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The Renal Pathology of Obesity

Overview
Journal Kidney Int Rep
Publisher Elsevier
Specialty Nephrology
Date 2017 Nov 17
PMID 29142961
Citations 80
Authors
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Abstract

Obesity causes various structural, hemodynamic, and metabolic alterations in the kidney. Most of these are likely to be compensatory responses to the systemic increase in metabolic demand that is seen with obesity. In some cases, however, renal injury becomes clinically apparent as a result of compensatory failure. Obesity-related glomerulopathy is the best known of such disease states. Factors that may sensitize obese individuals to renal compensatory failure and associated injury include the severity and number of obesity-associated conditions or complications, including components of metabolic syndrome, and the mismatch of body size to nephron mass, due to nephron reductions of congenital or acquired origin.

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References
1.
Rozansky D . The role of aldosterone in renal sodium transport. Semin Nephrol. 2006; 26(2):173-81. DOI: 10.1016/j.semnephrol.2005.09.008. View

2.
Chade A, Bentley M, Zhu X, Rodriguez-Porcel M, Niemeyer S, Amores-Arriaga B . Antioxidant intervention prevents renal neovascularization in hypercholesterolemic pigs. J Am Soc Nephrol. 2004; 15(7):1816-25. DOI: 10.1097/01.asn.0000130428.85603.6b. View

3.
Bochud M, Nussberger J, Bovet P, Maillard M, Elston R, Paccaud F . Plasma aldosterone is independently associated with the metabolic syndrome. Hypertension. 2006; 48(2):239-45. DOI: 10.1161/01.HYP.0000231338.41548.fc. View

4.
Kato S, Nazneen A, Nakashima Y, Razzaque M, Nishino T, Furusu A . Pathological influence of obesity on renal structural changes in chronic kidney disease. Clin Exp Nephrol. 2009; 13(4):332-340. DOI: 10.1007/s10157-009-0169-3. View

5.
Morales E, Huerta A, Gutierrez E, Gutierrez Solis E, Segura J, Praga M . [The antiproteinuric effect of the blockage of the renin-angiotensin-aldosterone system (RAAS) in obese patients. Which treatment option is the most effective? ]. Nefrologia. 2009; 29(5):421-9. DOI: 10.3265/Nefrologia.2009.29.5.5448.en.full. View