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| May 2014 Volume 10 Number 5 | |||||||||||||||||||||||||||||||||||||
In this issue
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| NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Cardiovascular disease: Still unresolved: warfarin in ESRD with atrial fibrillation Wolfgang C. Winkelmayer Published online: 18 March 2014 p244 | doi:10.1038/nrneph.2014.48 Well-controlled oral anticoagulation lowers the risk of ischaemic stroke in patients with atrial fibrillation; however, conflicting evidence exists on its benefits and risks in patients with end-stage renal disease. Shah and colleagues examined this question in a large cohort of patients on dialysis who were diagnosed with atrial fibrillation. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Targeted therapies: Is there a role for rituximab in nephrotic syndrome? John Feehally Published online: 11 March 2014 p245 | doi:10.1038/nrneph.2014.37 Anti-CD20 therapy is increasingly being used in the treatment of various patterns of nephrotic syndrome in adults and children. However, its use is still based largely on observational studies and expert opinion. Well-designed randomized controlled trials are urgently needed to define the role of this expensive therapy. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Imaging: BOLD assessment—effects of RAAS inhibition in CKD Lilach O. Lerman Published online: 25 March 2014 p247 | doi:10.1038/nrneph.2014.58 Blood-oxygen-level-dependent MRI enables noninvasive assessment of renal deoxyhaemoglobin levels and, therefore, hypoxia. As decreased tissue oxygenation might contribute to acute and chronic kidney disease (CKD), this tool has been examined in patients with CKD. Indeed, the benefits of renin-angiotensin-aldosterone system inhibitors might be partly conferred by increased oxygenation. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| CORRECTION | Top | ||||||||||||||||||||||||||||||||||||
| The effect of RAAS blockade on the progression of diabetic nephropathy Sara S. Roscioni, Hiddo J. Lambers Heerspink & Dick de Zeeuw Published online: 11 March 2014 p243 | doi:10.1038/nrneph.2014.51 Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| REVIEWS | Top | ||||||||||||||||||||||||||||||||||||
| MicroRNAs in IgA nephropathy Cheuk-Chun Szeto & Philip K.-T. Li Published online: 08 April 2014 p249 | doi:10.1038/nrneph.2014.50 Genome-wide analyses have identified a number of novel microRNAs (miRNAs) related to immunological and pathological changes in the kidney. In this Review, the authors describe the various purported roles of these miRNAs in IgA nephropathy, including in the aberrant glycosylation of IgA1 that has a central pathogenetic role in the early phase of this disease. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Novel targets of antifibrotic and anti-inflammatory treatment in CKD Anne-Emilie Declèves & Kumar Sharma Published online: 25 March 2014 p257 | doi:10.1038/nrneph.2014.31 Chronic kidney disease (CKD) is becoming a worldwide epidemic, largely due to the increased prevalence of obesity and diabetes in the general population. As a consequence, new targets and treatments are urgently required to reduce the burden of CKD and the need for renal replacement therapy in affected patients. Here, the authors discuss new insights into the fibrotic and inflammatory pathways that lead to CKD and highlight novel targets for potential disease-arresting therapies. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Roles of phosphate and fibroblast growth factor 23 in cardiovascular disease Julia J. Scialla & Myles Wolf Published online: 01 April 2014 p268 | doi:10.1038/nrneph.2014.49 High serum levels of phosphate and fibroblast growth factor (FGF)-23 are associated with an increased risk of adverse cardiovascular events. In this Review, the authors discuss experimental and epidemiological data that supports high levels of phosphate or FGF-23 as risk factors for cardiovascular events in patients with or without chronic kidney disease. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Renal involvement in antiphospholipid syndrome Savino Sciascia, Maria José Cuadrado, Munther Khamashta & Dario Roccatello Published online: 18 March 2014 p279 | doi:10.1038/nrneph.2014.38 Antiphospholipid syndrome (APS) is an autoimmune disease characterized by antiphospholipid antibodies and thrombotic events. The kidney is a major target organ of APS, which is often present in association with other autoimmune disorders. In this Review, Sciascia et al. discuss the broadening spectrum of renal events associated with APS and the different therapeutic approaches that might be required for effective treatment. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| PERSPECTIVES | Top | ||||||||||||||||||||||||||||||||||||
| SCIENCE AND SOCIETY Drug discovery in renal disease—towards a more efficient framework Toshio Miyata, Tsuyoshi Ando, Hisami Hiragi, Kanako Watanabe, Fumi Yamamoto, Douglas E. Vaughan, Tatsuo Kurokawa, Yoshiteru Oshima, Charles van Ypersele de Strihou & Masahiro Takeuchi Published online: 18 March 2014 p290 | doi:10.1038/nrneph.2014.36 The discovery and clinical development of new drugs—particularly therapies for kidney diseases—is a lengthy and costly process. Here, the authors discuss the need for closer collaboration between academia, industry and regulatory authorities to enable novel, efficient strategies for preclinical and clinical drug development. They also describe the current Japanese framework implemented to facilitate such collaboration. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
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| *Journal Citation Reports, Thomson, 2012. Nature Reviews Nephrology was previously published as Nature Clinical Practice Nephrology. |
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