Vascular calcification: An important understanding in nephrology

  • Sepideh Zununi Vahed
  • , Soroush Mostafavi
  • , Seyed Mahdi Hosseiniyan Khatibi
  • , Mohammadali M. Shoja
  • , Mohammadreza Ardalan

Research output: Contribution to journalReview articlepeer-review

Abstract

Vascular calcification (VC) is a life-threatening state in chronic kidney disease (CKD). High cardiovascular mortality and morbidity of CKD cases may root from medial VC promoted by hyperphosphatemia. Vascular calcification is an active, highly regulated, and complex biological process that is mediated by genetics, epigenetics, dysregulated form of matrix mineral metabolism, hormones, and the activation of cellular signaling pathways. Moreover, gut microbiome as a source of uremic toxins (eg, phosphate, advanced glycation end products and indoxyl-sulfate) can be regarded as a potential contributor to VC in CKD. Here, an update on different cellular and molecular processes involved in VC in CKD is discussed to elucidate the probable therapeutic pathways in the future.

Original languageEnglish
Pages (from-to)167-180
Number of pages14
JournalVascular Health and Risk Management
Volume16
DOIs
StatePublished - 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Zununi Vahed et al.

ASJC Scopus Subject Areas

  • Endocrinology, Diabetes and Metabolism
  • Hematology
  • Public Health, Environmental and Occupational Health
  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)

Keywords

  • Calcification
  • Chronic kidney disease
  • CKD
  • Hyperphosphatemia
  • Uremia
  • Uremic toxins

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