Nephrol Dial Transplant (2000) 15: 453-454
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Should the results of the HOPE study affect nephrological practice?
Schwabing Hospital, LMU, München, Germany
Correspondence and offprint requests to: Johannes Mann, MD, Krankenhaus Schwabing, LMU, D-80804 München, Germany. E-mail tbn02ab@mail.lrz-muenchen.de.
Which hypothesis was tested?
The reninangiotensin system (RAS) is well known for its role in blood pressure and electrolyte and volume homeostasis. Experimental evidence from recent years linked the RAS with inflammatory processes; the stimulation of interstitial fibrosis and of mesangial sclerosis may be taken as examples in nephrology [1,2]. In a more general perspective, the RAS was shown experimentally to promote the initiation and progression of atherosclerosis by its pro-inflammatory and pro-coagulatory actions. In accordance with this notion, epidemiologial evidence associated activation of the RAS with a higher prevalence of
What was done?
What was found?
How do the results affect patient management by the nephrologist?
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