PMID- 30271115 OWN - NLM STAT- MEDLINE DCOM- 20181224 LR - 20220330 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 12 DP - 2018 TI - The role of hypoxia-inducible factor stabilizers in the treatment of anemia in patients with chronic kidney disease. PG - 3003-3011 LID - 10.2147/DDDT.S175887 [doi] AB - INTRODUCTION: The purpose of this study was to analyze the effects of hypoxia-inducible factor (HIF) stabilizers on anemia in non-dialysis-dependent (NDD) and dialysis-dependent (DD) chronic kidney disease (CKD) patients. METHODS: Published studies were extracted from PubMed, China Biological Medicine Database (CBM), Wanfang database, and Cochrane Library on March 10, 2018, and relevant studies were pooled and included in a meta-analysis. Data on hemoglobin (Hb), ferritin, and hepcidin levels, total iron-binding capacity (TIBC), and incidence of adverse events (AEs) were extracted and pooled using Review Manager Version 5.3. RESULTS: Data from nine selected studies were extracted. Meta-analysis of the included studies showed that HIF stabilizers reduced ferritin and hepcidin levels and increased Hb level and TIBC in NDD-CKD patients. However, HIF stabilizers only increased TIBC, and did not affect ferritin, hepcidin, and Hb levels in DD-CKD patients. Furthermore, no notable differences in AEs and severe AEs between NDD-CKD and DD-CKD patients were detected. CONCLUSION: HIF stabilizers are effective for the treatment of anemia in NDD-CKD patients and safe for short-term use. FAU - Zhong, Hongzhen AU - Zhong H AD - Department of Nephrology, The Second Affiliated Hospital, Shantou University Medical College, Shantou, China, zhoutb@aliyun.net. FAU - Zhou, Tianbiao AU - Zhou T AD - Department of Nephrology, The Second Affiliated Hospital, Shantou University Medical College, Shantou, China, zhoutb@aliyun.net. FAU - Li, Hongyan AU - Li H AD - Department of Nephrology, Huadu District People's Hospital of Guangzhou, Southern Medical University, Guangzhou, China. FAU - Zhong, Zhiqing AU - Zhong Z AD - Department of Nephrology, The Second Affiliated Hospital, Shantou University Medical College, Shantou, China, zhoutb@aliyun.net. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20180918 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Enzyme Inhibitors) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 138391-32-9 (Aryl Hydrocarbon Receptor Nuclear Translocator) RN - EC 1.14.11.29 (Hypoxia-Inducible Factor-Proline Dioxygenases) SB - IM MH - Anemia/*drug therapy/metabolism MH - Aryl Hydrocarbon Receptor Nuclear Translocator/*metabolism MH - Enzyme Inhibitors/*pharmacology/*therapeutic use MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Hypoxia-Inducible Factor-Proline Dioxygenases/antagonists & inhibitors MH - Protein Stability/drug effects MH - Renal Insufficiency, Chronic/*drug therapy/metabolism PMC - PMC6151102 OTO - NOTNLM OT - anemia OT - chronic kidney disease OT - hypoxia-inducible factor stabilizer OT - meta-analysis COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2018/10/03 06:00 MHDA- 2018/12/26 06:00 PMCR- 2018/09/18 CRDT- 2018/10/02 06:00 PHST- 2018/10/02 06:00 [entrez] PHST- 2018/10/03 06:00 [pubmed] PHST- 2018/12/26 06:00 [medline] PHST- 2018/09/18 00:00 [pmc-release] AID - dddt-12-3003 [pii] AID - 10.2147/DDDT.S175887 [doi] PST - epublish SO - Drug Des Devel Ther. 2018 Sep 18;12:3003-3011. doi: 10.2147/DDDT.S175887. eCollection 2018.