© Borgis - Postępy Nauk Medycznych 10/2009, s. 856-857
Pupils and friends of Professor Franciszek Kokot, specialists in nephrology, hypertensiology and transplantology from Poland and abroad submitted their review articles in this special issue of ”Advances in Medical Sciences”.
Professor Eberhard Ritz stressed that prenatal programming accounts, at least in part for a large segment of hypertension, metabolic syndrome, diabetes and chronic kidney disease in adults.
Professor Jacek Manitius in his review continues this idea and underlines that intrauterine growth retardation depends on the maternal nutrient supply. In fact low protein diet, increased amount of fructose or alcohol, smoking and hyperuricaemia may be responsible for the small gestational weight and disturbs organogenesis.
Professors Włodzimierz and Andrzej Januszewicz reviewed in details new biological properties of aldosterone. It was recently recognized that besides its important role in the water electrolyte metabolism, aldosterone may directly influence cardiovascular system – independently from angiotensin II.
Professor Stanisław Czekalski discussed in his article the role of kidney damage in the pathogenesis of arterial hypertension. Authors predict that detection of albuminuria, as an early marker of kidney injury in general population will be a sensitive marker of increased risk of hypertension in the future.
Professors Jacek Borkowski and Michał Myśliwiec described the anti-inflammatory properties of heparin and also the new anti-haemostatic mechanism of heparin – like drug sulodexide.
Professor Jan Duława mentions in his review that in spite of impressive advances in the renal replacement therapy, acute kidney injury is still the cause of death in about 50% of these patients. In his article a novel markers of acute kidney injury and general prevention measures were also discussed. The useful classification on volume responsive and volume nonresponsive acute kidney injury is proposed.
Professor Marian Klinger submitted an overview of the modern therapeutic methods in patients with most frequent primary glomerular diseases like IgA nephropathy, focal segmental glomerulosclerosis and membranous nephropathy.
Professor Andrzej Więcek and dr hab. Teresa Nieszporek describe the current knowledge concerning the use of angiotensin converting enzyme inhibitors (ACE-I) or sartans in the treatment of proteinuric chronic kidney disease. However, according to the recently published results of the ONTARGED study dual blockade of the renin-angiotensin system with ACE-I and sartans leads to increased number of adverse events and worsened major renal outcomes.
Professor Andrzej Książek and his team underline the important role of optimal hydration and nutrition in hemodialysed patients with chronic kidney disease. Authors describe the value of bioimpedance in the assessment of hydration status in these patients.
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