Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin

Chronic kidney disease is a major public health problem and characterized by a progressive loss in renal function over a period of months or years as defined by structural or functional abnormalities of the kidney. Several elements contribute to determine a progression of the kidney injury, inducing...

Full description

Saved in:
Bibliographic Details
Main Authors: M. Tesauro, A. Mascali, O. Franzese, S. Cipriani, C. Cardillo, N. Di Daniele
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2012/943605
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832561161701163008
author M. Tesauro
A. Mascali
O. Franzese
S. Cipriani
C. Cardillo
N. Di Daniele
author_facet M. Tesauro
A. Mascali
O. Franzese
S. Cipriani
C. Cardillo
N. Di Daniele
author_sort M. Tesauro
collection DOAJ
description Chronic kidney disease is a major public health problem and characterized by a progressive loss in renal function over a period of months or years as defined by structural or functional abnormalities of the kidney. Several elements contribute to determine a progression of the kidney injury, inducing a worsening of renal damage and accelerating the decline of renal function: obesity and hypertension are two known factors of kidney progression. Remarkable improvements have been recently achieved in the study of the endocrine features of the adipose tissue and have been able to produce hormone-like peptides named adipokines or adipocytokines. Among these adipocytokines, which represent a link between obesity, hypertension, and chronic nephropathy, leptins and adiponectin appear to play an important role. Leptin not only is a prohypertension element (renal progression factor) through the activation sympathetic nervous, but also is able to induce prosclerotic effects directly on the kidney. In contrast, a decline of adiponectin levels has been shown to be related to a picture of hypertension: an endothelial dysfunction has been described as the main pathogenic mechanism responsible for this phenomenon.
format Article
id doaj-art-93b1d26fa5024b44991ce9d3b58f637d
institution Kabale University
issn 2090-0384
2090-0392
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series International Journal of Hypertension
spelling doaj-art-93b1d26fa5024b44991ce9d3b58f637d2025-02-03T01:25:52ZengWileyInternational Journal of Hypertension2090-03842090-03922012-01-01201210.1155/2012/943605943605Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and AdiponectinM. Tesauro0A. Mascali1O. Franzese2S. Cipriani3C. Cardillo4N. Di Daniele5Division of Internal Medicine, Department of Medicine of the Systems, University of Rome “Tor Vergata”, Rome, ItalyDivision of Nephrology, Department of Medicine of the Systems, University of Rome “Tor Vergata”, Rome, ItalyDivision of Pharmacology, Department of Medicine of the Systems, University of Rome “Tor Vergata”, Rome, ItalyDivision of Nephrology, Department of Medicine of the Systems, University of Rome “Tor Vergata”, Rome, ItalyDepartment of Internal Medicine, “Università Cattolica del Sacro Cuore”, Rome, ItalyDivision of Internal Medicine, Department of Medicine of the Systems, University of Rome “Tor Vergata”, Rome, ItalyChronic kidney disease is a major public health problem and characterized by a progressive loss in renal function over a period of months or years as defined by structural or functional abnormalities of the kidney. Several elements contribute to determine a progression of the kidney injury, inducing a worsening of renal damage and accelerating the decline of renal function: obesity and hypertension are two known factors of kidney progression. Remarkable improvements have been recently achieved in the study of the endocrine features of the adipose tissue and have been able to produce hormone-like peptides named adipokines or adipocytokines. Among these adipocytokines, which represent a link between obesity, hypertension, and chronic nephropathy, leptins and adiponectin appear to play an important role. Leptin not only is a prohypertension element (renal progression factor) through the activation sympathetic nervous, but also is able to induce prosclerotic effects directly on the kidney. In contrast, a decline of adiponectin levels has been shown to be related to a picture of hypertension: an endothelial dysfunction has been described as the main pathogenic mechanism responsible for this phenomenon.http://dx.doi.org/10.1155/2012/943605
spellingShingle M. Tesauro
A. Mascali
O. Franzese
S. Cipriani
C. Cardillo
N. Di Daniele
Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin
International Journal of Hypertension
title Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin
title_full Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin
title_fullStr Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin
title_full_unstemmed Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin
title_short Chronic Kidney Disease, Obesity, and Hypertension: The Role of Leptin and Adiponectin
title_sort chronic kidney disease obesity and hypertension the role of leptin and adiponectin
url http://dx.doi.org/10.1155/2012/943605
work_keys_str_mv AT mtesauro chronickidneydiseaseobesityandhypertensiontheroleofleptinandadiponectin
AT amascali chronickidneydiseaseobesityandhypertensiontheroleofleptinandadiponectin
AT ofranzese chronickidneydiseaseobesityandhypertensiontheroleofleptinandadiponectin
AT scipriani chronickidneydiseaseobesityandhypertensiontheroleofleptinandadiponectin
AT ccardillo chronickidneydiseaseobesityandhypertensiontheroleofleptinandadiponectin
AT ndidaniele chronickidneydiseaseobesityandhypertensiontheroleofleptinandadiponectin