The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function

Chronic kidney disease (CKD) is associated with profound vascular remodeling, which accelerates the progression of cardiovascular disease. This remodeling is characterized by intimal hyperplasia, accelerated atherosclerosis, excessive vascular calcification, and vascular stiffness. Vascular smooth m...

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Main Authors: Lucie Hénaut, Aurélien Mary, Jean-Marc Chillon, Saïd Kamel, Ziad A. Massy
Format: Article
Language:English
Published: MDPI AG 2018-05-01
Series:Toxins
Subjects:
Online Access:http://www.mdpi.com/2072-6651/10/6/218
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author Lucie Hénaut
Aurélien Mary
Jean-Marc Chillon
Saïd Kamel
Ziad A. Massy
author_facet Lucie Hénaut
Aurélien Mary
Jean-Marc Chillon
Saïd Kamel
Ziad A. Massy
author_sort Lucie Hénaut
collection DOAJ
description Chronic kidney disease (CKD) is associated with profound vascular remodeling, which accelerates the progression of cardiovascular disease. This remodeling is characterized by intimal hyperplasia, accelerated atherosclerosis, excessive vascular calcification, and vascular stiffness. Vascular smooth muscle cell (VSMC) dysfunction has a key role in the remodeling process. Under uremic conditions, VSMCs can switch from a contractile phenotype to a synthetic phenotype, and undergo abnormal proliferation, migration, senescence, apoptosis, and calcification. A growing body of data from experiments in vitro and animal models suggests that uremic toxins (such as inorganic phosphate, indoxyl sulfate and advanced-glycation end products) may directly impact the VSMCs’ physiological functions. Chronic, low-grade inflammation and oxidative stress—hallmarks of CKD—are also strong inducers of VSMC dysfunction. Here, we review current knowledge about the impact of uremic toxins on VSMC function in CKD, and the consequences for pathological vascular remodeling.
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spelling doaj.art-a3eeb85ad28543b6940cb6911f4871f72022-12-22T04:00:44ZengMDPI AGToxins2072-66512018-05-0110621810.3390/toxins10060218toxins10060218The Impact of Uremic Toxins on Vascular Smooth Muscle Cell FunctionLucie Hénaut0Aurélien Mary1Jean-Marc Chillon2Saïd Kamel3Ziad A. Massy4MP3CV, EA7517, CURS, Jules Verne University of Picardie, 80054 Amiens, FranceMP3CV, EA7517, CURS, Jules Verne University of Picardie, 80054 Amiens, FranceMP3CV, EA7517, CURS, Jules Verne University of Picardie, 80054 Amiens, FranceMP3CV, EA7517, CURS, Jules Verne University of Picardie, 80054 Amiens, FranceAmbroise Paré University Hospital, Division of Nephrology, APHP, 92100 Boulogne-Billancourt/Paris, FranceChronic kidney disease (CKD) is associated with profound vascular remodeling, which accelerates the progression of cardiovascular disease. This remodeling is characterized by intimal hyperplasia, accelerated atherosclerosis, excessive vascular calcification, and vascular stiffness. Vascular smooth muscle cell (VSMC) dysfunction has a key role in the remodeling process. Under uremic conditions, VSMCs can switch from a contractile phenotype to a synthetic phenotype, and undergo abnormal proliferation, migration, senescence, apoptosis, and calcification. A growing body of data from experiments in vitro and animal models suggests that uremic toxins (such as inorganic phosphate, indoxyl sulfate and advanced-glycation end products) may directly impact the VSMCs’ physiological functions. Chronic, low-grade inflammation and oxidative stress—hallmarks of CKD—are also strong inducers of VSMC dysfunction. Here, we review current knowledge about the impact of uremic toxins on VSMC function in CKD, and the consequences for pathological vascular remodeling.http://www.mdpi.com/2072-6651/10/6/218chronic kidney diseaseuremic toxinsvascular smooth muscle cells
spellingShingle Lucie Hénaut
Aurélien Mary
Jean-Marc Chillon
Saïd Kamel
Ziad A. Massy
The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function
Toxins
chronic kidney disease
uremic toxins
vascular smooth muscle cells
title The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function
title_full The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function
title_fullStr The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function
title_full_unstemmed The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function
title_short The Impact of Uremic Toxins on Vascular Smooth Muscle Cell Function
title_sort impact of uremic toxins on vascular smooth muscle cell function
topic chronic kidney disease
uremic toxins
vascular smooth muscle cells
url http://www.mdpi.com/2072-6651/10/6/218
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