Published in:
02-03-2024 | Polycystic Kidney Disease | Research Letter
Tolvaptan Treatment and Long-Term Impact on Quality of Life in Autosomal Dominant Polycystic Kidney Disease Patients: A Pilot Study
Authors:
Gianni Carraro, Valentina Di Vico, Loris Martinetti, Elisabetta Bettin, Martina Cacciapuoti, Lucia Federica Stefanelli, Laura Gobbi, Federico Nalesso, Francesca Katiana Martino, Lorenzo A. Calò
Published in:
Clinical Drug Investigation
|
Issue 4/2024
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Excerpt
Autosomal polycystic kidney disease (APKD) is the most common monogenic hereditary kidney disease, but 10% of cases are de novo mutations. About 70% of autosomal dominant polycystic kidney disease (ADPKD) patients reach end-stage renal disease, representing about 10% of people on dialysis [
1,
2]. The growth of renal cysts is due to increased cell proliferation, linked to PKD1 or PKD2 mutation that causes the accumulation of cyclic adenosine monophosphate (cAMP). cAMP leads to cystogenesis activating cellular proliferation and secretion [
3]. Tolvaptan, an antagonist of vasopressin's V2 receptor, has demonstrated its efficacy in interfering with cAMP accumulation, slowing total kidney volume (TKV), and is now a valuable option for treating ADPKD patients [
4]. …