Renin system activation and delayed function of the renal transplant

Jon D. Blumenfeld, Daniel F. Catanzaro, Milan Kinkhabwala, Jhoong Cheigh, Choli Hartono, David Serur, Sandi Kapur, William T. Stubenbord, Rudy Haschemeyer, Robert Riggio

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Delayed graft function (DGF), defined as persistent renal failure that requires dialysis within the first week after kidney transplantation, occurs commonly after cadaveric renal transplantation (CRT). This has important implications for long-term outcome because the 1-year allograft survival rate is significantly reduced when DGF occurs. The mechanisms contributing to the development of DGF are not well established. However, several lines of evidence indicate that excess renin system activity, in both the cadaver kidney donor and recipient, contributes importantly to the pathogenesis of DGF. If this hypothesis can be verified in clinical studies, then pharmacologic agents that interrupt the renin-angiotensin system (eg, type 1 angiotensin II receptor blockade, angiotensin converting enzyme inhibition, and β-adrenergic blockade) in the donor and recipient might significantly improve the outcome of cadaveric renal transplants.

Original languageEnglish (US)
Pages (from-to)1270-1272
Number of pages3
JournalAmerican journal of hypertension
Volume14
Issue number12
DOIs
StatePublished - 2001

ASJC Scopus subject areas

  • Internal Medicine

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    Blumenfeld, J. D., Catanzaro, D. F., Kinkhabwala, M., Cheigh, J., Hartono, C., Serur, D., Kapur, S., Stubenbord, W. T., Haschemeyer, R., & Riggio, R. (2001). Renin system activation and delayed function of the renal transplant. American journal of hypertension, 14(12), 1270-1272. https://doi.org/10.1016/S0895-7061(01)02264-6