Unwin, Robert J.

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  • Unwin, Robert J. (2)
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Author's Bibliography

Drugs with a negative impact on cognitive function (Part 1): chronic kidney disease as a risk factor

Liabeuf, Sophie; Pešić, Vesna; Spasovski, Goce; Maciulaitis, Romaldas; Bobot, Mickaël; Farinha, Ana; Wagner, Carsten A.; Unwin, Robert J.; Capasso, Giovambattista; Bumblyte, Inga Arune; Hafez, Gaye

(Oxford University Press ( Oxford Academic), 2023)

TY  - JOUR
AU  - Liabeuf, Sophie
AU  - Pešić, Vesna
AU  - Spasovski, Goce
AU  - Maciulaitis, Romaldas
AU  - Bobot, Mickaël
AU  - Farinha, Ana
AU  - Wagner, Carsten A.
AU  - Unwin, Robert J.
AU  - Capasso, Giovambattista
AU  - Bumblyte, Inga Arune
AU  - Hafez, Gaye
PY  - 2023
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/5225
AB  - People living with chronic kidney disease (CKD) frequently suffer from mild cognitive impairment and/or other
neurocognitive disorders. This review in two parts will focus on adverse drug reactions resulting in cognitive impairment
as a potentially modifiable risk factor in CKD patients. Many patients with CKD have a substantial burden of
comorbidities leading to polypharmacy. A recent study found that patients seen by nephrologists were the most complex
to treat because of their high number of comorbidities and medications. Due to polypharmacy, these patients may
experience a wide range of adverse drug reactions. Along with CKD progression, the accumulation of uremic toxins may
lead to blood–brain barrier (BBB) disruption and pharmacokinetic alterations, increasing the risk of adverse reactions
affecting the central nervous system (CNS). In patients on dialysis, the excretion of drugs that depend on kidney
function is severely reduced such that adverse and toxic levels of a drug or its metabolites may be reached at relatively
low doses, unless dosing is adjusted. This first review will discuss how CKD represents a risk factor for adverse drug
reactions affecting the CNS via (i) BBB disruption associated with CKD and (ii) the impact of reduced kidney function and
dialysis itself on drug pharmacokinetics.
PB  - Oxford University Press ( Oxford Academic)
T2  - Clinical Kidney Journal
T1  - Drugs with a negative impact on cognitive function (Part 1): chronic kidney disease as a risk factor
VL  - 0
IS  - 0
SP  - 1
EP  - 13
DO  - 10.1093/ckj/sfad241
ER  - 
@article{
author = "Liabeuf, Sophie and Pešić, Vesna and Spasovski, Goce and Maciulaitis, Romaldas and Bobot, Mickaël and Farinha, Ana and Wagner, Carsten A. and Unwin, Robert J. and Capasso, Giovambattista and Bumblyte, Inga Arune and Hafez, Gaye",
year = "2023",
abstract = "People living with chronic kidney disease (CKD) frequently suffer from mild cognitive impairment and/or other
neurocognitive disorders. This review in two parts will focus on adverse drug reactions resulting in cognitive impairment
as a potentially modifiable risk factor in CKD patients. Many patients with CKD have a substantial burden of
comorbidities leading to polypharmacy. A recent study found that patients seen by nephrologists were the most complex
to treat because of their high number of comorbidities and medications. Due to polypharmacy, these patients may
experience a wide range of adverse drug reactions. Along with CKD progression, the accumulation of uremic toxins may
lead to blood–brain barrier (BBB) disruption and pharmacokinetic alterations, increasing the risk of adverse reactions
affecting the central nervous system (CNS). In patients on dialysis, the excretion of drugs that depend on kidney
function is severely reduced such that adverse and toxic levels of a drug or its metabolites may be reached at relatively
low doses, unless dosing is adjusted. This first review will discuss how CKD represents a risk factor for adverse drug
reactions affecting the CNS via (i) BBB disruption associated with CKD and (ii) the impact of reduced kidney function and
dialysis itself on drug pharmacokinetics.",
publisher = "Oxford University Press ( Oxford Academic)",
journal = "Clinical Kidney Journal",
title = "Drugs with a negative impact on cognitive function (Part 1): chronic kidney disease as a risk factor",
volume = "0",
number = "0",
pages = "1-13",
doi = "10.1093/ckj/sfad241"
}
Liabeuf, S., Pešić, V., Spasovski, G., Maciulaitis, R., Bobot, M., Farinha, A., Wagner, C. A., Unwin, R. J., Capasso, G., Bumblyte, I. A.,& Hafez, G.. (2023). Drugs with a negative impact on cognitive function (Part 1): chronic kidney disease as a risk factor. in Clinical Kidney Journal
Oxford University Press ( Oxford Academic)., 0(0), 1-13.
https://doi.org/10.1093/ckj/sfad241
Liabeuf S, Pešić V, Spasovski G, Maciulaitis R, Bobot M, Farinha A, Wagner CA, Unwin RJ, Capasso G, Bumblyte IA, Hafez G. Drugs with a negative impact on cognitive function (Part 1): chronic kidney disease as a risk factor. in Clinical Kidney Journal. 2023;0(0):1-13.
doi:10.1093/ckj/sfad241 .
Liabeuf, Sophie, Pešić, Vesna, Spasovski, Goce, Maciulaitis, Romaldas, Bobot, Mickaël, Farinha, Ana, Wagner, Carsten A., Unwin, Robert J., Capasso, Giovambattista, Bumblyte, Inga Arune, Hafez, Gaye, "Drugs with a negative impact on cognitive function (Part 1): chronic kidney disease as a risk factor" in Clinical Kidney Journal, 0, no. 0 (2023):1-13,
https://doi.org/10.1093/ckj/sfad241 . .
52

Brain dysfunction in tubular and tubulointerstitial kidney diseases

Viggiano, Davide; Bruchfeld, Annette; Carriazo, Sol; de Donato, Antonio; Endlich, Nicole; Ferreira, Ana Carina; Figurek, Andreja; Fouque, Denis; Franssen, Casper F.M.; Giannakou, Konstantinos; Goumenos, Dimitrios; Hoorn, Ewout J.; Nitsch, Dorothea; Ortiz, Alberto; Pešić, Vesna; Rastenyté, Daiva; Soler, Maria José; Rroji, Merita; Trepiccione, Francesco; Unwin, Robert J.; Wagner, Carsten A.; Wieçek, Andrzej; Zacchia, Miriam; Zoccali, Carmine; Capasso, Giovambattista

(Oxford University Press, 2022)

TY  - JOUR
AU  - Viggiano, Davide
AU  - Bruchfeld, Annette
AU  - Carriazo, Sol
AU  - de Donato, Antonio
AU  - Endlich, Nicole
AU  - Ferreira, Ana Carina
AU  - Figurek, Andreja
AU  - Fouque, Denis
AU  - Franssen, Casper F.M.
AU  - Giannakou, Konstantinos
AU  - Goumenos, Dimitrios
AU  - Hoorn, Ewout J.
AU  - Nitsch, Dorothea
AU  - Ortiz, Alberto
AU  - Pešić, Vesna
AU  - Rastenyté, Daiva
AU  - Soler, Maria José
AU  - Rroji, Merita
AU  - Trepiccione, Francesco
AU  - Unwin, Robert J.
AU  - Wagner, Carsten A.
AU  - Wieçek, Andrzej
AU  - Zacchia, Miriam
AU  - Zoccali, Carmine
AU  - Capasso, Giovambattista
PY  - 2022
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4030
AB  - Kidney function has two important elements: glomerular filtration and tubular function (secretion and reabsorption). A persistent decrease in glomerular filtration rate (GFR), with or without proteinuria, is diagnostic of chronic kidney disease (CKD). While glomerular injury or disease is a major cause of CKD and usually associated with proteinuria, predominant tubular injury, with or without tubulointerstitial disease, is typically non-proteinuric. CKD has been linked with cognitive impairment, but it is unclear how much this depends on a decreased GFR, altered tubular function or the presence of proteinuria. Since CKD is often accompanied by tubular and interstitial dysfunction, we explore here for the first time the potential role of the tubular and tubulointerstitial compartments in cognitive dysfunction. To help address this issue we selected a group of primary tubular diseases with preserved GFR in which to review the evidence for any association with brain dysfunction. Cognition, mood, neurosensory and motor disturbances are not well characterized in tubular diseases, possibly because they are subclinical and less prominent than other clinical manifestations. The available literature suggests that brain dysfunction in tubular and tubulointerstitial diseases is usually mild and is more often seen in disorders of water handling. Brain dysfunction may occur when severe electrolyte and water disorders in young children persist over a long period of time before the diagnosis is made. We have chosen Bartter and Gitelman syndromes and nephrogenic diabetes insipidus as examples to highlight this topic. We discuss current published findings, some unanswered questions and propose topics for future research.
PB  - Oxford University Press
T2  - Nephrology Dialysis Transplantation
T1  - Brain dysfunction in tubular and tubulointerstitial kidney diseases
VL  - 37
IS  - supplement 2
SP  - ii46
EP  - ii55
DO  - 10.1093/ndt/gfab276
ER  - 
@article{
author = "Viggiano, Davide and Bruchfeld, Annette and Carriazo, Sol and de Donato, Antonio and Endlich, Nicole and Ferreira, Ana Carina and Figurek, Andreja and Fouque, Denis and Franssen, Casper F.M. and Giannakou, Konstantinos and Goumenos, Dimitrios and Hoorn, Ewout J. and Nitsch, Dorothea and Ortiz, Alberto and Pešić, Vesna and Rastenyté, Daiva and Soler, Maria José and Rroji, Merita and Trepiccione, Francesco and Unwin, Robert J. and Wagner, Carsten A. and Wieçek, Andrzej and Zacchia, Miriam and Zoccali, Carmine and Capasso, Giovambattista",
year = "2022",
abstract = "Kidney function has two important elements: glomerular filtration and tubular function (secretion and reabsorption). A persistent decrease in glomerular filtration rate (GFR), with or without proteinuria, is diagnostic of chronic kidney disease (CKD). While glomerular injury or disease is a major cause of CKD and usually associated with proteinuria, predominant tubular injury, with or without tubulointerstitial disease, is typically non-proteinuric. CKD has been linked with cognitive impairment, but it is unclear how much this depends on a decreased GFR, altered tubular function or the presence of proteinuria. Since CKD is often accompanied by tubular and interstitial dysfunction, we explore here for the first time the potential role of the tubular and tubulointerstitial compartments in cognitive dysfunction. To help address this issue we selected a group of primary tubular diseases with preserved GFR in which to review the evidence for any association with brain dysfunction. Cognition, mood, neurosensory and motor disturbances are not well characterized in tubular diseases, possibly because they are subclinical and less prominent than other clinical manifestations. The available literature suggests that brain dysfunction in tubular and tubulointerstitial diseases is usually mild and is more often seen in disorders of water handling. Brain dysfunction may occur when severe electrolyte and water disorders in young children persist over a long period of time before the diagnosis is made. We have chosen Bartter and Gitelman syndromes and nephrogenic diabetes insipidus as examples to highlight this topic. We discuss current published findings, some unanswered questions and propose topics for future research.",
publisher = "Oxford University Press",
journal = "Nephrology Dialysis Transplantation",
title = "Brain dysfunction in tubular and tubulointerstitial kidney diseases",
volume = "37",
number = "supplement 2",
pages = "ii46-ii55",
doi = "10.1093/ndt/gfab276"
}
Viggiano, D., Bruchfeld, A., Carriazo, S., de Donato, A., Endlich, N., Ferreira, A. C., Figurek, A., Fouque, D., Franssen, C. F.M., Giannakou, K., Goumenos, D., Hoorn, E. J., Nitsch, D., Ortiz, A., Pešić, V., Rastenyté, D., Soler, M. J., Rroji, M., Trepiccione, F., Unwin, R. J., Wagner, C. A., Wieçek, A., Zacchia, M., Zoccali, C.,& Capasso, G.. (2022). Brain dysfunction in tubular and tubulointerstitial kidney diseases. in Nephrology Dialysis Transplantation
Oxford University Press., 37(supplement 2), ii46-ii55.
https://doi.org/10.1093/ndt/gfab276
Viggiano D, Bruchfeld A, Carriazo S, de Donato A, Endlich N, Ferreira AC, Figurek A, Fouque D, Franssen CF, Giannakou K, Goumenos D, Hoorn EJ, Nitsch D, Ortiz A, Pešić V, Rastenyté D, Soler MJ, Rroji M, Trepiccione F, Unwin RJ, Wagner CA, Wieçek A, Zacchia M, Zoccali C, Capasso G. Brain dysfunction in tubular and tubulointerstitial kidney diseases. in Nephrology Dialysis Transplantation. 2022;37(supplement 2):ii46-ii55.
doi:10.1093/ndt/gfab276 .
Viggiano, Davide, Bruchfeld, Annette, Carriazo, Sol, de Donato, Antonio, Endlich, Nicole, Ferreira, Ana Carina, Figurek, Andreja, Fouque, Denis, Franssen, Casper F.M., Giannakou, Konstantinos, Goumenos, Dimitrios, Hoorn, Ewout J., Nitsch, Dorothea, Ortiz, Alberto, Pešić, Vesna, Rastenyté, Daiva, Soler, Maria José, Rroji, Merita, Trepiccione, Francesco, Unwin, Robert J., Wagner, Carsten A., Wieçek, Andrzej, Zacchia, Miriam, Zoccali, Carmine, Capasso, Giovambattista, "Brain dysfunction in tubular and tubulointerstitial kidney diseases" in Nephrology Dialysis Transplantation, 37, no. supplement 2 (2022):ii46-ii55,
https://doi.org/10.1093/ndt/gfab276 . .
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