A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis

Peritoneal dialysis (PD) is an effective alternative treatment for patients with end-stage renal disease (ESRD) and is increasingly being adopted and promoted worldwide. However, as the duration of peritoneal dialysis extends, it can expose problems with dialysis inadequacy and ultrafiltration failu...

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Main Authors: Jin’e Li, Yinghong Liu, Jianping Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2023.1220450/full
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author Jin’e Li
Jin’e Li
Yinghong Liu
Jianping Liu
author_facet Jin’e Li
Jin’e Li
Yinghong Liu
Jianping Liu
author_sort Jin’e Li
collection DOAJ
description Peritoneal dialysis (PD) is an effective alternative treatment for patients with end-stage renal disease (ESRD) and is increasingly being adopted and promoted worldwide. However, as the duration of peritoneal dialysis extends, it can expose problems with dialysis inadequacy and ultrafiltration failure. The exact mechanism and aetiology of ultrafiltration failure have been of great concern, with triggers such as biological incompatibility of peritoneal dialysis solutions, uraemia toxins, and recurrent intraperitoneal inflammation initiating multiple pathways that regulate the release of various cytokines, promote the transcription of fibrosis-related genes, and deposit extracellular matrix. As a result, peritoneal fibrosis occurs. Exploring the pathogenic factors and molecular mechanisms can help us prevent peritoneal fibrosis and prolong the duration of Peritoneal dialysis.
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spelling doaj.art-3b69569425f7464ba701d6f1dafeedbd2023-09-26T01:37:20ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2023-09-011410.3389/fphys.2023.12204501220450A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysisJin’e Li0Jin’e Li1Yinghong Liu2Jianping Liu3Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaJiangxi Medical College, Nanchang University, Nanchang, ChinaDepartment of Nephrology, Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaPeritoneal dialysis (PD) is an effective alternative treatment for patients with end-stage renal disease (ESRD) and is increasingly being adopted and promoted worldwide. However, as the duration of peritoneal dialysis extends, it can expose problems with dialysis inadequacy and ultrafiltration failure. The exact mechanism and aetiology of ultrafiltration failure have been of great concern, with triggers such as biological incompatibility of peritoneal dialysis solutions, uraemia toxins, and recurrent intraperitoneal inflammation initiating multiple pathways that regulate the release of various cytokines, promote the transcription of fibrosis-related genes, and deposit extracellular matrix. As a result, peritoneal fibrosis occurs. Exploring the pathogenic factors and molecular mechanisms can help us prevent peritoneal fibrosis and prolong the duration of Peritoneal dialysis.https://www.frontiersin.org/articles/10.3389/fphys.2023.1220450/fullperitoneal dialysisperitoneal fibrosisEMTTGF-β1mechanism
spellingShingle Jin’e Li
Jin’e Li
Yinghong Liu
Jianping Liu
A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
Frontiers in Physiology
peritoneal dialysis
peritoneal fibrosis
EMT
TGF-β1
mechanism
title A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
title_full A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
title_fullStr A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
title_full_unstemmed A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
title_short A review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
title_sort review of research progress on mechanisms of peritoneal fibrosis related to peritoneal dialysis
topic peritoneal dialysis
peritoneal fibrosis
EMT
TGF-β1
mechanism
url https://www.frontiersin.org/articles/10.3389/fphys.2023.1220450/full
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