Skip to main content
Top
Published in: Translational Stroke Research 1/2017

Open Access 01-02-2017 | Review

The Cerebrovascular-Chronic Kidney Disease Connection: Perspectives and Mechanisms

Authors: Wei Ling Lau, Branko N. Huisa, Mark Fisher

Published in: Translational Stroke Research | Issue 1/2017

Login to get access

Abstract

Chronic kidney disease (CKD) is an independent risk factor for the development of cerebrovascular disease, particularly small vessel disease which can manifest in a variety of phenotypes ranging from lacunes to microbleeds. Small vessel disease likely contributes to cognitive dysfunction in the CKD population. Non-traditional risk factors for vascular injury in uremia include loss of calcification inhibitors, hyperphosphatemia, increased blood pressure variability, elastinolysis, platelet dysfunction, and chronic inflammation. In this review, we discuss the putative pathways by which these mechanisms may promote cerebrovascular disease and thus increase risk of future stroke in CKD patients.
Literature
1.
go back to reference Chen YC et al. Chronic kidney disease itself is a causal risk factor for stroke beyond traditional cardiovascular risk factors: a nationwide cohort study in Taiwan. PLoS One. 2012;7(4):e36332.PubMedPubMedCentralCrossRef Chen YC et al. Chronic kidney disease itself is a causal risk factor for stroke beyond traditional cardiovascular risk factors: a nationwide cohort study in Taiwan. PLoS One. 2012;7(4):e36332.PubMedPubMedCentralCrossRef
2.
go back to reference Koren-Morag N, Goldbourt U, Tanne D. Renal dysfunction and risk of ischemic stroke or TIA in patients with cardiovascular disease. Neurology. 2006;67(2):224–8.PubMedCrossRef Koren-Morag N, Goldbourt U, Tanne D. Renal dysfunction and risk of ischemic stroke or TIA in patients with cardiovascular disease. Neurology. 2006;67(2):224–8.PubMedCrossRef
3.
go back to reference Toyoda K, Ninomiya T. Stroke and cerebrovascular diseases in patients with chronic kidney disease. Lancet Neurol. 2014;13(8):823–33.PubMedCrossRef Toyoda K, Ninomiya T. Stroke and cerebrovascular diseases in patients with chronic kidney disease. Lancet Neurol. 2014;13(8):823–33.PubMedCrossRef
4.
go back to reference Naganuma T, Takemoto Y. New aspects of cerebrovascular diseases in dialysis patients. Contrib Nephrol. 2015;185:138–46.PubMed Naganuma T, Takemoto Y. New aspects of cerebrovascular diseases in dialysis patients. Contrib Nephrol. 2015;185:138–46.PubMed
5.
go back to reference Weiner DE et al. Albuminuria, cognitive functioning, and white matter hyperintensities in homebound elders. Am J Kidney Dis. 2009;53(3):438–47.PubMedCrossRef Weiner DE et al. Albuminuria, cognitive functioning, and white matter hyperintensities in homebound elders. Am J Kidney Dis. 2009;53(3):438–47.PubMedCrossRef
6.
go back to reference Khatri M et al. Chronic kidney disease is associated with white matter hyperintensity volume: the Northern Manhattan Study (NOMAS). Stroke. 2007;38(12):3121–6.PubMedPubMedCentralCrossRef Khatri M et al. Chronic kidney disease is associated with white matter hyperintensity volume: the Northern Manhattan Study (NOMAS). Stroke. 2007;38(12):3121–6.PubMedPubMedCentralCrossRef
7.
go back to reference Debette S, Markus HS. The clinical importance of white matter hyperintensities on brain magnetic resonance imaging: systematic review and meta-analysis. BMJ. 2010;341:c3666.PubMedPubMedCentralCrossRef Debette S, Markus HS. The clinical importance of white matter hyperintensities on brain magnetic resonance imaging: systematic review and meta-analysis. BMJ. 2010;341:c3666.PubMedPubMedCentralCrossRef
8.
go back to reference Eldehni MT, McIntyre CW. Are there neurological consequences of recurrent intradialytic hypotension? Semin Dial. 2012;25(3):253–6.PubMedCrossRef Eldehni MT, McIntyre CW. Are there neurological consequences of recurrent intradialytic hypotension? Semin Dial. 2012;25(3):253–6.PubMedCrossRef
9.
go back to reference Prohovnik I et al. Cerebrovascular effects of hemodialysis in chronic kidney disease. J Cereb Blood Flow Metab. 2007;27(11):1861–9.PubMedCrossRef Prohovnik I et al. Cerebrovascular effects of hemodialysis in chronic kidney disease. J Cereb Blood Flow Metab. 2007;27(11):1861–9.PubMedCrossRef
11.
go back to reference Ninomiya T et al. Proteinuria and stroke: a meta-analysis of cohort studies. Am J Kidney Dis. 2009;53(3):417–25.PubMedCrossRef Ninomiya T et al. Proteinuria and stroke: a meta-analysis of cohort studies. Am J Kidney Dis. 2009;53(3):417–25.PubMedCrossRef
13.
go back to reference Murray AM et al. Cognitive impairment in hemodialysis patients is common. Neurology. 2006;67(2):216–23.PubMedCrossRef Murray AM et al. Cognitive impairment in hemodialysis patients is common. Neurology. 2006;67(2):216–23.PubMedCrossRef
15.
go back to reference Izzo JL, Sica D, Black HR. Hypertension primer: the essentials of high blood pressure: basic science, population science, and clinical management. Philadelphia: Lippincott Williams & Wilkins; 2007. Izzo JL, Sica D, Black HR. Hypertension primer: the essentials of high blood pressure: basic science, population science, and clinical management. Philadelphia: Lippincott Williams & Wilkins; 2007.
16.
go back to reference Ito S et al. Strain vessel hypothesis: a viewpoint for linkage of albuminuria and cerebro-cardiovascular risk. Hypertens Res. 2009;32(2):115–21.PubMedCrossRef Ito S et al. Strain vessel hypothesis: a viewpoint for linkage of albuminuria and cerebro-cardiovascular risk. Hypertens Res. 2009;32(2):115–21.PubMedCrossRef
18.
go back to reference Moritz AR, Oldt MR. Arteriolar sclerosis in hypertensive and non-hypertensive individuals. Am J Pathol. 1937;13(5):679–728.7.PubMedPubMedCentral Moritz AR, Oldt MR. Arteriolar sclerosis in hypertensive and non-hypertensive individuals. Am J Pathol. 1937;13(5):679–728.7.PubMedPubMedCentral
19.
20.
go back to reference O’Sullivan M et al. Patterns of cerebral blood flow reduction in patients with ischemic leukoaraiosis. Neurology. 2002;59(3):321–6.PubMedCrossRef O’Sullivan M et al. Patterns of cerebral blood flow reduction in patients with ischemic leukoaraiosis. Neurology. 2002;59(3):321–6.PubMedCrossRef
22.
go back to reference Johnson RJ, Feehally J, Floege J. Comprehensive clinical nephrology. 5th ed. Philadelphia: Elsevier Health Sciences; 2014. Johnson RJ, Feehally J, Floege J. Comprehensive clinical nephrology. 5th ed. Philadelphia: Elsevier Health Sciences; 2014.
23.
go back to reference Liu W et al. Different impacts of blood pressure variability on the progression of cerebral microbleeds and white matter lesions. Stroke. 2012;43(11):2916–22.PubMedCrossRef Liu W et al. Different impacts of blood pressure variability on the progression of cerebral microbleeds and white matter lesions. Stroke. 2012;43(11):2916–22.PubMedCrossRef
24.
go back to reference Tanner RM et al. Association between 24-hour blood pressure variability and chronic kidney disease: a cross-sectional analysis of African Americans participating in the Jackson heart study. BMC Nephrol. 2015;16:84.PubMedPubMedCentralCrossRef Tanner RM et al. Association between 24-hour blood pressure variability and chronic kidney disease: a cross-sectional analysis of African Americans participating in the Jackson heart study. BMC Nephrol. 2015;16:84.PubMedPubMedCentralCrossRef
25.
go back to reference Chang TI, et al. Visit-to-visit variability of blood pressure and death, end-stage renal disease, and cardiovascular events in patients with chronic kidney disease. J Hypertens. 2016;34:244–52. Chang TI, et al. Visit-to-visit variability of blood pressure and death, end-stage renal disease, and cardiovascular events in patients with chronic kidney disease. J Hypertens. 2016;34:244–52.
26.
go back to reference Brunelli SM et al. Association between long-term blood pressure variability and mortality among incident hemodialysis patients. Am J Kidney Dis. 2008;52(4):716–26.PubMedCrossRef Brunelli SM et al. Association between long-term blood pressure variability and mortality among incident hemodialysis patients. Am J Kidney Dis. 2008;52(4):716–26.PubMedCrossRef
27.
go back to reference Flythe JE, Brunelli SM. Blood pressure variability and dialysis: variability may not always be the spice of life. J Am Soc Nephrol. 2014;25(4):650–3.PubMedPubMedCentralCrossRef Flythe JE, Brunelli SM. Blood pressure variability and dialysis: variability may not always be the spice of life. J Am Soc Nephrol. 2014;25(4):650–3.PubMedPubMedCentralCrossRef
28.
go back to reference Chesterton LJ et al. Reduced baroreflex sensitivity is associated with increased vascular calcification and arterial stiffness. Nephrol Dial Transplant. 2005;20(6):1140–7.PubMedCrossRef Chesterton LJ et al. Reduced baroreflex sensitivity is associated with increased vascular calcification and arterial stiffness. Nephrol Dial Transplant. 2005;20(6):1140–7.PubMedCrossRef
29.
go back to reference Chesterton LJ et al. Categorization of the hemodynamic response to hemodialysis: the importance of baroreflex sensitivity. Hemodial Int. 2010;14(1):18–28.PubMedCrossRef Chesterton LJ et al. Categorization of the hemodynamic response to hemodialysis: the importance of baroreflex sensitivity. Hemodial Int. 2010;14(1):18–28.PubMedCrossRef
31.
go back to reference Sedaghat S, et al. Kidney function and cerebral blood flow: the Rotterdam study. J Am Soc Nephrol. 2015;27:715–21. Sedaghat S, et al. Kidney function and cerebral blood flow: the Rotterdam study. J Am Soc Nephrol. 2015;27:715–21.
32.
go back to reference Eldehni MT, Odudu A, McIntyre CW. Randomized clinical trial of dialysate cooling and effects on brain white matter. J Am Soc Nephrol. 2015;26(4):957–65.PubMedCrossRef Eldehni MT, Odudu A, McIntyre CW. Randomized clinical trial of dialysate cooling and effects on brain white matter. J Am Soc Nephrol. 2015;26(4):957–65.PubMedCrossRef
33.
34.
go back to reference Toth-Manikowski SM, Sozio SM. Cooling dialysate during in-center hemodialysis: beneficial and deleterious effects. World J Nephrol. 2016;5(2):166–71.PubMedPubMedCentralCrossRef Toth-Manikowski SM, Sozio SM. Cooling dialysate during in-center hemodialysis: beneficial and deleterious effects. World J Nephrol. 2016;5(2):166–71.PubMedPubMedCentralCrossRef
36.
go back to reference Lau WL, Ix JH. Clinical detection, risk factors, and cardiovascular consequences of medial arterial calcification: a pattern of vascular injury associated with aberrant mineral metabolism. Semin Nephrol. 2013;33(2):93–105.PubMedCrossRef Lau WL, Ix JH. Clinical detection, risk factors, and cardiovascular consequences of medial arterial calcification: a pattern of vascular injury associated with aberrant mineral metabolism. Semin Nephrol. 2013;33(2):93–105.PubMedCrossRef
37.
go back to reference Jono S et al. Phosphate regulation of vascular smooth muscle cell calcification. Circ Res. 2000;87(7):E10–7.PubMedCrossRef Jono S et al. Phosphate regulation of vascular smooth muscle cell calcification. Circ Res. 2000;87(7):E10–7.PubMedCrossRef
38.
go back to reference Steitz S et al. Smooth muscle cell phenotypic transition associated with calcification: upregulation of Cbfa1 and downregulation of smooth muscle lineage markers. Circ Res. 2001;89(12):1147–54.PubMedCrossRef Steitz S et al. Smooth muscle cell phenotypic transition associated with calcification: upregulation of Cbfa1 and downregulation of smooth muscle lineage markers. Circ Res. 2001;89(12):1147–54.PubMedCrossRef
39.
40.
go back to reference Tyson K et al. Osteo/chondrocytic transcription factors and their target genes exhibit distinct patterns of expression in human arterial calcification. Arterioscler Thromb Vasc Biol. 2003;23(3):489–94.PubMedCrossRef Tyson K et al. Osteo/chondrocytic transcription factors and their target genes exhibit distinct patterns of expression in human arterial calcification. Arterioscler Thromb Vasc Biol. 2003;23(3):489–94.PubMedCrossRef
41.
go back to reference Li X, Yang H, Giachelli C. Role of the sodium-dependent phosphate cotransporter, Pit-1, in vascular smooth muscle cell calcification. Circ Res. 2006;98(7):905–12.PubMedCrossRef Li X, Yang H, Giachelli C. Role of the sodium-dependent phosphate cotransporter, Pit-1, in vascular smooth muscle cell calcification. Circ Res. 2006;98(7):905–12.PubMedCrossRef
42.
go back to reference Crouthamel MH, et al. sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. Arterioscler Thromb Vasc Biol. 2013;33:2625–32. Crouthamel MH, et al. sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. Arterioscler Thromb Vasc Biol. 2013;33:2625–32.
43.
go back to reference Shroff R et al. Chronic mineral dysregulation promotes vascular smooth muscle cell adaptation and extracellular matrix calcification. J Am Soc Nephrol. 2010;21(1):103–12.PubMedPubMedCentralCrossRef Shroff R et al. Chronic mineral dysregulation promotes vascular smooth muscle cell adaptation and extracellular matrix calcification. J Am Soc Nephrol. 2010;21(1):103–12.PubMedPubMedCentralCrossRef
44.
go back to reference Kalimo H et al. CADASIL: a common form of hereditary arteriopathy causing brain infarcts and dementia. Brain Pathol. 2002;12(3):371–84.PubMedCrossRef Kalimo H et al. CADASIL: a common form of hereditary arteriopathy causing brain infarcts and dementia. Brain Pathol. 2002;12(3):371–84.PubMedCrossRef
45.
go back to reference Tikka S et al. CADASIL mutations and shRNA silencing of NOTCH3 affect actin organization in cultured vascular smooth muscle cells. J Cereb Blood Flow Metab. 2012;32(12):2171–80.PubMedPubMedCentralCrossRef Tikka S et al. CADASIL mutations and shRNA silencing of NOTCH3 affect actin organization in cultured vascular smooth muscle cells. J Cereb Blood Flow Metab. 2012;32(12):2171–80.PubMedPubMedCentralCrossRef
46.
go back to reference Craggs LJ et al. Microvascular pathology and morphometrics of sporadic and hereditary small vessel diseases of the brain. Brain Pathol. 2014;24(5):495–509.PubMedPubMedCentralCrossRef Craggs LJ et al. Microvascular pathology and morphometrics of sporadic and hereditary small vessel diseases of the brain. Brain Pathol. 2014;24(5):495–509.PubMedPubMedCentralCrossRef
47.
go back to reference Hosaka N et al. Elastin degradation accelerates phosphate-induced mineralization of vascular smooth muscle cells. Calcif Tissue Int. 2009;85(6):523–9.PubMedCrossRef Hosaka N et al. Elastin degradation accelerates phosphate-induced mineralization of vascular smooth muscle cells. Calcif Tissue Int. 2009;85(6):523–9.PubMedCrossRef
49.
go back to reference Simionescu A, Philips K, Vyavahare N. Elastin-derived peptides and TGF-beta1 induce osteogenic responses in smooth muscle cells. Biochem Biophys Res Commun. 2005;334(2):524–32.PubMedCrossRef Simionescu A, Philips K, Vyavahare N. Elastin-derived peptides and TGF-beta1 induce osteogenic responses in smooth muscle cells. Biochem Biophys Res Commun. 2005;334(2):524–32.PubMedCrossRef
50.
go back to reference Smith ER et al. Elastin degradation is associated with progressive aortic stiffening and all-cause mortality in predialysis chronic kidney disease. Hypertension. 2012;59(5):973–8.PubMedCrossRef Smith ER et al. Elastin degradation is associated with progressive aortic stiffening and all-cause mortality in predialysis chronic kidney disease. Hypertension. 2012;59(5):973–8.PubMedCrossRef
51.
go back to reference Chung AW et al. Matrix metalloproteinase-2 and -9 exacerbate arterial stiffening and angiogenesis in diabetes and chronic kidney disease. Cardiovasc Res. 2009;84(3):494–504.PubMedCrossRef Chung AW et al. Matrix metalloproteinase-2 and -9 exacerbate arterial stiffening and angiogenesis in diabetes and chronic kidney disease. Cardiovasc Res. 2009;84(3):494–504.PubMedCrossRef
52.
go back to reference Rosell A et al. Increased brain expression of matrix metalloproteinase-9 after ischemic and hemorrhagic human stroke. Stroke. 2006;37(6):1399–406.PubMedCrossRef Rosell A et al. Increased brain expression of matrix metalloproteinase-9 after ischemic and hemorrhagic human stroke. Stroke. 2006;37(6):1399–406.PubMedCrossRef
53.
go back to reference Adair JC et al. Measurement of gelatinase B (MMP-9) in the cerebrospinal fluid of patients with vascular dementia and Alzheimer disease. Stroke. 2004;35(6):e159–62.PubMedCrossRef Adair JC et al. Measurement of gelatinase B (MMP-9) in the cerebrospinal fluid of patients with vascular dementia and Alzheimer disease. Stroke. 2004;35(6):e159–62.PubMedCrossRef
54.
go back to reference Shanahan CM et al. High expression of genes for calcification-regulating proteins in human atherosclerotic plaques. J Clin Invest. 1994;93(6):2393–402.PubMedPubMedCentralCrossRef Shanahan CM et al. High expression of genes for calcification-regulating proteins in human atherosclerotic plaques. J Clin Invest. 1994;93(6):2393–402.PubMedPubMedCentralCrossRef
55.
go back to reference Murshed M et al. Extracellular matrix mineralization is regulated locally; different roles of two gla-containing proteins. J Cell Biol. 2004;165(5):625–30.PubMedPubMedCentralCrossRef Murshed M et al. Extracellular matrix mineralization is regulated locally; different roles of two gla-containing proteins. J Cell Biol. 2004;165(5):625–30.PubMedPubMedCentralCrossRef
56.
go back to reference Schurgers LJ et al. The circulating inactive form of matrix gla protein is a surrogate marker for vascular calcification in chronic kidney disease: a preliminary report. Clin J Am Soc Nephrol. 2010;5(4):568–75.PubMedPubMedCentralCrossRef Schurgers LJ et al. The circulating inactive form of matrix gla protein is a surrogate marker for vascular calcification in chronic kidney disease: a preliminary report. Clin J Am Soc Nephrol. 2010;5(4):568–75.PubMedPubMedCentralCrossRef
57.
go back to reference Fleisch H et al. Inhibition of aortic calcification by means of pyrophosphate and polyphosphates. Nature. 1965;207(5003):1300–1.PubMedCrossRef Fleisch H et al. Inhibition of aortic calcification by means of pyrophosphate and polyphosphates. Nature. 1965;207(5003):1300–1.PubMedCrossRef
58.
go back to reference Lomashvili K et al. Phosphate-induced vascular calcification: role of pyrophosphate and osteopontin. J Am Soc Nephrol. 2004;15(6):1392–401.PubMedCrossRef Lomashvili K et al. Phosphate-induced vascular calcification: role of pyrophosphate and osteopontin. J Am Soc Nephrol. 2004;15(6):1392–401.PubMedCrossRef
59.
go back to reference Lomashvili KA, Khawandi W, O’Neill WC. Reduced plasma pyrophosphate levels in hemodialysis patients. J Am Soc Nephrol. 2005;16(8):2495–500.PubMedCrossRef Lomashvili KA, Khawandi W, O’Neill WC. Reduced plasma pyrophosphate levels in hemodialysis patients. J Am Soc Nephrol. 2005;16(8):2495–500.PubMedCrossRef
60.
go back to reference O’Neill WC, Sigrist MK, McIntyre CW. Plasma pyrophosphate and vascular calcification in chronic kidney disease. Nephrol Dial Transplant. 2010;25(1):187–91.PubMedCrossRef O’Neill WC, Sigrist MK, McIntyre CW. Plasma pyrophosphate and vascular calcification in chronic kidney disease. Nephrol Dial Transplant. 2010;25(1):187–91.PubMedCrossRef
61.
go back to reference Schinke T et al. The serum protein alpha2-HS glycoprotein/fetuin inhibits apatite formation in vitro and in mineralizing calvaria cells. A possible role in mineralization and calcium homeostasis. J Biol Chem. 1996;271(34):20789–96.PubMedCrossRef Schinke T et al. The serum protein alpha2-HS glycoprotein/fetuin inhibits apatite formation in vitro and in mineralizing calvaria cells. A possible role in mineralization and calcium homeostasis. J Biol Chem. 1996;271(34):20789–96.PubMedCrossRef
62.
go back to reference Heiss A et al. Hierarchical role of fetuin-A and acidic serum proteins in the formation and stabilization of calcium phosphate particles. J Biol Chem. 2008;283(21):14815–25.PubMedCrossRef Heiss A et al. Hierarchical role of fetuin-A and acidic serum proteins in the formation and stabilization of calcium phosphate particles. J Biol Chem. 2008;283(21):14815–25.PubMedCrossRef
63.
go back to reference Ketteler M et al. Association of low fetuin-A (AHSG) concentrations in serum with cardiovascular mortality in patients on dialysis: a cross-sectional study. Lancet. 2003;361(9360):827–33.PubMedCrossRef Ketteler M et al. Association of low fetuin-A (AHSG) concentrations in serum with cardiovascular mortality in patients on dialysis: a cross-sectional study. Lancet. 2003;361(9360):827–33.PubMedCrossRef
64.
go back to reference Stenvinkel P et al. Low fetuin-A levels are associated with cardiovascular death: impact of variations in the gene encoding fetuin. Kidney Int. 2005;67(6):2383–92.PubMedCrossRef Stenvinkel P et al. Low fetuin-A levels are associated with cardiovascular death: impact of variations in the gene encoding fetuin. Kidney Int. 2005;67(6):2383–92.PubMedCrossRef
65.
go back to reference Lau WL, Liu S, Vaziri ND. Chronic kidney disease results in deficiency of ABCC6, the novel inhibitor of vascular calcification. Am J Nephrol. 2014;40(1):51–5.PubMedCrossRef Lau WL, Liu S, Vaziri ND. Chronic kidney disease results in deficiency of ABCC6, the novel inhibitor of vascular calcification. Am J Nephrol. 2014;40(1):51–5.PubMedCrossRef
66.
go back to reference Gattineni J et al. FGF23 decreases renal NaPi-2a and NaPi-2c expression and induces hypophosphatemia in vivo predominantly via FGF receptor 1. Am J Physiol Renal Physiol. 2009;297(2):F282–91.PubMedPubMedCentralCrossRef Gattineni J et al. FGF23 decreases renal NaPi-2a and NaPi-2c expression and induces hypophosphatemia in vivo predominantly via FGF receptor 1. Am J Physiol Renal Physiol. 2009;297(2):F282–91.PubMedPubMedCentralCrossRef
67.
go back to reference Chen T et al. The role and mechanism of α-Klotho in the calcification of rat aortic vascular smooth muscle cells. Biomed Res Int. 2015;2015:194362.PubMedPubMedCentral Chen T et al. The role and mechanism of α-Klotho in the calcification of rat aortic vascular smooth muscle cells. Biomed Res Int. 2015;2015:194362.PubMedPubMedCentral
69.
go back to reference Wang H et al. Peripheral administration of fetuin-A attenuates early cerebral ischemic injury in rats. J Cereb Blood Flow Metab. 2010;30(3):493–504.PubMedCrossRef Wang H et al. Peripheral administration of fetuin-A attenuates early cerebral ischemic injury in rats. J Cereb Blood Flow Metab. 2010;30(3):493–504.PubMedCrossRef
70.
go back to reference Weikert C et al. Plasma fetuin-a levels and the risk of myocardial infarction and ischemic stroke. Circulation. 2008;118(24):2555–62.PubMedCrossRef Weikert C et al. Plasma fetuin-a levels and the risk of myocardial infarction and ischemic stroke. Circulation. 2008;118(24):2555–62.PubMedCrossRef
71.
go back to reference Arking DE et al. Association between a functional variant of the KLOTHO gene and high-density lipoprotein cholesterol, blood pressure, stroke, and longevity. Circ Res. 2005;96(4):412–8.PubMedCrossRef Arking DE et al. Association between a functional variant of the KLOTHO gene and high-density lipoprotein cholesterol, blood pressure, stroke, and longevity. Circ Res. 2005;96(4):412–8.PubMedCrossRef
72.
go back to reference Majumdar V, Nagaraja D, Christopher R. Association of the functional KL-VS variant of Klotho gene with early-onset ischemic stroke. Biochem Biophys Res Commun. 2010;403(3–4):412–6.PubMedCrossRef Majumdar V, Nagaraja D, Christopher R. Association of the functional KL-VS variant of Klotho gene with early-onset ischemic stroke. Biochem Biophys Res Commun. 2010;403(3–4):412–6.PubMedCrossRef
73.
go back to reference Vaziri ND et al. Disintegration of colonic epithelial tight junction in uremia: a likely cause of CKD-associated inflammation. Nephrol Dial Transplant. 2012;27(7):2686–93.PubMedCrossRef Vaziri ND et al. Disintegration of colonic epithelial tight junction in uremia: a likely cause of CKD-associated inflammation. Nephrol Dial Transplant. 2012;27(7):2686–93.PubMedCrossRef
75.
go back to reference Szeto CC et al. Endotoxemia is related to systemic inflammation and atherosclerosis in peritoneal dialysis patients. Clin J Am Soc Nephrol. 2008;3(2):431–6.PubMedPubMedCentralCrossRef Szeto CC et al. Endotoxemia is related to systemic inflammation and atherosclerosis in peritoneal dialysis patients. Clin J Am Soc Nephrol. 2008;3(2):431–6.PubMedPubMedCentralCrossRef
76.
go back to reference Feroze U et al. Examining associations of circulating endotoxin with nutritional status, inflammation, and mortality in hemodialysis patients. J Ren Nutr. 2012;22(3):317–26.PubMedCrossRef Feroze U et al. Examining associations of circulating endotoxin with nutritional status, inflammation, and mortality in hemodialysis patients. J Ren Nutr. 2012;22(3):317–26.PubMedCrossRef
77.
go back to reference Vaziri ND, Yuan J, Norris K. Role of urea in intestinal barrier dysfunction and disruption of epithelial tight junction in chronic kidney disease. Am J Nephrol. 2013;37(1):1–6.PubMedCrossRef Vaziri ND, Yuan J, Norris K. Role of urea in intestinal barrier dysfunction and disruption of epithelial tight junction in chronic kidney disease. Am J Nephrol. 2013;37(1):1–6.PubMedCrossRef
78.
go back to reference Lau WL, et al. Role of Nrf2 dysfunction in uremia-associated intestinal inflammation and epithelial barrier disruption. Dig Dis Sci. 2014;60:1215–2. Lau WL, et al. Role of Nrf2 dysfunction in uremia-associated intestinal inflammation and epithelial barrier disruption. Dig Dis Sci. 2014;60:1215–2.
79.
go back to reference Rossi M et al. Protein-bound uremic toxins, inflammation and oxidative stress: a cross-sectional study in stage 3–4 chronic kidney disease. Arch Med Res. 2014;45(4):309–17.PubMedCrossRef Rossi M et al. Protein-bound uremic toxins, inflammation and oxidative stress: a cross-sectional study in stage 3–4 chronic kidney disease. Arch Med Res. 2014;45(4):309–17.PubMedCrossRef
80.
go back to reference Tang WH et al. Gut microbiota-dependent Trimethylamine N-Oxide (TMAO) pathway contributes to both development of renal insufficiency and mortality risk in chronic kidney disease. Circ Res. 2015;116(3):448–55.PubMedCrossRef Tang WH et al. Gut microbiota-dependent Trimethylamine N-Oxide (TMAO) pathway contributes to both development of renal insufficiency and mortality risk in chronic kidney disease. Circ Res. 2015;116(3):448–55.PubMedCrossRef
81.
go back to reference Chung DW et al. Systemic administration of lipopolysaccharide induces cyclooxygenase-2 immunoreactivity in endothelium and increases microglia in the mouse hippocampus. Cell Mol Neurobiol. 2010;30(4):531–41.PubMedCrossRef Chung DW et al. Systemic administration of lipopolysaccharide induces cyclooxygenase-2 immunoreactivity in endothelium and increases microglia in the mouse hippocampus. Cell Mol Neurobiol. 2010;30(4):531–41.PubMedCrossRef
82.
go back to reference Liu S et al. Comparative analysis of H&E and Prussian blue staining in a mouse model of cerebral microbleeds. J Histochem Cytochem. 2014;62(11):767–73.PubMedCrossRef Liu S et al. Comparative analysis of H&E and Prussian blue staining in a mouse model of cerebral microbleeds. J Histochem Cytochem. 2014;62(11):767–73.PubMedCrossRef
83.
go back to reference Yin J et al. Dysbiosis of gut microbiota with reduced trimethylamine-N-oxide level in patients with large-artery atherosclerotic stroke or transient ischemic attack. J Am Heart Assoc. 2015;4(11):e002699.PubMedPubMedCentralCrossRef Yin J et al. Dysbiosis of gut microbiota with reduced trimethylamine-N-oxide level in patients with large-artery atherosclerotic stroke or transient ischemic attack. J Am Heart Assoc. 2015;4(11):e002699.PubMedPubMedCentralCrossRef
84.
go back to reference Bomback AS, Bakris GL. Chronic kidney disease (CKD) and hypertension essentials. Boston, Massachusetts: Jones & Bartlett Learning; 2010. Bomback AS, Bakris GL. Chronic kidney disease (CKD) and hypertension essentials. Boston, Massachusetts: Jones & Bartlett Learning; 2010.
85.
go back to reference Lee JM et al. Vascular permeability precedes spontaneous intracerebral hemorrhage in stroke-prone spontaneously hypertensive rats. Stroke. 2007;38(12):3289–91.PubMedCrossRef Lee JM et al. Vascular permeability precedes spontaneous intracerebral hemorrhage in stroke-prone spontaneously hypertensive rats. Stroke. 2007;38(12):3289–91.PubMedCrossRef
86.
go back to reference Jaimes EA et al. Upregulation of cortical COX-2 in salt-sensitive hypertension: role of angiotensin II and reactive oxygen species. Am J Physiol Renal Physiol. 2008;294(2):F385–92.PubMedCrossRef Jaimes EA et al. Upregulation of cortical COX-2 in salt-sensitive hypertension: role of angiotensin II and reactive oxygen species. Am J Physiol Renal Physiol. 2008;294(2):F385–92.PubMedCrossRef
87.
go back to reference Zhou MS, Schulman IH, Raij L. Vascular inflammation, insulin resistance, and endothelial dysfunction in salt-sensitive hypertension: role of nuclear factor kappa B activation. J Hypertens. 2010;28(3):527–35.PubMedCrossRef Zhou MS, Schulman IH, Raij L. Vascular inflammation, insulin resistance, and endothelial dysfunction in salt-sensitive hypertension: role of nuclear factor kappa B activation. J Hypertens. 2010;28(3):527–35.PubMedCrossRef
88.
go back to reference Ritz MF et al. Identification of inflammatory, metabolic, and cell survival pathways contributing to cerebral small vessel disease by postmortem gene expression microarray. Curr Neurovasc Res. 2016;13(1):58–67.PubMedCrossRef Ritz MF et al. Identification of inflammatory, metabolic, and cell survival pathways contributing to cerebral small vessel disease by postmortem gene expression microarray. Curr Neurovasc Res. 2016;13(1):58–67.PubMedCrossRef
89.
90.
go back to reference Lin J et al. Inflammation and progressive nephropathy in type 1 diabetes in the diabetes control and complications trial. Diabetes Care. 2008;31(12):2338–43.PubMedPubMedCentralCrossRef Lin J et al. Inflammation and progressive nephropathy in type 1 diabetes in the diabetes control and complications trial. Diabetes Care. 2008;31(12):2338–43.PubMedPubMedCentralCrossRef
92.
93.
go back to reference Lee DB, Huang E, Ward HJ. Tight junction biology and kidney dysfunction. Am J Physiol Renal Physiol. 2006;290(1):F20–34.PubMedCrossRef Lee DB, Huang E, Ward HJ. Tight junction biology and kidney dysfunction. Am J Physiol Renal Physiol. 2006;290(1):F20–34.PubMedCrossRef
95.
go back to reference Wardlaw JM et al. Is breakdown of the blood-brain barrier responsible for lacunar stroke, leukoaraiosis, and dementia? Stroke. 2003;34(3):806–12.PubMedCrossRef Wardlaw JM et al. Is breakdown of the blood-brain barrier responsible for lacunar stroke, leukoaraiosis, and dementia? Stroke. 2003;34(3):806–12.PubMedCrossRef
96.
go back to reference Jeppsson B et al. Blood-brain barrier derangement in uremic encephalopathy. Surgery. 1982;92(1):30–5.PubMed Jeppsson B et al. Blood-brain barrier derangement in uremic encephalopathy. Surgery. 1982;92(1):30–5.PubMed
98.
go back to reference Perez-Rodriguez J et al. Nephrogenic systemic fibrosis: incidence, associations, and effect of risk factor assessment—report of 33 cases. Radiology. 2009;250(2):371–7.PubMedPubMedCentralCrossRef Perez-Rodriguez J et al. Nephrogenic systemic fibrosis: incidence, associations, and effect of risk factor assessment—report of 33 cases. Radiology. 2009;250(2):371–7.PubMedPubMedCentralCrossRef
99.
go back to reference Morris JM, Miller GM. Increased signal in the subarachnoid space on fluid-attenuated inversion recovery imaging associated with the clearance dynamics of gadolinium chelate: a potential diagnostic pitfall. AJNR Am J Neuroradiol. 2007;28(10):1964–7.PubMedCrossRef Morris JM, Miller GM. Increased signal in the subarachnoid space on fluid-attenuated inversion recovery imaging associated with the clearance dynamics of gadolinium chelate: a potential diagnostic pitfall. AJNR Am J Neuroradiol. 2007;28(10):1964–7.PubMedCrossRef
100.
go back to reference Rai AT, Hogg JP. Persistence of gadolinium in CSF: a diagnostic pitfall in patients with end-stage renal disease. AJNR Am J Neuroradiol. 2001;22(7):1357–61.PubMed Rai AT, Hogg JP. Persistence of gadolinium in CSF: a diagnostic pitfall in patients with end-stage renal disease. AJNR Am J Neuroradiol. 2001;22(7):1357–61.PubMed
101.
go back to reference Stinghen AE et al. Differential effects of indoxyl sulfate and inorganic phosphate in a murine cerebral endothelial cell line (bEnd.3). Toxins (Basel). 2014;6(6):1742–60.CrossRef Stinghen AE et al. Differential effects of indoxyl sulfate and inorganic phosphate in a murine cerebral endothelial cell line (bEnd.3). Toxins (Basel). 2014;6(6):1742–60.CrossRef
102.
104.
go back to reference Dou L et al. The uremic solute indoxyl sulfate induces oxidative stress in endothelial cells. J Thromb Haemost. 2007;5(6):1302–8.PubMedCrossRef Dou L et al. The uremic solute indoxyl sulfate induces oxidative stress in endothelial cells. J Thromb Haemost. 2007;5(6):1302–8.PubMedCrossRef
105.
go back to reference Shimizu H et al. Indoxyl sulfate upregulates renal expression of ICAM-1 via production of ROS and activation of NF-kB and p53 in proximal tubular cells. Life Sci. 2013;92(2):143–8.PubMedCrossRef Shimizu H et al. Indoxyl sulfate upregulates renal expression of ICAM-1 via production of ROS and activation of NF-kB and p53 in proximal tubular cells. Life Sci. 2013;92(2):143–8.PubMedCrossRef
106.
go back to reference Ryu JH, Kim SJ. Clopidogrel effectively suppresses endothelial microparticle generation induced by indoxyl sulfate via inhibition of the p38 mitogen-activated protein kinase pathway. Blood Purif. 2011;32(3):186–94.PubMedCrossRef Ryu JH, Kim SJ. Clopidogrel effectively suppresses endothelial microparticle generation induced by indoxyl sulfate via inhibition of the p38 mitogen-activated protein kinase pathway. Blood Purif. 2011;32(3):186–94.PubMedCrossRef
107.
go back to reference Meijers BK et al. The uremic retention solute p-cresyl sulfate and markers of endothelial damage. Am J Kidney Dis. 2009;54(5):891–901.PubMedCrossRef Meijers BK et al. The uremic retention solute p-cresyl sulfate and markers of endothelial damage. Am J Kidney Dis. 2009;54(5):891–901.PubMedCrossRef
108.
go back to reference Peng YS et al. Effects of indoxyl sulfate on adherens junctions of endothelial cells and the underlying signaling mechanism. J Cell Biochem. 2012;113(3):1034–43.PubMedCrossRef Peng YS et al. Effects of indoxyl sulfate on adherens junctions of endothelial cells and the underlying signaling mechanism. J Cell Biochem. 2012;113(3):1034–43.PubMedCrossRef
109.
go back to reference Fazekas F et al. Histopathologic analysis of foci of signal loss on gradient-echo T2*-weighted MR images in patients with spontaneous intracerebral hemorrhage: evidence of microangiopathy-related microbleeds. AJNR Am J Neuroradiol. 1999;20(4):637–42.PubMed Fazekas F et al. Histopathologic analysis of foci of signal loss on gradient-echo T2*-weighted MR images in patients with spontaneous intracerebral hemorrhage: evidence of microangiopathy-related microbleeds. AJNR Am J Neuroradiol. 1999;20(4):637–42.PubMed
110.
go back to reference Shoamanesh A, Kwok CS, Benavente O. Cerebral microbleeds: histopathological correlation of neuroimaging. Cerebrovasc Dis. 2011;32(6):528–34.PubMedCrossRef Shoamanesh A, Kwok CS, Benavente O. Cerebral microbleeds: histopathological correlation of neuroimaging. Cerebrovasc Dis. 2011;32(6):528–34.PubMedCrossRef
111.
go back to reference Li L et al. Cerebral microbleeds and cognitive decline in a hemodialysis patient: case report and review of literature. Hemodial Int. 2015;19(3):E1–7.PubMedCrossRef Li L et al. Cerebral microbleeds and cognitive decline in a hemodialysis patient: case report and review of literature. Hemodial Int. 2015;19(3):E1–7.PubMedCrossRef
112.
go back to reference van Norden AG et al. Frontal and temporal microbleeds are related to cognitive function: the Radboud University Nijmegen Diffusion Tensor and Magnetic Resonance Cohort (RUN DMC) Study. Stroke. 2011;42(12):3382–6.PubMedCrossRef van Norden AG et al. Frontal and temporal microbleeds are related to cognitive function: the Radboud University Nijmegen Diffusion Tensor and Magnetic Resonance Cohort (RUN DMC) Study. Stroke. 2011;42(12):3382–6.PubMedCrossRef
113.
go back to reference Poels MM et al. Cerebral microbleeds are associated with worse cognitive function: the Rotterdam Scan Study. Neurology. 2012;78(5):326–33.PubMedCrossRef Poels MM et al. Cerebral microbleeds are associated with worse cognitive function: the Rotterdam Scan Study. Neurology. 2012;78(5):326–33.PubMedCrossRef
114.
go back to reference Wardlaw JM et al. Neuroimaging standards for research into small vessel disease and its contribution to ageing and neurodegeneration. Lancet Neurol. 2013;12(8):822–38.PubMedPubMedCentralCrossRef Wardlaw JM et al. Neuroimaging standards for research into small vessel disease and its contribution to ageing and neurodegeneration. Lancet Neurol. 2013;12(8):822–38.PubMedPubMedCentralCrossRef
115.
go back to reference Shima H et al. Cerebral microbleeds in predialysis patients with chronic kidney disease. Nephrol Dial Transplant. 2010;25(5):1554–9.PubMedCrossRef Shima H et al. Cerebral microbleeds in predialysis patients with chronic kidney disease. Nephrol Dial Transplant. 2010;25(5):1554–9.PubMedCrossRef
116.
go back to reference Naganuma T et al. Cerebral microbleeds predict intracerebral hemorrhage in hemodialysis patients. Stroke. 2015;46(8):2107–12.PubMedCrossRef Naganuma T et al. Cerebral microbleeds predict intracerebral hemorrhage in hemodialysis patients. Stroke. 2015;46(8):2107–12.PubMedCrossRef
117.
go back to reference Xiao L et al. Correlation between cerebral microbleeds and S100B/RAGE in acute lacunar stroke patients. J Neurol Sci. 2014;340(1–2):208–12.PubMedCrossRef Xiao L et al. Correlation between cerebral microbleeds and S100B/RAGE in acute lacunar stroke patients. J Neurol Sci. 2014;340(1–2):208–12.PubMedCrossRef
118.
go back to reference Charidimou A, Werring DJ. A raging fire in acute lacunar stroke: inflammation, blood-brain barrier dysfunction and the origin of cerebral microbleeds. J Neurol Sci. 2014;340(1–2):1–2.PubMedCrossRef Charidimou A, Werring DJ. A raging fire in acute lacunar stroke: inflammation, blood-brain barrier dysfunction and the origin of cerebral microbleeds. J Neurol Sci. 2014;340(1–2):1–2.PubMedCrossRef
119.
go back to reference Isoyama N et al. Plasma S100A12 and soluble receptor of advanced glycation end product levels and mortality in chronic kidney disease Stage 5 patients. Nephrol Dial Transplant. 2015;30(1):84–91.PubMedCrossRef Isoyama N et al. Plasma S100A12 and soluble receptor of advanced glycation end product levels and mortality in chronic kidney disease Stage 5 patients. Nephrol Dial Transplant. 2015;30(1):84–91.PubMedCrossRef
120.
go back to reference Kaw D, Malhotra D. Platelet dysfunction and end-stage renal disease. Semin Dial. 2006;19(4):317–22.PubMedCrossRef Kaw D, Malhotra D. Platelet dysfunction and end-stage renal disease. Semin Dial. 2006;19(4):317–22.PubMedCrossRef
121.
go back to reference Cases A et al. Recombinant human erythropoietin treatment improves platelet function in uremic patients. Kidney Int. 1992;42(3):668–72.PubMedCrossRef Cases A et al. Recombinant human erythropoietin treatment improves platelet function in uremic patients. Kidney Int. 1992;42(3):668–72.PubMedCrossRef
122.
go back to reference Diaz-Ricart M et al. Erythropoietin improves signaling through tyrosine phosphorylation in platelets from uremic patients. Thromb Haemost. 1999;82(4):1312–7.PubMed Diaz-Ricart M et al. Erythropoietin improves signaling through tyrosine phosphorylation in platelets from uremic patients. Thromb Haemost. 1999;82(4):1312–7.PubMed
Metadata
Title
The Cerebrovascular-Chronic Kidney Disease Connection: Perspectives and Mechanisms
Authors
Wei Ling Lau
Branko N. Huisa
Mark Fisher
Publication date
01-02-2017
Publisher
Springer US
Published in
Translational Stroke Research / Issue 1/2017
Print ISSN: 1868-4483
Electronic ISSN: 1868-601X
DOI
https://doi.org/10.1007/s12975-016-0499-x

Other articles of this Issue 1/2017

Translational Stroke Research 1/2017 Go to the issue

SI: Present and future of neuroplasticity in CNS recovery

Neurogenesis in Stroke Recovery

SI: Present and future of neuroplasticity in CNS recovery

Spontaneous and Therapeutic-Induced Mechanisms of Functional Recovery After Stroke