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Cited by 256

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

The Endothelin System and Its Antagonism in Chronic Kidney Disease

Dhaun, Neeraj, Goddard, Jane, Webb, DavidJ.·2006·Journal of the American Society of Nephrology

Abstract

The incidence of chronic kidney disease (CKD) is increasing worldwide. Cardiovascular disease (CVD) is strongly associated with CKD and constitutes one of its major causes of morbidity and mortality. Treatments that slow the progression of CKD and improve the cardiovascular risk profile of patients with CKD are needed. The endothelins (ET) are a family of related peptides, of which ET-1 is the most powerful endogenous vasoconstrictor and the predominant isoform in the cardiovascular and renal systems. The ET system has been widely implicated in both CVD and CKD. ET-1 contributes to the pathogenesis and maintenance of hypertension and arterial stiffness and more novel cardiovascular risk factors such as oxidative stress and inflammation. Through these, ET also contributes to endothelial dysfunction and atherosclerosis. By reversal of these effects, ET antagonists may reduce cardiovascular risk. In particular relation to the kidney, antagonism of the ET system may be of benefit in improving renal hemodynamics and reducing proteinuria. ET likely also is involved in progression of renal disease, and data are emerging to suggest a synergistic role for ET receptor antagonists with angiotensin-converting enzyme inhibitors in slowing CKD progression.

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Metadata

Authors
Dhaun, N., Goddard, J., & Webb, D.
Venue
Journal of the American Society of Nephrology
Published
2006-04
Volume
17
Issue
4
Pages
943-955
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2163370089
Cited by
256
References
3
FWCI
7.84
Type
journal article
Language
en
Open access
closed

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