Clinical Interaction between Brain and Kidney in Small Vessel Disease

Patients with chronic kidney disease (CKD) are well known to have a higher prevalence of cardiovascular disease from epidemiological studies. Recently, CKD has also been shown to be related to neurological disorders, not only ischemic brain injury but also cognitive impairment. This cerebrorenal c...

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Main Authors: Masaki Mogi, Masatsugu Horiuchi
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.4061/2011/306189
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author Masaki Mogi
Masatsugu Horiuchi
author_facet Masaki Mogi
Masatsugu Horiuchi
author_sort Masaki Mogi
collection DOAJ
description Patients with chronic kidney disease (CKD) are well known to have a higher prevalence of cardiovascular disease from epidemiological studies. Recently, CKD has also been shown to be related to neurological disorders, not only ischemic brain injury but also cognitive impairment. This cerebrorenal connection is considered to involve small vessel disease in both the kidney and brain, based on their hemodynamic similarities. Clinical studies suggest that markers for CKD such as estimated glomerular filtration rate (eGFR), proteinuria, and albuminuria may be helpful to predict brain small vessel disease, white matter lesions (WMLs), silent brain ischemia (SBI), and microhemorrhages. Recently, changes in the vascular system of the brain have been shown to contribute to the onset and progression of cognitive impairment, not only vascular dementia but also Alzheimer's disease. Patients with CKD are also reported to have higher risk of impaired cognitive function in the future compared with non-CKD subjects. These results indicate that CKD markers may be helpful to predict the future risk of neuronal disease.
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spelling doaj-art-b3022e19a4d44ea9bb01cbc8bada120d2025-02-03T06:06:13ZengWileyCardiology Research and Practice2090-05972011-01-01201110.4061/2011/306189306189Clinical Interaction between Brain and Kidney in Small Vessel DiseaseMasaki Mogi0Masatsugu Horiuchi1Department of Molecular Cardiovascular Biology and Pharmacology, Graduate School of Medicine, Ehime University, Tohon, Ehime 791-0295, JapanDepartment of Molecular Cardiovascular Biology and Pharmacology, Graduate School of Medicine, Ehime University, Tohon, Ehime 791-0295, JapanPatients with chronic kidney disease (CKD) are well known to have a higher prevalence of cardiovascular disease from epidemiological studies. Recently, CKD has also been shown to be related to neurological disorders, not only ischemic brain injury but also cognitive impairment. This cerebrorenal connection is considered to involve small vessel disease in both the kidney and brain, based on their hemodynamic similarities. Clinical studies suggest that markers for CKD such as estimated glomerular filtration rate (eGFR), proteinuria, and albuminuria may be helpful to predict brain small vessel disease, white matter lesions (WMLs), silent brain ischemia (SBI), and microhemorrhages. Recently, changes in the vascular system of the brain have been shown to contribute to the onset and progression of cognitive impairment, not only vascular dementia but also Alzheimer's disease. Patients with CKD are also reported to have higher risk of impaired cognitive function in the future compared with non-CKD subjects. These results indicate that CKD markers may be helpful to predict the future risk of neuronal disease.http://dx.doi.org/10.4061/2011/306189
spellingShingle Masaki Mogi
Masatsugu Horiuchi
Clinical Interaction between Brain and Kidney in Small Vessel Disease
Cardiology Research and Practice
title Clinical Interaction between Brain and Kidney in Small Vessel Disease
title_full Clinical Interaction between Brain and Kidney in Small Vessel Disease
title_fullStr Clinical Interaction between Brain and Kidney in Small Vessel Disease
title_full_unstemmed Clinical Interaction between Brain and Kidney in Small Vessel Disease
title_short Clinical Interaction between Brain and Kidney in Small Vessel Disease
title_sort clinical interaction between brain and kidney in small vessel disease
url http://dx.doi.org/10.4061/2011/306189
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