Kidney Foundation launches new Consortia
22 Nov 2011
Today, the Dutch Kidney Foundation officially started two new
consortia: NIGRAM and DIPAK. NIGRAM stands for NIjmegen, GRoningen
and AMsterdam collaboration and will delineate whether disturbances
in the mineral balance cause kidney failure and cardiovascular
disorders. Better prevention and treatment of the increased
cardiovascular risk in chronic kidney disease is one of the main
challenges in current nephrology, as despite intervention on
established risk factors such as blood pressure, dyslipidemia and
proteinuria, cardiovascular risk in chronic kidney disease remains
excessively high. A rapidly increasing body of evidence supports
involvement of the fibroblast growth factor 23
(FGF23)-klotho-vitamin D axis. FGF23 increases early in chronic
kidney disease, probably driven by dysbalance between dietary
phosphate load and renal function, and acts on the kidney and the
parathyroid gland, with the net effect of preventing a rise in
plasma phosphate. Epidemiological and experimental data suggest
that derangements of the FGF23-klotho-vitamin D axis are involved
in the cardiovascular complications of chronic kidney disease
throughout the course of chronic kidney disease, including its
earlier stages, which would be attractive for preventive purposes.
It would be timely, therefore, to explore a strategy to translate
this rapidly expanding body of knowledge into better treatment and
prevention strategies in chronic kidney disease. This project is a
joint effort of the Free University Amsterdam (drs. Ter Wee and
Vervloet), UMC Groningen (drs. Navis and Hillebrands ) and RUNMC
(drs. Hoenderop and Bindels).
You can watch the corresponding short video
here.
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