Table of contents
June 2006 Volume 2 No 6
Viewpoint
Can glomerulosclerosis be reversed?
290Even advanced sclerotic glomeruli show ongoing cell turnover, indicating that there is potential for modulation of the progressive renal scarring seen in chronic kidney disease. Agnes Fogo examines the mechanisms of glomerulosclerosis, with a particular focus on the pivotal role of angiotensin, and considers the potential reversibility of the processes involved.
Research Highlights
Further insights into the renal effects of drugs that disrupt the renin–angiotensin system
292Pediatric patients on hemodialysis experience increased arterial stiffness
292Determining the cause of fast transport status in peritoneal dialysis patients
292Novel treatment improves intradialytic hypotension
293A noninvasive proteomic method for early detection of renal allograft rejection
293Reversal of kidney damage in pancreas transplant recipients
294The antiviral properties of leflunomide in renal allograft recipients
294Genetic characterization of autosomal recessive polycystic kidney disease
295Standard assays underestimate the prevalence of albuminuria
295Reversing the progression of polycystic kidney disease with an mTOR inhibitor
295Sevelamer for treating hyperphosphatemia in pediatric CKD patients
296Modified buttonhole cannulation technique for fistulae with aneurysmal dilatation
296Downloadable models for predicting solute clearance
297Practice Points
Doses of histamine-2-receptor antagonists should be reduced in patients with low glomerular filtration rate
298Equations used to predict glomerular filtration rate perform poorly in kidney transplant recipients
300Kidney paired donation: a single-center study of feasibility and outcomes
302Home fingerprick sampling for immunosuppressant drug monitoring in pediatric renal transplant patients
304Does pravastatin safely and effectively improve lipid profiles in children who have received a kidney transplant?
306Hypercalciuria in children with decreased muscle mass—urine calcium : osmolality versus urine calcium : creatinine
308Adding spironolactone to conventional antihypertensives reduces albuminuria in patients with diabetic nephropathy
310Do patients with type 2 diabetes on peritoneal dialysis need less insulin if they are given rosiglitazone?
312Reviews
Drug Insight: renal indications of calcimimetics
316This Review focuses on the role of drugs such as cinacalcet in the treatment of uremic secondary hyperparathyroidism. The authors present evidence to support their assertion that cinacalcet plus higher doses of calcium-based oral phosphate binders is a safe and efficacious alternative to currently recommended regimens. Other indications for calcimimetic drugs, such as predialysis secondary hyperparathyroidism and hypercalcemic hyperparathyroidism following kidney transplantation, are also discussed.
doi:10.1038/ncpneph0191 | Full Text | PDF (190K)
Reappraisal of 2003 NKF-K/DOQI guidelines for management of hyperparathyroidism in chronic kidney disease patients
326Since the latest K/DOQI guidelines were formulated, new data on drugs such as lanthanum carbonate and calcimimetics have become available. In light of this new information, Matthieu Monge and colleagues believe that current practice can be updated. In this Review, the authors outline their recommendations regarding drug selection, dosing regimens, and monitoring of hyperparathyroidism in dialysis patients.
doi:10.1038/ncpneph0189 | Full Text | PDF (274K)
Guidelines for disorders of mineral metabolism and secondary hyperparathyroidism should not yet be modified
337In the third article of our series on secondary hyperparathyroidism in renal disease, Joachim Ix and colleagues comment on the recommendations put forth by Matthieu Monge et al. on page 326. Ix et al. contend that the changes to current practice proposed by Monge and colleagues are supported by insufficient evidence and should be revisited only when more data from high-quality trials become available.
doi:10.1038/ncpneph0190 | Full Text | PDF (118K)
Case Study

A serum potassium level above 10 mmol/l in a patient predisposed to hypokalemia
340doi:10.1038/ncpneph0201 | Full Text | PDF (233K)


