality worldwide. AH is a major risk factor for the development and progression of kidney disease. Several antihypertensive treatment options are ... ...

    Abstract Arterial hypertension (AH) is a global challenge that greatly impacts cardiovascular morbidity and mortality worldwide. AH is a major risk factor for the development and progression of kidney disease. Several antihypertensive treatment options are already available to counteract the progression of kidney disease. Despite the implementation of the clinical use of renin-angiotensin aldosterone system (RAAS) inhibitors, gliflozins, endothelin receptor antagonists, and their combination, the kidney damage associated with AH is far from being resolved. Fortunately, recent studies on the molecular mechanisms of AH-induced kidney damage have identified novel potential therapeutic targets. Several pathophysiologic pathways have been shown to play a key role in AH-induced kidney damage, including inappropriate tissue activation of the RAAS and immunity system, leading to oxidative stress and inflammation. Moreover, the intracellular effects of increased uric acid and cell phenotype transition showed their link with changes in kidney structure in the early phase of AH. Emerging therapies targeting novel disease mechanisms could provide powerful approaches for hypertensive nephropathy management in the future. In this review, we would like to focus on the interactions of pathways linking the molecular consequences of AH to kidney damage, suggesting how old and new therapies could aim to protect the kidney.
    MeSH term(s) Humans ; Hypertension ; Kidney/metabolism ; Renin-Angiotensin System ; Antihypertensive Agents/pharmacology ; Antihypertensive Agents/therapeutic use ; Antihypertensive Agents/metabolism ; Hypertension, Renal/metabolism
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2023-05-29
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms24119422
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Homocysteine exchange across skeletal muscle in patients with chronic kidney disease.

    Garibotto, Giacomo / Picciotto, Daniela / Verzola, Daniela / Valli, Alessando / Sofia, Antonella / Costigliolo, Francesca / Saio, Michela / Viazzi, Francesca / Esposito, Pasquale

    Physiological reports

    2023  Volume 11, Issue 6, Page(s) e15573

    Abstract: Sites and mechanisms regulating the supply of homocysteine (Hcy) to the circulation are unexplored in humans. We studied the exchange of Hcy across the forearm in CKD patients (n = 17, eGFR 20 ± 2 ml/min), in hemodialysis (HD)-treated patients (n = 14) ... ...

    Abstract Sites and mechanisms regulating the supply of homocysteine (Hcy) to the circulation are unexplored in humans. We studied the exchange of Hcy across the forearm in CKD patients (n = 17, eGFR 20 ± 2 ml/min), in hemodialysis (HD)-treated patients (n = 14) and controls (n = 9). Arterial Hcy was ~ 2.5 folds increased in CKD and HD patients (p < 0.05-0.03 vs. controls). Both in controls and in patients Hcy levels in the deep forearm vein were consistently greater (+~7%, p < 0.05-0.01) than the corresponding arterial levels, indicating the occurrence of Hcy release from muscle. The release of Hcy from the forearm was similar among groups. In all groups arterial Hcy varied with its release from muscle (p < 0.03-0.02), suggesting that muscle plays an important role on plasma Hcy levels. Forearm Hcy release was inversely related to folate plasma level in all study groups but neither to vitamin B12 and IL-6 levels nor to muscle protein net balance. These data indicate that the release of Hcy from peripheral tissue metabolism plays a major role in influencing its Hcy plasma levels in humans and patients with CKD, and that folate is a major determinant of Hcy release.
    MeSH term(s) Humans ; Renal Insufficiency, Chronic/therapy ; Renal Dialysis ; Folic Acid ; Vitamin B 12 ; Muscle, Skeletal ; Homocysteine
    Chemical Substances Folic Acid (935E97BOY8) ; Vitamin B 12 (P6YC3EG204) ; Homocysteine (0LVT1QZ0BA)
    Language English
    Publishing date 2023-03-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2724325-4
    ISSN 2051-817X ; 2051-817X
    ISSN (online) 2051-817X
    ISSN 2051-817X
    DOI 10.14814/phy2.15573
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Contribution of Muscle Innate Immunity to Uremic Cachexia.

    Esposito, Pasquale / Verzola, Daniela / Saio, Michela / Picciotto, Daniela / Frascio, Marco / Laudon, Alessandro / Zanetti, Valentina / Brunori, Giuliano / Garibotto, Giacomo / Viazzi, Francesca

    Nutrients

    2023  Volume 15, Issue 13

    Abstract: Protein energy wasting (PEW) is a common complication both in chronic kidney disease (CKD) and end-stage kidney disease (ESKD). Of note, PEW is one of the stronger predictors of morbidity and mortality in this patient population. The pathogenesis of PEW ... ...

    Abstract Protein energy wasting (PEW) is a common complication both in chronic kidney disease (CKD) and end-stage kidney disease (ESKD). Of note, PEW is one of the stronger predictors of morbidity and mortality in this patient population. The pathogenesis of PEW involves several mechanisms, including anorexia, insulin resistance, acidosis and low-grade inflammation. In addition, "sterile" muscle inflammation contributes to PEW at an advanced CKD stage. Both immune and resident muscle cells can activate innate immunity; thus, they have critical roles in triggering "sterile" tissue inflammation. Toll-like receptor 4 (TLR4) can detect endogenous danger-associated molecular patterns generated or retained in blood in uremia and induce a sterile muscle inflammatory response via NF-κB in myocytes. In addition, TLR4, though the activation of the NLRP3 inflammasome, links the sensing of metabolic uremic stress in muscle to the activation of pro-inflammatory cascades, which lead to the production of IL-1β and IL-18. Finally, uremia-induced accelerated cell senescence is associated with a secretory phenotype that favors fibrosis in muscle. Targeting these innate immune pathways could lead to novel therapies for CKD-related PEW.
    MeSH term(s) Humans ; Cachexia/complications ; Toll-Like Receptor 4/metabolism ; Immunity, Innate ; Renal Insufficiency, Chronic/therapy ; Inflammation/complications ; Uremia/complications ; Muscles/metabolism
    Chemical Substances Toll-Like Receptor 4
    Language English
    Publishing date 2023-06-21
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu15132832
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Altered adiponectin regulation in skeletal muscle of patients with chronic kidney disease.

    Verzola, Daniela / Saio, Michela / Milanesi, Samantha / Picciotto, Daniela / Frascio, Marco / Brunori, Giuliano / Laudon, Alessandro / La Porta, Edoardo / Rumeo, Noemi / Zanetti, Valentina / Russo, Elisa / Garibotto, Giacomo / Viazzi, Francesca / Esposito, Pasquale

    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

    2024  

    Language English
    Publishing date 2024-02-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 90594-x
    ISSN 1460-2385 ; 0931-0509
    ISSN (online) 1460-2385
    ISSN 0931-0509
    DOI 10.1093/ndt/gfae051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: SA-β-Gal in Kidney Tubules as a Predictor of Renal Outcome in Patients with Chronic Kidney Disease.

    Esposito, Pasquale / Picciotto, Daniela / Verzola, Daniela / Garibotto, Giacomo / Parodi, Emanuele Luigi / Sofia, Antonella / Costigliolo, Francesca / Gaggero, Gabriele / Zanetti, Valentina / Saio, Michela / Viazzi, Francesca

    Journal of clinical medicine

    2024  Volume 13, Issue 2

    Abstract: Cellular senescence has emerged as an important driver of aging and age-related disease in the kidney. The activity of β-galactosidase at pH 6 (SA-β-Gal) is a classic maker of senescence in cellular biology; however, the predictive role of kidney tissue ... ...

    Abstract Cellular senescence has emerged as an important driver of aging and age-related disease in the kidney. The activity of β-galactosidase at pH 6 (SA-β-Gal) is a classic maker of senescence in cellular biology; however, the predictive role of kidney tissue SA-β-Gal on eGFR loss in chronic kidney disease (CKD) is still not understood. We retrospectively studied the expression of SA-β-Gal in kidney biopsies obtained in a cohort [
    Language English
    Publishing date 2024-01-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13020322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Muscle protein turnover and low-protein diets in patients with chronic kidney disease.

    Garibotto, Giacomo / Picciotto, Daniela / Saio, Michela / Esposito, Pasquale / Verzola, Daniela

    Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

    2020  Volume 35, Issue 5, Page(s) 741–751

    Abstract: Adaptation to a low-protein diet (LPD) involves a reduction in the rate of amino acid (AA) flux and oxidation, leading to more efficient use of dietary AA and reduced ureagenesis. Of note, the concept of 'adaptation' to low-protein intakes has been ... ...

    Abstract Adaptation to a low-protein diet (LPD) involves a reduction in the rate of amino acid (AA) flux and oxidation, leading to more efficient use of dietary AA and reduced ureagenesis. Of note, the concept of 'adaptation' to low-protein intakes has been separated from the concept of 'accommodation', the latter term implying a decrease in protein synthesis, with development of wasting, when dietary protein intake becomes inadequate, i.e. beyond the limits of the adaptive mechanisms. Acidosis, insulin resistance and inflammation are recognized mechanisms that can increase protein degradation and can impair the ability to activate an adaptive response when an LPD is prescribed in a chronic kidney disease (CKD) patient. Current evidence shows that, in the short term, clinically stable patients with CKD Stages 3-5 can efficiently adapt their muscle protein turnover to an LPD containing 0.55-0.6 g protein/kg or a supplemented very-low-protein diet (VLPD) by decreasing muscle protein degradation and increasing the efficiency of muscle protein turnover. Recent long-term randomized clinical trials on supplemented VLPDs in patients with CKD have shown a very good safety profile, suggesting that observations shown by short-term studies on muscle protein turnover can be extrapolated to the long-term period.
    MeSH term(s) Diet, Protein-Restricted/methods ; Dietary Supplements ; Humans ; Muscle Proteins/metabolism ; Nutritional Status ; Proteolysis ; Renal Insufficiency, Chronic/diet therapy ; Renal Insufficiency, Chronic/metabolism
    Chemical Substances Muscle Proteins
    Language English
    Publishing date 2020-05-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 90594-x
    ISSN 1460-2385 ; 0931-0509
    ISSN (online) 1460-2385
    ISSN 0931-0509
    DOI 10.1093/ndt/gfaa072
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: How to Overcome Anabolic Resistance in Dialysis-Treated Patients?

    Garibotto, Giacomo / Saio, Michela / Aimasso, Francesca / Russo, Elisa / Picciotto, Daniela / Viazzi, Francesca / Verzola, Daniela / Laudon, Alessandro / Esposito, Pasquale / Brunori, Giuliano

    Frontiers in nutrition

    2021  Volume 8, Page(s) 701386

    Abstract: A current hypothesis is that dialysis-treated patients are "anabolic resistant" i. e., their muscle protein synthesis (MPS) response to anabolic stimuli is blunted, an effect which leads to muscle wasting and poor physical performance in aging and in ... ...

    Abstract A current hypothesis is that dialysis-treated patients are "anabolic resistant" i. e., their muscle protein synthesis (MPS) response to anabolic stimuli is blunted, an effect which leads to muscle wasting and poor physical performance in aging and in several chronic diseases. The importance of maintaining muscle mass and MPS is often neglected in dialysis-treated patients; better than to describe mechanisms leading to energy-protein wasting, the aim of this narrative review is to suggest possible strategies to overcome anabolic resistance in this patient's category. Food intake, in particular dietary protein, and physical activity, are the two major anabolic stimuli. Unfortunately, dialysis patients are often aged and have a sedentary behavior, all conditions which
    Language English
    Publishing date 2021-08-12
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2776676-7
    ISSN 2296-861X
    ISSN 2296-861X
    DOI 10.3389/fnut.2021.701386
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  8. Article: New Treatment Options for Hyperkalemia in Patients with Chronic Kidney Disease.

    Esposito, Pasquale / Conti, Novella Evelina / Falqui, Valeria / Cipriani, Leda / Picciotto, Daniela / Costigliolo, Francesca / Garibotto, Giacomo / Saio, Michela / Viazzi, Francesca

    Journal of clinical medicine

    2020  Volume 9, Issue 8

    Abstract: Hyperkalemia may cause life-threatening cardiac and neuromuscular alterations, and it is associated with high mortality rates. Its treatment includes a multifaceted approach, guided by potassium levels and clinical presentation. In general, treatment of ... ...

    Abstract Hyperkalemia may cause life-threatening cardiac and neuromuscular alterations, and it is associated with high mortality rates. Its treatment includes a multifaceted approach, guided by potassium levels and clinical presentation. In general, treatment of hyperkalemia may be directed towards stabilizing cell membrane potential, promoting transcellular potassium shift and lowering total K
    Language English
    Publishing date 2020-07-22
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm9082337
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  9. Article ; Online: Cellular Senescence Is Associated with Faster Progression of Focal Segmental Glomerulosclerosis.

    Verzola, Daniela / Saio, Michela / Picciotto, Daniela / Viazzi, Francesca / Russo, Elisa / Cipriani, Leda / Carta, Annalisa / Costigliolo, Francesca / Gaggero, Gabriele / Salvidio, Gennaro / Esposito, Pasquale / Garibotto, Giacomo / Poggi, Laura

    American journal of nephrology

    2021  Volume 51, Issue 12, Page(s) 950–958

    Abstract: Background: A current, albeit unproven, hypothesis is that an acceleration of cellular senescence is involved in impaired renal repair and progression of glomerular diseases. Focal segmental glomerulosclerosis (FSGS) is a glomerular disease with a ... ...

    Abstract Background: A current, albeit unproven, hypothesis is that an acceleration of cellular senescence is involved in impaired renal repair and progression of glomerular diseases. Focal segmental glomerulosclerosis (FSGS) is a glomerular disease with a substantial risk for progression to ESRD. However, if and to what extent cell senescence predicts a negative outcome in FSGS is still unknown.
    Methods: The hypothesis that cell senescence represents a proximate mechanism by which the kidney is damaged in FSGS (NOS phenotype) was investigated in 26 consecutive kidney biopsies from adult FSGS cases (eGFR 72 ± 4 mL/min, proteinuria 2.3 ± 0.6 g/day) who were incident for 2 years in a Northern Italian nephrology center and had a 6-year clinical follow-up.
    Results: Cell senescence (p16INK4A, SA-β-galactosidase [SA-β-Gal]) was upregulated by ∼3- to 4-fold in both glomerular and tubular cells in kidney biopsies of FSGS as compared to age-matched controls (p < 0.05-0.01). Tubular SA-β-Gal correlated with proteinuria and glomerulosclerosis, while only as a trend, tubular p16INK4A was directly associated with interstitial fibrosis. At univariate analysis, basal eGFR, proteinuria, and tubular expression of SA-β-Gal and p16INK4A were significantly directly related to the annual loss of eGFR. No correlation was observed between glomerular p16INK4A and eGFR loss. However, at multivariate analysis, eGFR, proteinuria, and tubular p16INK4A, but not SA-β-Gal, contributed significantly to the prediction of eGFR loss.
    Conclusions: The results indicate that an elevated cell senescence rate, expressed by an upregulation of p16INK4A in tubules at the time of initial biopsy, represents an independent predictor of progression to ESRD in adult patients with FSGS.
    MeSH term(s) Adult ; Aged ; Cellular Senescence ; Disease Progression ; Female ; Glomerulosclerosis, Focal Segmental/complications ; Glomerulosclerosis, Focal Segmental/pathology ; Glomerulosclerosis, Focal Segmental/physiopathology ; Humans ; Kidney Failure, Chronic/etiology ; Male ; Middle Aged ; Time Factors
    Language English
    Publishing date 2021-01-13
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604540-6
    ISSN 1421-9670 ; 0250-8095
    ISSN (online) 1421-9670
    ISSN 0250-8095
    DOI 10.1159/000511560
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  10. Article ; Online: Indoxyl Sulfate Induces Renal Fibroblast Activation through a Targetable Heat Shock Protein 90-Dependent Pathway.

    Milanesi, Samantha / Garibaldi, Silvano / Saio, Michela / Ghigliotti, Giorgio / Picciotto, Daniela / Ameri, Pietro / Garibotto, Giacomo / Barisione, Chiara / Verzola, Daniela

    Oxidative medicine and cellular longevity

    2019  Volume 2019, Page(s) 2050183

    Abstract: Indoxyl sulfate (IS) accumulation occurs early during chronic kidney disease (CKD) progression and contributes to renal dysfunction by inducing fibrosis, inflammation, oxidative stress, and tissue remodeling. Renal toxicity of high IS concentrations ( ... ...

    Abstract Indoxyl sulfate (IS) accumulation occurs early during chronic kidney disease (CKD) progression and contributes to renal dysfunction by inducing fibrosis, inflammation, oxidative stress, and tissue remodeling. Renal toxicity of high IS concentrations (250
    MeSH term(s) Animals ; Disease Models, Animal ; Fibroblasts/metabolism ; HSP90 Heat-Shock Proteins/metabolism ; Humans ; Indican/metabolism ; Kidney/pathology ; Mice ; Rats
    Chemical Substances HSP90 Heat-Shock Proteins ; Indican (N187WK1Y1J)
    Language English
    Publishing date 2019-04-17
    Publishing country United States
    Document type Journal Article
    ISSN 1942-0994
    ISSN (online) 1942-0994
    DOI 10.1155/2019/2050183
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