PMID- 32260373 OWN - NLM STAT- MEDLINE DCOM- 20210302 LR - 20240328 IS - 2072-6651 (Electronic) IS - 2072-6651 (Linking) VI - 12 IP - 4 DP - 2020 Apr 4 TI - Inflammation and Premature Ageing in Chronic Kidney Disease. LID - 10.3390/toxins12040227 [doi] LID - 227 AB - Persistent low-grade inflammation and premature ageing are hallmarks of the uremic phenotype and contribute to impaired health status, reduced quality of life, and premature mortality in chronic kidney disease (CKD). Because there is a huge global burden of disease due to CKD, treatment strategies targeting inflammation and premature ageing in CKD are of particular interest. Several distinct features of the uremic phenotype may represent potential treatment options to attenuate the risk of progression and poor outcome in CKD. The nuclear factor erythroid 2-related factor 2 (NRF2)-kelch-like erythroid cell-derived protein with CNC homology [ECH]-associated protein 1 (KEAP1) signaling pathway, the endocrine phosphate-fibroblast growth factor-23-klotho axis, increased cellular senescence, and impaired mitochondrial biogenesis are currently the most promising candidates, and different pharmaceutical compounds are already under evaluation. If studies in humans show beneficial effects, carefully phenotyped patients with CKD can benefit from them. FAU - Ebert, Thomas AU - Ebert T AUID- ORCID: 0000-0003-1683-9276 AD - Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Renal Medicine, SE-141 86 Stockholm, Sweden. FAU - Pawelzik, Sven-Christian AU - Pawelzik SC AD - Karolinska Institutet, Department of Medicine Solna, Cardiovascular Medicine Unit, SE-171 76 Stockholm, Sweden. AD - Karolinska University Hospital, Theme Heart and Vessels, Division of Valvular and Coronary Disease, SE-171 76 Stockholm, Sweden. FAU - Witasp, Anna AU - Witasp A AD - Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Renal Medicine, SE-141 86 Stockholm, Sweden. FAU - Arefin, Samsul AU - Arefin S AD - Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Renal Medicine, SE-141 86 Stockholm, Sweden. FAU - Hobson, Sam AU - Hobson S AD - Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Renal Medicine, SE-141 86 Stockholm, Sweden. FAU - Kublickiene, Karolina AU - Kublickiene K AD - Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Renal Medicine, SE-141 86 Stockholm, Sweden. FAU - Shiels, Paul G AU - Shiels PG AD - University of Glasgow, Wolfson Wohl Cancer Research Centre, College of Medical, Veterinary & Life Sciences, Institute of Cancer Sciences, Glasgow G61 1QH, UK. FAU - Back, Magnus AU - Back M AUID- ORCID: 0000-0003-0853-5141 AD - Karolinska Institutet, Department of Medicine Solna, Cardiovascular Medicine Unit, SE-171 76 Stockholm, Sweden. AD - Karolinska University Hospital, Theme Heart and Vessels, Division of Valvular and Coronary Disease, SE-171 76 Stockholm, Sweden. FAU - Stenvinkel, Peter AU - Stenvinkel P AD - Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Renal Medicine, SE-141 86 Stockholm, Sweden. LA - eng GR - Novo Nordisk postdoctoral fellowship run in partnership with Karolinska Institutet, Stockholm, Sweden/Novo Nordisk/International GR - 20180571 and 20160384/Swedish Heart and Lung Foundation/International GR - N/A/King Gustaf V and Queen Victoria Freemason Foundation/International GR - N/A/Professor Nanna Svartz Foundation/International GR - 20170365/Stockholms Lans Landsting/International GR - (Swedish Kidney Foundation)/Njurfonden/International GR - 2009-1068/Vetenskapsradet/International GR - 2018-00932/Vetenskapsradet/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200404 PL - Switzerland TA - Toxins (Basel) JT - Toxins JID - 101530765 RN - 0 (Biomarkers) RN - 0 (Inflammation Mediators) RN - 0 (Toxins, Biological) SB - IM MH - Aging, Premature/*metabolism/mortality/physiopathology MH - Animals MH - Biomarkers/metabolism MH - Health Status MH - Humans MH - Inflammation/*metabolism/mortality/physiopathology/therapy MH - Inflammation Mediators/*metabolism MH - Kidney/*metabolism/pathology/physiopathology MH - Phenotype MH - Prognosis MH - Quality of Life MH - Renal Insufficiency, Chronic/*metabolism/mortality/physiopathology/therapy MH - Risk Factors MH - Signal Transduction MH - Toxins, Biological/*metabolism MH - Uremia/*metabolism/mortality/physiopathology/therapy PMC - PMC7232447 OTO - NOTNLM OT - ageing OT - chronic kidney disease OT - end-stage kidney disease OT - inflammation OT - premature ageing OT - senescence OT - uremic toxins COIS- Peter Stenvinkel serves on scientific advisory boards of Baxter, Reata, and Astra Zeneca. The other authors of this manuscript have nothing to declare. EDAT- 2020/04/09 06:00 MHDA- 2021/03/03 06:00 PMCR- 2020/04/01 CRDT- 2020/04/09 06:00 PHST- 2020/02/01 00:00 [received] PHST- 2020/03/20 00:00 [revised] PHST- 2020/03/29 00:00 [accepted] PHST- 2020/04/09 06:00 [entrez] PHST- 2020/04/09 06:00 [pubmed] PHST- 2021/03/03 06:00 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - toxins12040227 [pii] AID - toxins-12-00227 [pii] AID - 10.3390/toxins12040227 [doi] PST - epublish SO - Toxins (Basel). 2020 Apr 4;12(4):227. doi: 10.3390/toxins12040227.