title: Stop chronic kidney disease progression: Time is approaching.
abstract: Progression of chronic kidney disease (CKD) is inevitable. However, the last decade has witnessed tremendous achievements in this field. Today we are optimistic; the dream of withholding this progression is about to be realistic. The recent discoveries in the field of CKD management involved most of the individual diseases leading the patients to end-stage renal disease. Most of these advances involved patients suffering diabetic kidney disease, chronic glomerulonephritis, polycystic kidney disease, renal amyloidosis and chronic tubulointerstitial disease. The chronic systemic inflammatory status and increased oxidative stress were also investigated. This inflammatory status influences the anti-senescence Klotho gene expression. The role of Klotho in CKD progression together with its therapeutic value are explored. The role of gut as a major source of inflammation, the pathogenesis of intestinal mucosal barrier damage, the role of intestinal alkaline phosphatase and the dietary and therapeutic implications add a novel therapeutic tool to delay CKD progression.
authors.affiliation: Usama Abdel Azim Sharaf El Din, Departments of Nephrology, School of Medicine, Cairo University, Manial, Cairo 11759, Egypt.
authors.forename: Usama Abdel Azim
authors.initials: UA
authors.lastname: Sharaf El Din
authors.affiliation: Usama Abdel Azim Sharaf El Din, Departments of Nephrology, School of Medicine, Cairo University, Manial, Cairo 11759, Egypt.
authors.forename: Mona Mansour
authors.initials: MM
authors.lastname: Salem
authors.affiliation: Usama Abdel Azim Sharaf El Din, Departments of Nephrology, School of Medicine, Cairo University, Manial, Cairo 11759, Egypt.
authors.forename: Dina Ossama
authors.initials: DO
authors.lastname: Abdulazim
keywords: Amyloidosis; Chronic kidney disease; Diabetic nephropathy; Klotho; Micro RNA; Progression