Chronic Kidney Disease Is Linked to Carotid Nodular Calcification, An Unstable Plaque Not Correlated to Inflammation.

carotid chronic kidney disease histopathology nodular calcification

Journal

Aging and disease
ISSN: 2152-5250
Titre abrégé: Aging Dis
Pays: United States
ID NLM: 101540533

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 08 11 2017
accepted: 17 01 2018
entrez: 2 2 2019
pubmed: 2 2 2019
medline: 2 2 2019
Statut: epublish

Résumé

The incidence and the different type of carotid calcifications, nodular and non-nodular, and their role in the acute cerebrovascular disease has not yet been defined. Various studies have correlated the presence of specific risk factors, in particular the chronic kidney disease, with the presence of calcification, but not with the type of calcification. Since it is likely that carotid nodular calcifications rather than those with non-nodular aspect may represent a plaque at high risk of rupture, the purpose of our study was to evaluate the role of nodular calcification in the pathogenesis of cerebrovascular syndromes and their possible correlation with specific risk factors. A total of 168 carotid plaques from symptomatic and asymptomatic patients submitted to endarterectomy, whom complete clinical and laboratory assessment of major cardiovascular risk factors was available, were studied. In 21 endarterectomies (5 from symptomatic and 16 from asymptomatic patients) an eruptive calcified nodule, consisting of calcified plates associated to a small amount of fibrous tissue without extracellular lipids and inflammatory cells, was found protruding into the lumen. Nodular calcifications were significantly observed in patients affected by chronic kidney disease (with GFR<60 ml / min / 1.73 m

Identifiants

pubmed: 30705769
doi: 10.14336/AD.2018.0117
pii: ad-10-1-71
pmc: PMC6345328
doi:

Types de publication

Journal Article

Langues

eng

Pagination

71-81

Déclaration de conflit d'intérêts

Conflicts of interest All submitting authors, Marina Cardellini, Valentina Rovella, Manuel Scimeca, Lucia Anemona, Simone Bischetti, Sara Casella, Andrea Saggini, Elena Bonanno, Marta Ballanti, Francesca Davato, Rossella Menghini, Arnaldo Ippoliti, Giuseppe Santeusanio, Nicola Di Daniele, Massimo Federici and Alessandro Mauriello, have no conflict of interest to declare.

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Auteurs

Marina Cardellini (M)

1Center for Atherosclerosis, Department of Medicine, Policlinico Tor Vergata, Rome, and Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Valentina Rovella (V)

2Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Manuel Scimeca (M)

3Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.
4OrchideaLab S.r.l., via del Grecale 6, Morlupo, Roma, Italy.

Lucia Anemona (L)

5Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Italy.

Simone Bischetti (S)

4OrchideaLab S.r.l., via del Grecale 6, Morlupo, Roma, Italy.

Sara Casella (S)

5Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Italy.

Andrea Saggini (A)

5Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Italy.

Elena Bonanno (E)

5Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Italy.

Marta Ballanti (M)

1Center for Atherosclerosis, Department of Medicine, Policlinico Tor Vergata, Rome, and Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Francesca Davato (F)

1Center for Atherosclerosis, Department of Medicine, Policlinico Tor Vergata, Rome, and Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Rossella Menghini (R)

1Center for Atherosclerosis, Department of Medicine, Policlinico Tor Vergata, Rome, and Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Arnaldo Ippoliti (A)

6Vascular Surgery, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy.

Giuseppe Santeusanio (G)

5Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Italy.

Nicola Di Daniele (N)

2Hypertension and Nephrology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Massimo Federici (M)

1Center for Atherosclerosis, Department of Medicine, Policlinico Tor Vergata, Rome, and Department of Systems Medicine, University of Rome Tor Vergata, Italy.

Alessandro Mauriello (A)

5Department of Experimental Medicine and Surgery, University of Rome Tor Vergata, Italy.

Classifications MeSH