Hypertension in Autosomal Dominant Polycystic Kidney Disease: A Clinical and Basic Science Perspective

authors:

avatar Shobha Ratnam 1 , * , avatar Surya M Nauli 1

Department of Pharmacology and Medicine, The University of Toledo, Ohio, USA

how to cite: Ratnam S, Nauli S. Hypertension in Autosomal Dominant Polycystic Kidney Disease: A Clinical and Basic Science Perspective. Nephro-Urol Mon. 2010;2(2): 294-308. 

Abstract

Cardiovascular complications are major causes of morbidity and mortality in patients with autosomal dominant polycystic kidney disease (ADPKD). In particular, hypertension is insidious and remains a continuous problem that evolves during the course of the disease. Hypertension in ADPKD has been associated with abnormality in the renin-angiotensin-aldosterone system (RAAS). Early vascular changes have also been reported in young ADPKD patients. In addition, the cellular functions of mechanosensory cilia within vascular system have emerged recently. The basic and clinical perspectives of RAAS, vascular remodeling and sensory cilia are reviewed with regard to hypertension in ADPKD.

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