title: Dyslipidemia of kidney disease.
abstract: OBJECTIVE
  Chronic kidney disease is associated with specific alterations of lipoprotein metabolism that may be linked to accelerated atherosclerosis and cardiovascular disease. This review summarizes current knowledge of the pathophysiology of renal dyslipidemia and the therapeutic options.
  
  
  RESULTS
  The renal dyslipidemia is characterized by accumulation of intact and partially metabolized triglyceride-rich apoB-containing and apoC-containing lipoproteins. Increased concentrations of atherogenic apoC-III rich lipoproteins, the hallmark of renal dyslipidemia, may result from disturbances of insulin metabolism and action in chronic kidney disease. Novel findings strongly suggest that apoC-III triggers a cascade of pro-inflammatory events, which ultimately can result in endothelial dysfunction and vascular damage. Disappointingly, recently reported intervention trials with statins have failed to show any benefit on cardiovascular disease in patients with advanced renal failure.
  
  
  CONCLUSIONS
  During recent years, our understanding of the character and biological significance of the dyslipidemia of chronic kidney disease, and its link to cardiovascular disease, has increased. However, our knowledge about its proper management is still very limited.
authors.affiliation: Department of Nephrology, Sahlgrenska University Hospital, Göteborg, Sweden. per-ola.attman@vgregion.se
authors.forename: Per-Ola
authors.initials: PO
authors.lastname: Attman
authors.forename: Ola
authors.initials: O
authors.lastname: Samuelsson
mesh_terms: D053305:Apolipoprotein C-III / Q000378:metabolism; D002318:Cardiovascular Diseases / Q000378:metabolism; D002908:Chronic Disease; D050171:Dyslipidemias / Q000150:complications* / Q000378:metabolism; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000378:metabolism; D008074:Lipoproteins / Q000378:metabolism; D008962:Models, Theoretical
chemical_list: D053305:Apolipoprotein C-III; D008074:Lipoproteins