Skip to main content
Log in

Dyslipidaemia and hyperlipidaemia following renal transplantation

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

The lipid metabolism of 93 patients with renal transplantation was prospectively studied. It was characterized by the serum levels of cholesterol, HDL, LDL, triglyceride, apolipoprotein A1, Apo B and lipoprotein (a) as well as by lipid electrophoresis. In addition to the examination of lipid concentrations, the authors looked for correlations with other metabolic changes, immunosuppressive treatment and the changes of body weight and hypertension following transplantation. Their conclusion is that hyperlipidaemic and dyslipidaemic changes, as reflected by the levels of total cholesterol, LDL and Apo B, are more considerable in women than in men. The levels of pre-beta and beta lipoprotein were not significantly lower in men than in women. With the passing of time after transplantation and with the reduction of the doses of cyclosporine and corticosteroids, the values of hypertension, hyper-lipidaemia and dyslipidaemia decreased. According to the follow-up results, the lipid values measured in the winter and autumn months are higher than those found in the summer. The importance of early and follow-up examinations and of the reduction of pathological metabolic alterations is emphasized.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bagdade, J., Casaretta, A., Alberts, J.: Effects of chronic uraemia, hemodialysis and renal transplantation on plasma lipids and lipoproteins in man.J. Lab. Clin. Med., 87, 37 (1976).

    CAS  Google Scholar 

  2. Barbagello, C. M., Averna, M. R., Sparacino, V., Galione, F., Scafidi, V., Amato, S., Mancino, C., Cefalu, A. B., Notarbartolo, A.: Lipoprotein (a) levels in end-stage renal failure and transplantation.Nephron, 64, 560 (1993).

    Google Scholar 

  3. Brown, J. H., Anwar, N., Short, C. D., Bhatnager, D., Mackness, M. I., Hunt, L. P., Durrington, P. N.: Serum lipoprotein (a) in renal transplant recipients receiving cyclosporin monotherapy.Nephrol. Dial. Transplant., 8, 863 (1993).

    PubMed  CAS  Google Scholar 

  4. Blünke, M., Keller, E., Eble, F., Nausner, M., Kirste, G.: Obesity in kidney transplant patients as a risk factor.Transplant. Proc., 25, 2618 (1993).

    Google Scholar 

  5. Cressman, M. D., Abood, D. O., Neil, J., Hoff, H. F.: Lp (a) and premature mortality during chronic hemodialysis treatment.Chem. Phys. Lipids, 67/68, 419 (1994).

    Article  Google Scholar 

  6. Dimeny, E., Tufveson, G., Lithell, H., Larsson, E., Siegbahn, A., Fellstrom, B.: The influence of retransplant lipoprotein abnormalities on the early results of renal transplantation.Eur. J. Clin. Invest., 23, 572 (1993).

    PubMed  CAS  Google Scholar 

  7. Domán, J., Pálos, G.: Hyperlipidaemia as a risk factor in the progression of renal diseases (in Hungarian).Magy. Belorv. Arch., 46, 343 (1993).

    Google Scholar 

  8. Esterbauer, H., Wag, G., Puhl, H.: Lipid peroxidation and its role in atherosclerosis.Br. Med. Bull., 49, 566 (1993).

    PubMed  CAS  Google Scholar 

  9. Fellstrom, B. C., Larsson, E.: Pathogenesis and treatment perspectives of chronic graft rejection (CVR).Immunol. Rev., 134, 83 (1993).

    Article  PubMed  CAS  Google Scholar 

  10. Femaris, J. R., Pasqualini, T.: Therapy with a new glucocortocoid: Effect of deflazacort on linear growth and growth hormone secretion in renal transplantation.J. Rheumatol., Suppl.,37, 43 (1993).

    Google Scholar 

  11. Galle, J., Schollmeyer, P., Wanner, C.: Cyclosporin and oxidized low density lipoproteins synergistically potentiate vasoconstriction: Influence of the endothelium.Eur. Heart J., 14 (Suppl. 1) 111 (1993).

    PubMed  CAS  Google Scholar 

  12. Gill, I. S., Hodge, E. E., Novick, A. C., Steinmuller, D. R., Garred, D.: Impact of obesity on renal transplantation.Transplant. Proc., 25, 1047 (1993).

    PubMed  CAS  Google Scholar 

  13. Hricik, D. E., Kupin, W. L., First, M. R.: Steroid free immunosuppression after renal transplantation.J. Am. Soc. Nephrol., 4 (Suppl. 8) S 10 (1994).

    Google Scholar 

  14. Isoniemi, H. M., Ahonen, J., Tikkanen, M. J., von Willebrand, E. O., Krogerus, L., Eklund, B. H., Hockerstedt, K. V., Samela, K. E., Hayry, P. J.: Long-term consequences of different immunosuppressive regimens for renal allografts.Transplantation, 55, 494 (1993).

    Article  PubMed  CAS  Google Scholar 

  15. Isoniemi, H., Nurminen, M., Tikkanen, M. J., von Willebrand, E., Krogerus, L., Ahonen, J., Eklund, B., Hockerstedt, K., Salmela, K., Hayry, P.: Risk factors predicting chronic rejection of renal allografts.Transplantation, 57, 68 (1994).

    Article  PubMed  CAS  Google Scholar 

  16. Johnson, C. P., Gallagher, L. S., Zhu, Y. R., Porth, C., Kelber, S., Roza, A. M., Adams, M. B.: Factors influencing weight gain after renal transplantation.Transplantation, 56, 822 (1993).

    Article  PubMed  CAS  Google Scholar 

  17. Kasiske, B. L., Umen, A. J.: Persistent hyperlipidemia in renal transplant patients.Medicine, 66, 309 (1987).

    Article  PubMed  CAS  Google Scholar 

  18. Keane, W. F.: Lipids and the kidney.Kidney Int., 46, 910 (1994).

    PubMed  CAS  Google Scholar 

  19. Kuster, G. M., Drexel, H., Bleisch, J. A., Rentsch, K., Pei, P., Binswanger, U., Amann, F. W.: Relation of cyclosporine blood levels to adverse effects on lipoproteins.Transplantation, 57, 1479 (1994).

    PubMed  CAS  Google Scholar 

  20. Mathieu, R. L., Casez, J. P., Jaeger, P., Montandon, A., Peheim, E., Horber, F. F.: Altered body composition and fuel metabolism in stable kidney transplant patients on immunosuppressive monotherapy with cyclosporin-A.Eur. J. Clin. Invest., 24, 195 (1994).

    Article  PubMed  CAS  Google Scholar 

  21. Maggi, E., Belazzi, R., Falaschi, F., Frattoni, A., Perani, G., Finardi, G., Gazo, A., Nai, M., Romanini, D., Bellomo, G.: Enhanced LDL oxidation in uremic patients: An additional mechanism for accelerated atherosclerosis?Kidney Int., 45, 876 (1994).

    PubMed  CAS  Google Scholar 

  22. Manske, C. L., Kasiske, B. L.: Lipid abnormalities after renal transplantation. In: Keane, W. F., Stein, J. H. (eds): Contemporary Issues in Nephrology. Vol. 24. Churchill Livingstone, New York 1991, pp. 37–62.

    Google Scholar 

  23. Moore, R., Thomas, D., Morgan, E., Wheeler, D., Griffin, P., Salaman, J., Rees, A.: Abnormal lipid and lipoprotein profiles following renal transplantation.Transplant. Proc., 25, 1060 (1993).

    PubMed  CAS  Google Scholar 

  24. Pincemail, J., Defraigne, J. O., Franssen, C., Bonnet, P., Deby-Dupont, G., Pirenne, J., Deby, C., Lamy, M., Limet, M., Meurisse, M.: Evidence for free radical formation during human kidney transplantation.Free Radic. Biol. Med., 15, 343 (1993).

    Article  PubMed  CAS  Google Scholar 

  25. Rabl, H., Khoschsorur, G., Colombo, T., Petritsch, P., Rauchenwald, M., Koltringer, P., Tatzber, F., Esterbauer, H.: A multivitamin infusion prevents lipid peroxidation and improves transplantation performance.Kidney Int., 43, 912 (1993).

    PubMed  CAS  Google Scholar 

  26. Schulak, J. A., Hricik, D. E.: Steroid withdrawal, after transplantation.Clin. Transplant., 8, 211 (1994).

    PubMed  CAS  Google Scholar 

  27. Traindl, O., Reading, S., Franz, M., Watschinger, B., Klauser, R., Pidlich, H., Wildhalm, K., Pohanka, E., Kovarik, J.: Treatment of hyperlipidemic kidney graft recipients with Lovastatin: Effect on LDL-cholesterol and lipoprotein (a).Nephron, 62, 394 (1992).

    Article  PubMed  CAS  Google Scholar 

  28. Webb, A. T., Reaveley, D. A., O'Donnell, B., Seed, M., Brown, E. A.: Does cyclosporin increase lipoprotein (a) concentrations in renal transplant recipients?Lancet, 341, 268 (1993).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lőcsey, L., Asztalos, L., Kincses, Z. et al. Dyslipidaemia and hyperlipidaemia following renal transplantation. International Urology and Nephrology 28, 419–430 (1996). https://doi.org/10.1007/BF02550506

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02550506

Keywords

Navigation