Skip to main content

Immune Deficiency and Infection in Chronic Kidney Disease

  • Chapter
  • First Online:
Chronic Kidney Disease
  • 2139 Accesses

Abstract

Chronic kidney disease (CKD) has long been recognized to be associated with immune deficiency. CKD-associated immune deficiency is orchestrated by the innate immune system and adaptive immune system. Immune deficiency could lead to graft dysfunction and impaired response to vaccination. Owing to the immune deficiency of CKD patients, opportunistic infections such as fungal, Pneumocystis jiroveci, and virus are more common in patients with CKD than in the general population. The high mortality risk of patients with CKD has been partly attributed to the infected diseases. Interventions targeting the immune dysfunction and infection can improve the outcomes of CKD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kato S, Chmielewski M, Honda H, et al. Aspects of immune dysfunction in end-stage renal disease. Clin J Am Soc Nephrol. 2008;3(5):1526–33.

    Article  Google Scholar 

  2. Sharif MR. Zahra Chitsazian, Mehdi Moosavian et al. immune disorders in hemodialysis patients. Iran J Kidney Dis. 2015;9(2):84–96.

    PubMed  Google Scholar 

  3. Cohen G, Hörl WH. Immune dysfunction in uremia—an update. Toxins. 2012;4(11):926–90.

    Article  Google Scholar 

  4. Vaziri ND, Pahl MV, Crum A, et al. Effect of uremia on structure and function of immune system. J Ren Nutr. 2012;22(1):149–56.

    Article  CAS  Google Scholar 

  5. Hartono C, Muthukumar T, Suthanthiran M. Immunosuppressive drug therapy. Cold Spring Harb Perspect Med. 2013;3(9):a015487.

    Article  Google Scholar 

  6. Buttqereit F, Scheffold A. Rapid glucocorticoid effects on immune cells. Steriods. 2002;67(6):529–34.

    Article  Google Scholar 

  7. Ahlmann M, Hempel G. The effect of cyclophosphamide on the immune system: implications for clinical cancer therapy. Cancer Chemother Pharmacol. 2016;78:661–71.

    Article  CAS  Google Scholar 

  8. Ritter ML, Pirofski L. Mycophenolate mofetil: effects on cellular immune subsets, infectious complications, and antimicrobial activity. Transpl Infect Dis. 2009;11(4):290–7.

    Article  CAS  Google Scholar 

  9. Shirani K, Hassani FV, Razavi-Azarkhiavi K, et al. Phytotrapy of cyclophosphamide-induced immunosuppression. Environ Toxicol Pharmacol. 2015;39(3):1262–75.

    Article  CAS  Google Scholar 

  10. Imiq JD, Ryan MJ. Immune and inflammatory role in renal disease. Compr Physiol. 2013;3920:957–76.

    Google Scholar 

  11. Betjes MGH, Litjens NHR. Chronic kidney disease and premature ageing of the adaptive immune response. Curr Urol Rep. 2015;16:471.

    Article  Google Scholar 

  12. Kim JU, Kim M, Kim S, et al. Dendritic cell dysfunction in patients with end-stage renal disease. Immune Netw. 2017;17(3):152–62.

    Article  Google Scholar 

  13. Yoon JW, Gollapudi S, Pahl MV, et al. Naïve and central memory T-cell lymphopenia in end-stage renal disease. Kidney Int. 2006;70(2):371–6.

    Article  CAS  Google Scholar 

  14. Khan A, El-Charabaty E, El-Sayegh S. Fungal infections in renal transplant patients. J Clin Med Res. 2015;7(6):371–8.

    Article  CAS  Google Scholar 

  15. Pappas PG, Alexander BD, Andes DR, et al. Invasive fungal infections among organ transplant recipients: results of the Transplant-Associated Infection Surveillance Network (TRANSNET). Clin Infect Dis. 2010;50:1101–11.

    Article  Google Scholar 

  16. Singh NM, Husain S. AST infectious disease community of practice: aspergillosis in solid organ transplantation. Am J Transplant. 2013;13:228–41.

    Article  CAS  Google Scholar 

  17. Goto N, Futamura K, Okada M, et al. Management of Pneumocystis jirovecii pneumonia in kidney transplantation to prevent further outbreak. Clin Med Insights Circ Respir Pulm Med. 2015;9(Suppl 10):81–90.

    PubMed  PubMed Central  Google Scholar 

  18. Gavalda J, Meije Y, Fortun J, et al. Invasive fungal infections in solid organ transplant recipients. Clin Microbiol Infect. 2014;20(Suppl 7):27–48.

    Article  Google Scholar 

  19. Whitle PL, Price JS, Backx M. Therapy and management of Pneumocystics jirovecii infection. J Funqi (Basel). 2018;4(4):E127.

    Google Scholar 

  20. Chapman JR, Marriott DJ, Chen SC, et al. Post-transplant Pneumocystis jirovecii pneumonia-are-emerged public health problem? Kidney Int. 2013;84(2):240–3.

    Article  Google Scholar 

  21. National Kidney Foundation KDOQI Work Group. KDOQI clinical practice guidelines and clinical practice recommendations for vascular access. Am J Kidney Dis. 2006;48:S176–322.

    Article  Google Scholar 

  22. Clinical practice recommendations for peritoneal dialysis adequacy. Am J Kidney Dis. 2006;48(Suppl 1):S130–58.

    Google Scholar 

  23. Hemodialysis Adequacy Work Group. Clinical practice guidelines for hemodialysis adequacy, update 2006. Am J Kidney Dis. 2006;48(Suppl 1):S2–90.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lei Jiang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Jiang, L., Wen, P. (2020). Immune Deficiency and Infection in Chronic Kidney Disease. In: Yang, J., He, W. (eds) Chronic Kidney Disease. Springer, Singapore. https://doi.org/10.1007/978-981-32-9131-7_12

Download citation

  • DOI: https://doi.org/10.1007/978-981-32-9131-7_12

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-32-9130-0

  • Online ISBN: 978-981-32-9131-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics