Imenez Silva, Pedro H; Unwin, Robert; Hoorn, Ewout J; Ortiz, Alberto; Trepiccione, Francesco; Nielsen, Rikke; Pesic, Vesna; Hafez, Gaye; Fouque, Denis; Massy, Ziad A; De Zeeuw, Chris I; Capasso, Giovambattista; Wagner, Carsten A (2021). Acidosis, cognitive dysfunction and motor impairments in patients with kidney disease. Nephrology, dialysis, transplantation, 37(Supplement_2), ii4-ii12. Oxford University Press 10.1093/ndt/gfab216
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Metabolic acidosis, defined as a plasma or serum bicarbonate concentration <22 mmol/L, is a frequent consequence of chronic kidney disease (CKD) and occurs in ~10-30% of patients with advanced stages of CKD. Likewise, in patients with a kidney transplant, prevalence rates of metabolic acidosis range from 20% to 50%. CKD has recently been associated with cognitive dysfunction, including mild cognitive impairment with memory and attention deficits, reduced executive functions and morphological damage detectable with imaging. Also, impaired motor functions and loss of muscle strength are often found in patients with advanced CKD, which in part may be attributed to altered central nervous system (CNS) functions. While the exact mechanisms of how CKD may cause cognitive dysfunction and reduced motor functions are still debated, recent data point towards the possibility that acidosis is one modifiable contributor to cognitive dysfunction. This review summarizes recent evidence for an association between acidosis and cognitive dysfunction in patients with CKD and discusses potential mechanisms by which acidosis may impact CNS functions. The review also identifies important open questions to be answered to improve prevention and therapy of cognitive dysfunction in the setting of metabolic acidosis in patients with CKD.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension |
ISSN: |
0931-0509 |
Publisher: |
Oxford University Press |
Language: |
English |
Submitter: |
Laila-Yasmin Mani |
Date Deposited: |
15 Dec 2021 14:52 |
Last Modified: |
30 Dec 2021 00:13 |
Publisher DOI: |
10.1093/ndt/gfab216 |
PubMed ID: |
34718761 |
Additional Information: |
CONNECT Action (Cognitive Decline in Nephro-Neurology European Cooperative Target): Laila-Yasmin Mani |
Uncontrolled Keywords: |
acidosis chronic kidney disease cognitive dysfunction klotho motor function |
BORIS DOI: |
10.48350/161521 |
URI: |
https://boris.unibe.ch/id/eprint/161521 |
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