Details

Autor(en) / Beteiligte

• Kato, Sawako
• Chmielewski, Michal
• Honda, Hirokazu
• Pecoits-Filho, Roberto
• Matsuo, Seiichi
• Yuzawa, Yukio
• Tranaeus, Anders
• Stenvinkel, Peter
• Lindholm, Bengt

Titel

Aspects of Immune Dysfunction in End-stage Renal Disease

Ist Teil von

• Clinical journal of the American Society of Nephrology, 2008-09, Vol.3 (5), p.1526-1533

Ort / Verlag

United States: American Society of Nephrology

Erscheinungsjahr

2008

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• End-stage renal disease (ESRD) is associated with significantly increased morbidity and mortality resulting from cardiovascular disease (CVD) and infections, accounting for 50% and 20%, respectively, of the total mortality in ESRD patients. It is possible that these two complications are linked to alterations in the immune system in ESRD, as uremia is associated with a state of immune dysfunction characterized by immunodepression that contributes to the high prevalence of infections among these patients, as well as by immunoactivation resulting in inflammation that may contribute to CVD. This review describes disorders of the innate and adaptive immune systems in ESRD, underlining the specific role of ESRD-associated disturbances of Toll-like receptors. Finally, based on the emerging links between the alterations of immune system, CVD, and infections in ESRD patients, it emphasizes the potential role of the immune dysfunction in ESRD as an underlying cause for the high mortality in this patient population and the need for more studies in this area.