Mechanisms of anemia in CKD

J Am Soc Nephrol. 2012 Oct;23(10):1631-4. doi: 10.1681/ASN.2011111078. Epub 2012 Aug 30.

Abstract

Anemia is a common feature of CKD associated with poor outcomes. The current management of patients with anemia in CKD is controversial, with recent clinical trials demonstrating increased morbidity and mortality related to erythropoiesis stimulating agents. Here, we examine recent insights into the molecular mechanisms underlying anemia of CKD. These insights hold promise for the development of new diagnostic tests and therapies that directly target the pathophysiologic processes underlying this form of anemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anemia / blood
  • Anemia / etiology*
  • Anemia / physiopathology
  • Anemia, Iron-Deficiency / etiology
  • Antimicrobial Cationic Peptides / metabolism
  • Erythropoiesis
  • Erythropoietin / deficiency
  • Hepcidins
  • Homeostasis
  • Humans
  • Iron, Dietary / pharmacokinetics
  • Models, Biological
  • Renal Insufficiency, Chronic / blood
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / physiopathology

Substances

  • Antimicrobial Cationic Peptides
  • EPO protein, human
  • Hepcidins
  • Iron, Dietary
  • Erythropoietin