Senescence of the Kidney

2019 ◽  
pp. 39-48
Author(s):  
Eoin D. O’Sullivan ◽  
David A. Ferenbach

Senescence is a state of terminal growth arrest, with associated structural and functional changes in the affected cell. Cellular senescence can be induced in embryogenesis and in response to stimuli including aging, DNA damage, and cell stress. There is great interest in the physiological function and pathological role of senescent cells in the progression of the renal aging phenotype and chronic kidney disease. This chapter will explore the incomplete but evolving knowledge of the roles for senescence in the developing, injured, aged, and scarred kidneys. The potential for senescent cells to be targeted to maximize renal protection in the face of aging and injury will also be summarized.

2020 ◽  
Vol 72 (5) ◽  
pp. 699-708 ◽  
Author(s):  
Xiaoxiao Wu ◽  
Meiyou Liu ◽  
Guo Wei ◽  
Yue Guan ◽  
Jialin Duan ◽  
...  

Author(s):  
Susana Pastor ◽  
Lara Rodríguez-Ribera ◽  
Zuray Corredor ◽  
Miguel Inácio da Silva Filho ◽  
Kari Hemminki ◽  
...  

Objective: the present study was aimed to evaluate the role of pharmaceutical services in improving the outcome of mineral bone disorder in patients with advanced chronic kidney disease. Methodology: One hundred and twenty patients with chronic kidney disease-mineral bone disorder (CKD-MBD) screened for eligibility, seventy-six patients enrolled in the study and randomly allocated into two groups: pharmaceutical care and usual care, both groups interviewed by the pharmacist using specific questionnaire for assessing the quality of life (QoL). All the drug related problems (DRPs) including drug-drug interactions (DDIs) were recorded by the pharmacist. Blood samples were collected and utilized for analyzing the levels of vitamin D, phosphorous, calcium, albumin and parathyroid hormone at baseline and three months after. The pharmaceutical care group received all the educations about their medications and how to minimize DRPs; improve the QoL. Additionally, the pharmaceutical intervention included correcting the biochemical parameters. Results: Pharmaceutical care significantly improved patients QoL and minimized DRPs and DDIs. It was also effective in improving the biochemical parameters. Conclusion: Pharmaceutical care has a positive impact on improving the outcome of patients with CKD-MBD through attenuating DRPs, improving the biochemical parameters and the QoL.


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