The aging kidney revisited: A systematic review

被引:188
作者
Bolignano, Davide [1 ]
Mattace-Raso, Francesco [2 ]
Sijbrands, Eric J. G. [2 ]
Zoccali, Carmine [1 ]
机构
[1] CNR IFC, I-89124 Reggio Di Calabria, Italy
[2] Erasmus MC, Dept Geriatr & Internal Med, Rotterdam, Netherlands
关键词
Renal aging; Renal senescence; Chronic kidney disease; Renal function decline; Aging processes; RENAL-FUNCTION DECLINE; ANGIOTENSIN-ALDOSTERONE SYSTEM; GLOMERULAR-FILTRATION-RATE; TUBULAR CELL SENESCENCE; GLYCATION END-PRODUCTS; AGE-ASSOCIATED DECLINE; NITRIC-OXIDE SYNTHASE; CALORIE RESTRICTION; CREATININE CLEARANCE; RISK-FACTORS;
D O I
10.1016/j.arr.2014.02.003
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
As for the whole human body, the kidney undergoes age-related changes which translate in an inexorable and progressive decline in renal function. Renal aging is a multifactorial process where gender, race and genetic background and several key-mediators such as chronic inflammation, oxidative stress, the renin angiotensin aldosterone (RAAS) system, impairment in kidney repair capacities and background cardiovascular disease play a significant role. Features of the aging kidney include macroscopic and microscopic changes and important functional adaptations, none of which is pathognomonic of aging. The assessment of renal function in the framework of aging is problematic and the question whether renal aging should be considered as a physiological or pathological process remains a much debated issue. Although promising dietary and pharmacological approaches have been tested to retard aging processes or renal function decline in the elderly, proper lifestyle modifications, as those applicable to the general population, currently represent the most plausible approach to maintain kidney health. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:65 / 80
页数:16
相关论文
共 258 条
[1]   Heterogeneity of glomerular size in normal donor kidneys: Impact of race [J].
Abdi, R ;
Slakey, D ;
Kittur, D ;
Racusen, LC .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1998, 32 (01) :43-46
[2]  
ABRASS CK, 1995, AM J PATHOL, V146, P742
[3]  
ADLER S, 1968, J LAB CLIN MED, V72, P278
[4]   RENAL ACIDIFICATION IN ELDERLY SUBJECTS [J].
AGARWAL, BN ;
CABEBE, FG .
NEPHRON, 1980, 26 (06) :291-295
[5]   TRADE-OFFS IN THE ADAPTATION TO ACIDOSIS - DISCUSSION [J].
ALPERN, RJ .
KIDNEY INTERNATIONAL, 1995, 47 (04) :1205-1215
[6]   The value of a formula including haematocrit, blood urea and gender (HUGE) as a screening test for chronic renal insufficiency [J].
Alvarez-Gregori, J. A. ;
Robles, N. R. ;
Mena, C. ;
Ardanuy, R. ;
Jauregui, R. ;
Macias-Nunez, J. F. .
JOURNAL OF NUTRITION HEALTH & AGING, 2011, 15 (06) :480-484
[7]   EFFECTS OF AGING ON THE RENAL GLOMERULUS [J].
ANDERSON, S ;
BRENNER, BM .
AMERICAN JOURNAL OF MEDICINE, 1986, 80 (03) :435-442
[8]  
[Anonymous], UN WORLD POP PROSP R
[9]   KLOTHO allele status and the risk of early-onset occult coronary artery disease [J].
Arking, DE ;
Becker, DM ;
Yanek, LR ;
Fallin, D ;
Judge, DP ;
Moy, TF ;
Becker, LC ;
Dietz, HC .
AMERICAN JOURNAL OF HUMAN GENETICS, 2003, 72 (05) :1154-1161
[10]   Association of human aging with a functional variant of Klotho [J].
Arking, DE ;
Krebsova, A ;
Macek, M ;
Macek, M ;
Arking, A ;
Mian, IS ;
Fried, L ;
Hamosh, A ;
Dey, S ;
McIntosh, I ;
Dietz, HC .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2002, 99 (02) :856-861